NHA - Certified Billing and Coding Specialist (CBCS)
Study Guide Questions (Solved)
The symbol "O" in the Current Procedural Terminology reference is used to
indicate what? - correct answer ✅Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying
circumstances? - correct 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? -
correct answer ✅12
What is considered proper supportive documentation for reporting CPT and
ICD codes for surgical procedures? - correct 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
,NHA - Certified Billing and Coding Specialist (CBCS)
Study Guide Questions (Solved)
A coroner's autopsy is comprised of what examinations? - correct answer
✅Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - correct
answer ✅Private third-party payers
What part of Medicare covers prescriptions? - correct answer ✅Part C
What plane divides the body into left and right? - correct answer ✅Sagittal
Where can unlisted codes be found in the CPT manual? - correct answer
✅Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations
use which form to submit claims? - correct answer ✅UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - correct
answer ✅Red
, NHA - Certified Billing and Coding Specialist (CBCS)
Study Guide Questions (Solved)
Who is responsible to pay the deductible? - correct answer ✅Patient
A patient's health plan is referred to as the "payer of last resort." What is the
name of that health plan? - correct answer ✅Medicaid
Informed Consent - correct answer ✅Providers explain medical or
diagnostic procedures, surgical interventions, and the benefits and risks
involved, giving patients an opportunity to ask questions before medical
intervention is provided.
Implied Consent - correct answer ✅A patient presents for treatment, such
as extending an arm to allow a venipuncture to be performed.
Clearinghouse - correct answer ✅Agency that converts claims into
standardized electronic format, looks for errors, and formats them according
to HIPAA and insurance standards.
Individually Identifiable - correct answer ✅Documents that identify the
person or provide enough information so that the person can be identified.
Study Guide Questions (Solved)
The symbol "O" in the Current Procedural Terminology reference is used to
indicate what? - correct answer ✅Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying
circumstances? - correct 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? -
correct answer ✅12
What is considered proper supportive documentation for reporting CPT and
ICD codes for surgical procedures? - correct 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
,NHA - Certified Billing and Coding Specialist (CBCS)
Study Guide Questions (Solved)
A coroner's autopsy is comprised of what examinations? - correct answer
✅Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - correct
answer ✅Private third-party payers
What part of Medicare covers prescriptions? - correct answer ✅Part C
What plane divides the body into left and right? - correct answer ✅Sagittal
Where can unlisted codes be found in the CPT manual? - correct answer
✅Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations
use which form to submit claims? - correct answer ✅UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - correct
answer ✅Red
, NHA - Certified Billing and Coding Specialist (CBCS)
Study Guide Questions (Solved)
Who is responsible to pay the deductible? - correct answer ✅Patient
A patient's health plan is referred to as the "payer of last resort." What is the
name of that health plan? - correct answer ✅Medicaid
Informed Consent - correct answer ✅Providers explain medical or
diagnostic procedures, surgical interventions, and the benefits and risks
involved, giving patients an opportunity to ask questions before medical
intervention is provided.
Implied Consent - correct answer ✅A patient presents for treatment, such
as extending an arm to allow a venipuncture to be performed.
Clearinghouse - correct answer ✅Agency that converts claims into
standardized electronic format, looks for errors, and formats them according
to HIPAA and insurance standards.
Individually Identifiable - correct answer ✅Documents that identify the
person or provide enough information so that the person can be identified.
