NHA - CERTIFIED BILLING AND CODING SPECIALIST (CBCS) STUDY GUIDE EXAM
2025–2026 REAL EXAM QUESTIONS WITH 100% RATED DETAILED ANSWERS EXPERT
VERIFIED JUST RELEASED GET IT A+ 2025
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? -
DETAILED ANSWER-Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? -
DETAILED ANSWER-Add-on codes
As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-
1500 claim form before a further claim is required? - DETAILED ANSWER12
What is considered proper supportive documentation for reporting CPT and ICD codes for
surgical procedures? - DETAILED ANSWER-Operative report
What action should be taken first when reviewing a delinquent claim? - CORRECT
ANSWER-Verify the age of the account
A claim can be denied or rejected for which of the following reasons? - CORRECT
ANSWER-Block 24D contains the diagnosis code
A coroner's autopsy is comprised of what examinations? - DETAILED ANSWER-Gross
Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - DETAILED ANSWER-Private
third-p
arty payers
, What part of Medicare covers prescriptions? - DETAILED ANSWER-Part C
What plane divides the body into left and right? - DETAILED ANSWER-Sagittal
Where can unlisted codes be found in the CPT manual? - DETAILED ANSWER-
Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations use which form to
submit claims? - DETAILED ANSWER-UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - DETAILED ANSWERRed
Who is responsible to pay the deductible? - DETAILED ANSWER-Patient
APC Grouper - DETAILED ANSWER-Helps coders determine the appropriate ambulatory
payment classification (APC) for an outpatient encounter.
Computer-assisted Coding (CAC) - DETAILED ANSWER-Software that scans the entire patient's
electronic record and codes the encounter based on the documentation in the record.
What is abstracting? - DETAILED ANSWER-It involves reviewing the health record and/or
encounter form and translating the medical documentation into the specific code sets.
What are three purposes of ICD-9-CM? - DETAILED ANSWER-Classifying morbidity and
mortality, indexing hospital records by disease and operations and reporting diagnoses by
physicians.
How does ICD-10-CM improve upon ICD-9-CM? - DETAILED ANSWER-ICD-10-CM
provides more detailed clinical information, updated medical terminology and
classification of diseases.
What are the goals of ICD-10-PCS? - DETAILED ANSWER-Improve accuracy and efficiency of
coding, reduce training effort, and improve communication with physicians.
What character of ICD-10-PCS for medical or surgical procedure would identify the body part? -
DETAILED ANSWER-Character 4
CPT codes are used to describe what? - DETAILED ANSWER-Services rendered by the provider.
2025–2026 REAL EXAM QUESTIONS WITH 100% RATED DETAILED ANSWERS EXPERT
VERIFIED JUST RELEASED GET IT A+ 2025
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? -
DETAILED ANSWER-Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? -
DETAILED ANSWER-Add-on codes
As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-
1500 claim form before a further claim is required? - DETAILED ANSWER12
What is considered proper supportive documentation for reporting CPT and ICD codes for
surgical procedures? - DETAILED ANSWER-Operative report
What action should be taken first when reviewing a delinquent claim? - CORRECT
ANSWER-Verify the age of the account
A claim can be denied or rejected for which of the following reasons? - CORRECT
ANSWER-Block 24D contains the diagnosis code
A coroner's autopsy is comprised of what examinations? - DETAILED ANSWER-Gross
Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - DETAILED ANSWER-Private
third-p
arty payers
, What part of Medicare covers prescriptions? - DETAILED ANSWER-Part C
What plane divides the body into left and right? - DETAILED ANSWER-Sagittal
Where can unlisted codes be found in the CPT manual? - DETAILED ANSWER-
Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations use which form to
submit claims? - DETAILED ANSWER-UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - DETAILED ANSWERRed
Who is responsible to pay the deductible? - DETAILED ANSWER-Patient
APC Grouper - DETAILED ANSWER-Helps coders determine the appropriate ambulatory
payment classification (APC) for an outpatient encounter.
Computer-assisted Coding (CAC) - DETAILED ANSWER-Software that scans the entire patient's
electronic record and codes the encounter based on the documentation in the record.
What is abstracting? - DETAILED ANSWER-It involves reviewing the health record and/or
encounter form and translating the medical documentation into the specific code sets.
What are three purposes of ICD-9-CM? - DETAILED ANSWER-Classifying morbidity and
mortality, indexing hospital records by disease and operations and reporting diagnoses by
physicians.
How does ICD-10-CM improve upon ICD-9-CM? - DETAILED ANSWER-ICD-10-CM
provides more detailed clinical information, updated medical terminology and
classification of diseases.
What are the goals of ICD-10-PCS? - DETAILED ANSWER-Improve accuracy and efficiency of
coding, reduce training effort, and improve communication with physicians.
What character of ICD-10-PCS for medical or surgical procedure would identify the body part? -
DETAILED ANSWER-Character 4
CPT codes are used to describe what? - DETAILED ANSWER-Services rendered by the provider.
