NHA CBCS Practice Test 3 2026 | Certified Billing & Coding Specialist Questions & Answers

NHA./CBCS./practice./test./#3

1. On./a./remittance./advice./form,./which./of./the./following./is./responsible./for./writing.
/off./the./difference./between./the./amount./billed./and./the./amount./allowed./by./the./ag


reement?:./Provider
2. Which./of./the./following./codes./are./included./in./the./ICD-10-
CM./code./set?:./Aquired./access./of./limbs
3. A./patient./has./a./resection./of./the./intestines./with./anastomosis./through./the./abdo
minal./walls../Which./of./the./following./is./a./type./of./anastomosis?:./Colostomy./(A./surgic
al./procedure./that./involves./creating./an./opening./through./the./abdominal./wall).
4. Which./of./the./following./is./the./purpose./of./an./internal./review./in./a./provider's./office?:.
/To./verify./that./the./medical./records./and./the./billing./record./match


5. Which./of./the./following./is./a./valid./ICD-10-
CM./principal?:./Code./signs./and./symptoms./in./the./absence./of./definitive./diagnosis
6. Which./of./the./following./editing./systems./should./a./billing./and./coding./specialist./
reference./to./determine./if./a./supplies./and./materials./code./should./be./assigned./to./
report./a./surgical./tray./used./during./an./ambulatory./procedure?:./National./Correct./Codi
ng./Initiative./(NCCI)

-
./(The./NCCI./is./also./used./to./to./promote./national./correct./coding./methodologies./and./control./improper./coding./leadin


g./to./inappropriate./payment./of./claims).
7. When. / should. / a. / billing. / and. / coding. / specialist. / initiate. / the. / collection. / of. / the./inf
ormation./needed./to./process./a./patient's./insurance./claim./form?:./When./the./patient./cont
acts./the./providers./oflce./and./schedules./an./appointment
8. A./patient./wants./to./see./an./endocrinologist./for./a./consultation./about./their./di
abetes./mellitus,./but./they./must./see./their./primary./care./provider./(PCP)./for./a./r
eferral./to./an./in-
network./specialist./first../Which./of./the./following./types./of./insurance./does./the./pati
ent./have?:./Health./Maintenance./Organization./(HMO)
9. A./billing./and./coding./specialist./is./reviewing./the./procedure./notes./from./a./provid
er./who./selected./a./code./indicating./an./incisional./biopsy./when./the./entirety./of./the./p
atient's./lesion./was./removed../The./specialist./should./verify./with./the./provider./that.
/which./of./the./following./types./of./procedures./was./performed?:./-./Excisional./procedure

, NHA./CBCS./practice./test./#3

10. A./billing./and./coding./specialist./is./reviewing./a./report./from./the./clearinghouse./
after./submitting./electronic./claims./and./notices./that./one./claim./was./rejected./due./t
o./missing./demographic./information../Which./of./the./following./actions./should. / the.
/specialist./take?:./Resubmit./and./updated./claim


11. A. / billing. / and. / coding. / speiclaist. / is. / reviewing. / a. / claim. / for. / a. / patient. / who. / pr
e-
sented. / to. / the. / provider's. / office. / for. / an. / upper. / respiratory. / infection.. / durin
g. / the. / encounter,. / the. / patient. / also. / received. / the. / influenza. / vaccine.. / Which. / of
. / the./following. / modifiers. / should. / be. / attached. / to. / the. / Evaluation. / and. / Man


agement./(E/M)./code?:./-
25:./Significant,./seperetly./identifiable./evaluation./and./management./(E/M)./service./by./the./same. / physician./or./
other./qualified./health./care./professional./on./the./same./day./of./the./procedure./or./other./service.
12. A. / patient. / is. / upset. / about. / a. / bill. / they. / received. / because. / their. / third. / party. / pay
er./denied. / the. / claim.. / Which. / of. / the. / following. / actions. / should. / a. / billing. / and. / codi
ng./specialist./take?:./Inform./the./patient./of./the./reason./for./the./denial
13. A. / billing. / and. / coding. / specialist. / is. / assisting. / a. / patient. / who. / has. / a. / capacitat
ed./health. / maintenance. / organization. / (HMO). / and. / presents. / to. / the. / office. / with. /
a. / sinus. / infection.. / The. / specialist. / should. / identify. / that. / which. / of. / the. / following. /
statements./is./true./regarding./a./capacitated./HMO?:./Payment./for./the./encounter./is./based./on./
a./flat./rate
14. When. / a. / patient. / has. / a. / condition. / that. / is. / both. / acute. / and. / chronic,. / how. / shou
ld./it./be./coded?:./Code./both./the./acute./and./chronic./conditions,./sequencing./the./acute./condition./first
15. A./billing./and./coding./specialist./is./preparing./an./appeal./letter./in./response./t
o./a./denial./by./a./third-party./payer./for./lack./of./medical./necessity../Which./of
the. / following. / should. / the. / specialist. / include. / with. / the. / letter. / to. / indicate. / med
ical./necessity?:./Medical./record./documentation
16. HIPPA./transaction./standards./apply./to./which./of./the./following./entities?:./Health./c
are./clearinghouses
17. In./the./ICD-10-CM./code./set,./which./of./the./following./characters./is./the./place-
holder?:./X
18. Which./of./the./following./are./included./in./surgery./service./codes?:./Preoperative./history./a
nd./physical

, NHA./CBCS./practice./test./#3

19. A./billing./and./coding./specialist./is./reviewing./a./remittance./advice./and./encoun-
ters./a./denial./of./payment./for./CPT./code./44950./(appendectomy)../The./specialist