NHA CBCS EXAM REVIEW ACTUAL EXAM
2026 TEST PAPER QUESTIONS AND ANSWERS
◉ On the CMS-1500 claim form, blocks 14 through 33 contain
information about which of the following? Answer: The patient's
condition and the provider's information
◉ Which of the following describes an insurance carrier that pays
the provider who rendered services to a patient? Answer: Third-
party payer
◉ In 1996, CMS implemented which of the following to detect
inappropriate and improper codes? Answer: National Correct Code
Initiative (NCCI)
◉ Which of the following prohibits a provider from referring
Medicare patients to a clinical laboratory service in which of the
provider has a financial interest? Answer: Stark Law
◉ Which of the following sections of the SOAP note indicates a
patient's level of pain to a provider? Answer: Subjective
◉ Which of the following planes divides the body into left and right?
Answer: Sagittal
,◉ Which of the following electronic forms is used to post payments?
Answer: Electronic remittance advice (ERA)
◉ The explanation of benefits states the amount billed was $170.
However, the allowed amount is $150. The patient has an unmet
deductible of $50.00 and a copayment of $20. Which of the following
amounts is the patient's responsibility? Answer: $70
◉ Which of the following is a federal government health insurance
program? Answer: TRICARE
◉ For non-crossover claims, the billing and coding specialist should
prepare an additional claim for the secondary payer and send it with
a copy of which of the following? Answer: Remittance advice
◉ Which of the following actions by the billing and coding specialist
prevents fraud? Answer: Performing periodic audits
◉ When doing a front torso burn, which of the following
percentages should be coded? Answer: 18%
◉ Which of the following blocks should the billing and coding
specialist complete on the CMS-1500 claim form for procedures,
services, or supplies? Answer: Block 24D
, ◉ Which of the following blocks of the CMS-1500 claim form
indicates an ICD diagnosis code? Answer: Block 21
◉ Which of the following national provider identifiers (NPIs) is
required in Block 33a of a CMS-1500 claim form? Answer: Billing
provider
◉ Which of the following causes a claim to be suspended? Answer:
Services require additional information
◉ Which of the following terms is used to describe the location of
the stomach, the spleen, part of the pancreas, part of the liver, and
part of the small and large intestines? Answer: Left upper quadrant
◉ Which of the following terms is used to describe the location of
the right lobe of the liver, the gallbladder, part of the pancreas, and
part of the small and large intestine? Answer: Right upper quadrant
◉ Which of the following terms is used to describe the location of
the small and large intestine, the appendix, and the right ureter?
Answer: Right lower quadrant
2026 TEST PAPER QUESTIONS AND ANSWERS
◉ On the CMS-1500 claim form, blocks 14 through 33 contain
information about which of the following? Answer: The patient's
condition and the provider's information
◉ Which of the following describes an insurance carrier that pays
the provider who rendered services to a patient? Answer: Third-
party payer
◉ In 1996, CMS implemented which of the following to detect
inappropriate and improper codes? Answer: National Correct Code
Initiative (NCCI)
◉ Which of the following prohibits a provider from referring
Medicare patients to a clinical laboratory service in which of the
provider has a financial interest? Answer: Stark Law
◉ Which of the following sections of the SOAP note indicates a
patient's level of pain to a provider? Answer: Subjective
◉ Which of the following planes divides the body into left and right?
Answer: Sagittal
,◉ Which of the following electronic forms is used to post payments?
Answer: Electronic remittance advice (ERA)
◉ The explanation of benefits states the amount billed was $170.
However, the allowed amount is $150. The patient has an unmet
deductible of $50.00 and a copayment of $20. Which of the following
amounts is the patient's responsibility? Answer: $70
◉ Which of the following is a federal government health insurance
program? Answer: TRICARE
◉ For non-crossover claims, the billing and coding specialist should
prepare an additional claim for the secondary payer and send it with
a copy of which of the following? Answer: Remittance advice
◉ Which of the following actions by the billing and coding specialist
prevents fraud? Answer: Performing periodic audits
◉ When doing a front torso burn, which of the following
percentages should be coded? Answer: 18%
◉ Which of the following blocks should the billing and coding
specialist complete on the CMS-1500 claim form for procedures,
services, or supplies? Answer: Block 24D
, ◉ Which of the following blocks of the CMS-1500 claim form
indicates an ICD diagnosis code? Answer: Block 21
◉ Which of the following national provider identifiers (NPIs) is
required in Block 33a of a CMS-1500 claim form? Answer: Billing
provider
◉ Which of the following causes a claim to be suspended? Answer:
Services require additional information
◉ Which of the following terms is used to describe the location of
the stomach, the spleen, part of the pancreas, part of the liver, and
part of the small and large intestines? Answer: Left upper quadrant
◉ Which of the following terms is used to describe the location of
the right lobe of the liver, the gallbladder, part of the pancreas, and
part of the small and large intestine? Answer: Right upper quadrant
◉ Which of the following terms is used to describe the location of
the small and large intestine, the appendix, and the right ureter?
Answer: Right lower quadrant
