NHA CBCS TEST EXAM WITH QUESTIONS AND
100% CORRECT ANSWERS . LATEST UPDATE
2025.18/20
QUESTION: Chief Complaint (CC) - ANSWER-The reason the patient came to see the physician.
QUESTION: Past, Family and Social History (PFSH) - ANSWER-Consists of patients’ personal experiences
with illnesses, surgeries, and injuries; Information of illnesses predominant in family; Patients
educational background, occupation, marital status and other factors
QUESTION: Add on Codes - ANSWER-Used for procedures that are always performed during the same
operative session, as another surgery in addition to the primary service/procedure and is never
performed separately.
QUESTION: What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWER-The Medicare
Catastrophic Coverage Act of 1988
,QUESTION: Electronic Data interchange (EDI) - ANSWER-Transmitting electronic medical insurance
claims from providers to payers using the necessary information systems is called
QUESTION: Medical Ethics are - ANSWER-Standards of conduct based on moral principals. Acting within
ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect,
honesty, competence, fairness and trust.
QUESTION: Three Components for E*M Codes - ANSWER-1.History
2.Physical Exam
3.Medical Decision-Making
QUESTION: CPT Guidelines are Found? - ANSWER-At the beginning of each section and used to provide
specific coding rules for that section.
QUESTION: Co-payment - ANSWER-A fixed fee collected at the time of the patients visit.
QUESTION: Review Linkage Protocol - ANSWER-Appropriateness of Codes, Payers rules about linkage,
Documentation to support codes, Compliance with regulation and guidelines
QUESTION: What is confidentiality? - ANSWER-Involves restricting patient information access to those
with proper authorization and maintaining the security of patient information.
,QUESTION: What are the names of the two tables that appear in the Index to Diseases? - ANSWER-
Neoplasm Table and Table of Drugs and Chemicals
QUESTION: Level 2 codes - ANSWER-National codes for physician and non-physician service not found in
the CPT Level 1
QUESTION: Inpatient - ANSWER-A/An ___________ is a person admitted to a hospital or long-term care
facility(LTCF) for treatment with the expectation that the patient will remain in the hospital for a period
of 24 hours or more.
QUESTION: HIPAA is an acronym for - ANSWER-Health Insurance Portability and Accountability Act of
1996.
QUESTION: Life Cycle of a Claim - ANSWER-Submission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
QUESTION: Level 1 codes - ANSWER-Codes found in the CPT manual
QUESTION: Deductible - ANSWER-The out-of-pocket payment amount that a policyholder must meet
before insurance covers the service(s) is called?
, QUESTION: Coinsurance - ANSWER-A fixed percentage of covered charges applied to the patients bill
after the deductible has been met.
QUESTION: Liability Insurance - ANSWER-Covers injuries caused by insured that occurred on the
insured's property.
QUESTION: Unspecified neoplasm - ANSWER-"No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
QUESTION: subpoena - ANSWER-A writ requiring the appearance of a person at a trial or other
proceeding is a ___________.
QUESTION: Medicare - ANSWER-What is the single largest healthcare program in the United States?
QUESTION: Parentheses - ANSWER-Used to enclose supplementary words; non essential modifiers in
ICD-10
QUESTION: Indemnity insurance - ANSWER-Health indemnity insurance is a fee for service insurance
that is sometimes used when a person is in between health plans, and will cover some (but not all)
expenses
QUESTION: Rejected Claim - ANSWER-A rejected claim is an electronically submitted claim that is
unprocessable due to missing or invalid information required by the payer.
100% CORRECT ANSWERS . LATEST UPDATE
2025.18/20
QUESTION: Chief Complaint (CC) - ANSWER-The reason the patient came to see the physician.
QUESTION: Past, Family and Social History (PFSH) - ANSWER-Consists of patients’ personal experiences
with illnesses, surgeries, and injuries; Information of illnesses predominant in family; Patients
educational background, occupation, marital status and other factors
QUESTION: Add on Codes - ANSWER-Used for procedures that are always performed during the same
operative session, as another surgery in addition to the primary service/procedure and is never
performed separately.
QUESTION: What act mandated the reporting of ICD-9-CM diagnosis codes? - ANSWER-The Medicare
Catastrophic Coverage Act of 1988
,QUESTION: Electronic Data interchange (EDI) - ANSWER-Transmitting electronic medical insurance
claims from providers to payers using the necessary information systems is called
QUESTION: Medical Ethics are - ANSWER-Standards of conduct based on moral principals. Acting within
ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect,
honesty, competence, fairness and trust.
QUESTION: Three Components for E*M Codes - ANSWER-1.History
2.Physical Exam
3.Medical Decision-Making
QUESTION: CPT Guidelines are Found? - ANSWER-At the beginning of each section and used to provide
specific coding rules for that section.
QUESTION: Co-payment - ANSWER-A fixed fee collected at the time of the patients visit.
QUESTION: Review Linkage Protocol - ANSWER-Appropriateness of Codes, Payers rules about linkage,
Documentation to support codes, Compliance with regulation and guidelines
QUESTION: What is confidentiality? - ANSWER-Involves restricting patient information access to those
with proper authorization and maintaining the security of patient information.
,QUESTION: What are the names of the two tables that appear in the Index to Diseases? - ANSWER-
Neoplasm Table and Table of Drugs and Chemicals
QUESTION: Level 2 codes - ANSWER-National codes for physician and non-physician service not found in
the CPT Level 1
QUESTION: Inpatient - ANSWER-A/An ___________ is a person admitted to a hospital or long-term care
facility(LTCF) for treatment with the expectation that the patient will remain in the hospital for a period
of 24 hours or more.
QUESTION: HIPAA is an acronym for - ANSWER-Health Insurance Portability and Accountability Act of
1996.
QUESTION: Life Cycle of a Claim - ANSWER-Submission, Processing, Adjudication, Non-covered,
Unauthorized, Medical Necessity Checks, Payment / RA / ERA
QUESTION: Level 1 codes - ANSWER-Codes found in the CPT manual
QUESTION: Deductible - ANSWER-The out-of-pocket payment amount that a policyholder must meet
before insurance covers the service(s) is called?
, QUESTION: Coinsurance - ANSWER-A fixed percentage of covered charges applied to the patients bill
after the deductible has been met.
QUESTION: Liability Insurance - ANSWER-Covers injuries caused by insured that occurred on the
insured's property.
QUESTION: Unspecified neoplasm - ANSWER-"No notation of benign or malignant status is found in the
diagnosis or in the patient's chart."
QUESTION: subpoena - ANSWER-A writ requiring the appearance of a person at a trial or other
proceeding is a ___________.
QUESTION: Medicare - ANSWER-What is the single largest healthcare program in the United States?
QUESTION: Parentheses - ANSWER-Used to enclose supplementary words; non essential modifiers in
ICD-10
QUESTION: Indemnity insurance - ANSWER-Health indemnity insurance is a fee for service insurance
that is sometimes used when a person is in between health plans, and will cover some (but not all)
expenses
QUESTION: Rejected Claim - ANSWER-A rejected claim is an electronically submitted claim that is
unprocessable due to missing or invalid information required by the payer.
