NHA CBCS Practice Test 2 2026 | Certified Billing & Coding Specialist Questions & Answers

NHA./CBCS./Practice./Test./Number./2

1. A./provider./accepts./assignment./for./a./patient./who./has./a./$10./copayment./and./
has./already./met./$100./of./their./$150./deductible../The./office./charge./$100./and./th
e./allowed./amount./$70../How./much./should./the./provider's./office./adjust./off./the./pa
tient's./account?:./$30./($100-$70)
2. Claims. / that. / submitted. / without. / an. / NPI. / number. / will. / delay. / payment. / to. / the
. / provider./due./to./which./of./the./following?:./The./number./is./needed./to./identify./the./provider


3. Which./of./the./following./describes./the./nature./of./a./modifier?:. / Indicates./that./an./alteration./t
o./a./service./or./procedure./has./occurred
4. A. / billing. / and. / coding. / specialist. / is. / preparing. / a. / list. / of. / delinquent. / accounts. / ov
er./300. / days. / old. / that. / received. / telephone. / calls,. / letters,. / and. / have. / been. / referre
d. / to./a. / collection. / agency. / with. / no. / results.. / which. / of. / the. / following. / is. / the. / term. / t
hat./describes./accounts./receivable./that./deemed./to./be./"uncontrollable"?:./Bad./debts
(A./payment./that./cannot./be./revered./by./the./oflce./or./a./collection./agency./is./bad./debt)
5. Which./of./the./following./is./a./HIPPA./compliance./guideline./affecting./effecting./electro
nic. / health. / records?:. / The./electronic./transmission./and./code./set./standards./require./every./provider./to./
use./the./health./care./transactions,./code./sets,./and./identifiers
6. Which./of./the./following./are./used./to./code./provider./and./outpatient./services?:./-
CPT./Codes
(CPT./codes./are./used./to./code./provider./and./outpatient./services)
7. Which./of./the./following./terms./describes./the./amount./the./patient./must./pay./fo
r./a./service./when./they./have./an./insurance./plan./benefit./that./pays./70%./of./the./a
llowed./amount./and./the./patient./is./responsible./for./30%./of./the./allowed./amount?
:./Coinsurance
(a./percentage./of./the./allowed./amount./that./a./patient./must./pay./for./covered./services./that./are./approved./by./the./third-
party. / payer)
8. A./billing./and./coding./specialist./is./preparing./to./create./patient./statements./and./
has./been./asked./to./collect./finance./charges./on./any./late./payments.According ./to./t
he./Truth./in./Lending./Act./(TILA),./which./of./the./following./is./the./way./the./finance./ch
arges./must./be./disclosed./on./the./statement?:./As./an./annual./percentage./rate
9. Which./of./the./following./is./an./example./of./an./information./modifier?:./-
24./Unrelated./Evaluation./and./Management./service./by./the./same./provider./during./a./postoperative./period

, NHA./CBCS./Practice./Test./Number./2

10. A./patient./who./is./insulin-
dependent./is./diagnosed./with./diabetic./retinopathy../According./to./ICD-10-
CM./coding./guidelines,./in./which./of./the./following./orders./should./the./codes./be./rep
orted./on./the./claim./form?:./E11.319,./Z79.4
11. Which./of./the./following./introduced./documentation./guidelines./to./medicare./c
arriers./to./ensure./that./services./paid./for./have./been./provided./and./were./med-
ically./necessary?:./CMS
(The./centers./for./Medicare./and./Medicaid./services./(CMS)./introduced./documentation./guidelines./to./Medicare./carrie
rs./ti./ensure./that./services./paid./for./have./been./provided./and./were./medically./necessary.)
12. A./patient./has./coverage./through./multiple./third-
party./payers../A./billing./and./coding./specialist./should./identify./that./which./of./the./
following./is./the./payer./of. / last./resort?:./Medicaid
13. A. / billing. / and. / coding. / specialist. / is. / submitting. / a. / batch. / of. / claims. / to. / the. / clea
r-
inghouse. / and. / receives. / a. / report. / stating. / that. / three. / claims. / were. / rejectedWhic
h. / of./the./following./actions./should./the./specialist./take?:./Review./the./scrubber./report
14. A./billing./and./coding./specialist./is./reviewing./an./operative./report./for./a./patient./
who./had./a./graft../Which./of./the./following./is./a./tissue./transplanted./from./one./perso
n./to./another?:./Allograft
15. Which. / of. / the. / following. / is. / the. / filing. / limit. / for. / claim. / submission. / for. / an. / o
utpa-tient./service./with./TRICARE?:./Within./1./year./from./the./date./of./service
16. A./billing./and./coding./specialist./in./an./internal./medicine./practice./is./assisting. / a.
/patient./who./is./already./collecting ./Social./Security./but./will./be./turning./65./in./the./n


ext./year./and./has./questions./about./what./Medicare./will./cover../The./specialist./sho
uld./know./that./which./of./the./following./is./the./Medicare./benefit./the./patient. / will./be./
enrolled./in./automatically?:./Medicare./Part./A
17. A./billing./and./coding./specialist./is./submitting./claims./through./a./clearinghouse../Th
e. / specialist. / should. / identify. / that. / which. / of. / the. / following. / actions. / is. / performed./b
y. / the. / clearinghouse?:. / Scrubbing./claims,./transmitting./them./to./a./standard./format,./then./sending./them./to
./various./third-party./payers


18. A./patient's./employer./has./not./submitted./a./premium./payment./for./the./compa-
ny's./commercial./insurance./plan../Which./of./the./following./is./the./claim./statuses./t

, NHA./CBCS./Practice./Test./Number./2

he./provider./will./receive./any./claims./sent./to./the./third-party./payer?:./Denied