NHA CBCS Module 4 Billing & Reimbursement Questions 2026 | Questions & Answers | Exam Review

1. Charge./Capture:./References./of./the./provider./indicating./services./and./supplies./provided./to./the./patient./during./
a./given./encounter,./along./with./relevant./Diagnoses.
2. Charge./capture./is./associated./with./the./code./sets./and./modifiers./that./are./r
elated./to./revenue../This./includes::./-./CPT
- HCPCS
- ICD-10-CM
- Modifiers./for./HCPCS./and./CPT./codes
3. Loss./of./revenue./associated./with./charge./capture./includes./what?:./-
./incorrect./code./assignment


- modifier./ use
- units./for./drugs./supplied./by./the./provider
4. Which./of./the./following./forms./would./be./included./in./a./patient's./EMR?
- List./of./non-covered./medical./services
- The. / right. / to. / a. / second. / opinion
- Supplemental./coverage./forms
- Consent./to./treatment:./Consent./to./treatment
5. Which. / of. / the. / following. / codes. / is. / the. / correct. / administration. / code. / for. / Kenalo
g./injected./in./an./adult./patient?
-./99213
-./90460
-./90471
-./96372:./96372
6. According./to./the./NUCC,./which./of./the./following./is./the./correct./date./format./for./
entering./a./DOB./on./a./claim?
-./2021/12/20
-./12/20/2021
-./02202021
-./200221:./12/20/2021
7. CMS-1500./forms./are./used./to./provide./what./type./of./information?:./CMS-
1500./forms./are./the./paper./version./of./the./claim./and./provide./the./payer./with./necessary./identifying./information./o
f./the./patient./and./the./servicing./provider,./such./as./patient./demographics;./date./of./service;./insurance./ID./number;./a
nd./service./provided

,8. Medically./Unlikely./Edits./(MUE):./are./a./feature./of./the./NCCI./system./and./are./used./to./prevent./overpay-
ments./of./codes./with./an./unlikely./unit./value
9. Scrubbing. / Applications:. / Can./be./add-on./services,./so./a./small./or./provider-
owned./organization./may./not./have./access./to./it./and./would./rely./solely./on./the./billing./and./coding./specialist./to./r
eview./and./edit./claims
10. Subjective./(S)./Example:./Patient./reports./of./SOB,./cough,./and./extreme./fatigue
11. Objective./(O)./Example:./Temp:./100,./HR:./87,./RR:./14
12. Assessment./(A)./Example:./Productive./cough,./rattling../Suspected./COVID-19./infection
13. Plan./(P):./Covid./screen./conducted./and./tolerated./well../Patient./advised./to./quarantine,./rest,./and./intake./plenty./
of./fluids./until./results./are./received../Benzonatate./prescribed
14. NOS:./Meaning./"Unspecified"
15. NEC:. / Meaning./"other./specified"
16. Eponym:./ Lou./Gehrig's./disease
17. Placeholder: . / X
18. CPT./codes./are./used./to./describe./which./of./the./following./types./of./information?
- The./reason./why./the./patient./is./being./treated
- The. / medical. / services. / that. / have. / been. / provided. / to. / the. / patient
- The. / dates. / of. / when. / the. / services. / were. / provided
- The. / type. / of. / provider. / and. / location:. / The./medical./services./that./have./been./provided./to./the./patient
19. Which./of./the./following./is./typical./of./claims./submissions?
- Occur./every./90./days
- Use./then./CMS-1500./form
- Occur. / Frequently
Occur./every./30./days:./Occur./frequently
20. charge./capture./is./what?:./data./captured./from./the./encounter./form./provides./the./claim./foundation.
21. Service./codes./are./what:./are./verified,./and./any./questions./about./the./services./must./be./verified./with./th
e./provider
22. Claims. / completion. / where. / and. / how?:. / it./occurs./in./the./billing./application./and./it./is./from./the./da
ta./of./the./patient./account./and./combined./with./the./charges./captured./from./the./encounter./form.
23. The./essential./elements./required./for./a./claim./are./established./by./who?:./the. / N
ational./Uniform./Claim./Committee./(NCCU)
24. Claims./review./is./what:./is./claim./errors./and./edits./that./are./corrected./prior./to./billing./to./billing./to./third-

, party./payers./are./easier./to./correct./and./result./in./faster./and./more./accurate./reimbursement.