NHA - CERTIFIED BILLING AND CODING SPECIALIST
(CBCS) STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS 2025
TheBsymbolB"O"BinBtheBCurrentBProceduralBTerminologyBreferenceBisBusedBtoBindicateBwhat?B-
BCORRECTBANSWERB-ReinstatedBorBrecycledBcode
InBtheBanesthesiaBsectionBofBtheBCPTBmanual,BwhatBareBconsideredBqualifyingBcircumstances?B-
BCORRECTBANSWERB-Add-onBcodes
AsBofBAprilB1,B2014BwhatBisBtheBmaximumBnumberBofBdiagnosesBthatBcanBbeBreportedBonBtheBCMS-
1500BclaimBformBbeforeBaBfurtherBclaimBisBrequired?B-BCORRECTBANSWERB-12
WhatBisBconsideredBproperBsupportiveBdocumentationBforBreportingBCPTBandBICDBcodesBforBsurgicalBproce
dures?B-BCORRECTBANSWERB-OperativeBreport
WhatBactionBshouldBbeBtakenBfirstBwhenBreviewingBaBdelinquentBclaim?B-BCORRECTBANSWERB-
VerifyBtheBageBofBtheBaccount
ABclaimBcanBbeBdeniedBorBrejectedBforBwhichBofBtheBfollowingBreasons?B-BCORRECTBANSWERB-
BlockB24DBcontainsBtheBdiagnosisBcode
ABcoroner'sBautopsyBisBcomprisedBofBwhatBexaminations?B-BCORRECTBANSWERB-GrossBExamination
MedigapBcoverageBisBofferedBtoBMedicareBbeneficiariesBbyBwhom?B-BCORRECTBANSWERB-PrivateBthird-
partyBpayers
WhatBpartBofBMedicareBcoversBprescriptions?B-BCORRECTBANSWERB-PartBC
WhatBplaneBdividesBtheBbodyBintoBleftBandBright?B-BCORRECTBANSWERB-Sagittal
WhereBcanBunlistedBcodesBbeBfoundBinBtheBCPTBmanual?B-BCORRECTBANSWERB-
GuidelinesBpriorBtoBeachBsection
, AmbulatoryBsurgeryBcenters,BhomeBhealthBcare,BandBhospiceBorganizationsBuseBwhichBformBtoBsubmitBclai
ms?B-BCORRECTBANSWERB-UB-04BClaimBForm
WhatBcolorBformatBisBacceptableBonBtheBCMS-1500BclaimBform?B-BCORRECTBANSWERB-Red
WhoBisBresponsibleBtoBpayBtheBdeductible?B-BCORRECTBANSWERB-Patient
ABpatient'sBhealthBplanBisBreferredBtoBasBtheB"payerBofBlastBresort."BWhatBisBtheBnameBofBthatBhealthBplan?B
-BCORRECTBANSWERB-Medicaid
InformedBConsentB-BCORRECTBANSWERB-
ProvidersBexplainBmedicalBorBdiagnosticBprocedures,BsurgicalBinterventions,BandBtheBbenefitsBandBrisksBinv
olved,BgivingBpatientsBanBopportunityBtoBaskBquestionsBbeforeBmedicalBinterventionBisBprovided.
ImpliedBConsentB-BCORRECTBANSWERB-
ABpatientBpresentsBforBtreatment,BsuchBasBextendingBanBarmBtoBallowBaBvenipunctureBtoBbeBperformed.
ClearinghouseB-BCORRECTBANSWERB-
AgencyBthatBconvertsBclaimsBintoBstandardizedBelectronicBformat,BlooksBforBerrors,BandBformatsBthemBacc
ordingBtoBHIPAABandBinsuranceBstandards.
IndividuallyBIdentifiableB-BCORRECTBANSWERB-
DocumentsBthatBidentifyBtheBpersonBorBprovideBenoughBinformationBsoBthatBtheBpersonBcanBbeBidentified.
De-identifiedBInformationB-BCORRECTBANSWERB-
InformationBthatBdoesBnotBidentifyBanBindividualBbecauseBuniqueBandBpersonalBcharacteristicsBhaveBbeenB
removed.
ConsentB-BCORRECTBANSWERB-ABpatient'sBpermissionBevidencedBbyBsignature.
(CBCS) STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS 2025
TheBsymbolB"O"BinBtheBCurrentBProceduralBTerminologyBreferenceBisBusedBtoBindicateBwhat?B-
BCORRECTBANSWERB-ReinstatedBorBrecycledBcode
InBtheBanesthesiaBsectionBofBtheBCPTBmanual,BwhatBareBconsideredBqualifyingBcircumstances?B-
BCORRECTBANSWERB-Add-onBcodes
AsBofBAprilB1,B2014BwhatBisBtheBmaximumBnumberBofBdiagnosesBthatBcanBbeBreportedBonBtheBCMS-
1500BclaimBformBbeforeBaBfurtherBclaimBisBrequired?B-BCORRECTBANSWERB-12
WhatBisBconsideredBproperBsupportiveBdocumentationBforBreportingBCPTBandBICDBcodesBforBsurgicalBproce
dures?B-BCORRECTBANSWERB-OperativeBreport
WhatBactionBshouldBbeBtakenBfirstBwhenBreviewingBaBdelinquentBclaim?B-BCORRECTBANSWERB-
VerifyBtheBageBofBtheBaccount
ABclaimBcanBbeBdeniedBorBrejectedBforBwhichBofBtheBfollowingBreasons?B-BCORRECTBANSWERB-
BlockB24DBcontainsBtheBdiagnosisBcode
ABcoroner'sBautopsyBisBcomprisedBofBwhatBexaminations?B-BCORRECTBANSWERB-GrossBExamination
MedigapBcoverageBisBofferedBtoBMedicareBbeneficiariesBbyBwhom?B-BCORRECTBANSWERB-PrivateBthird-
partyBpayers
WhatBpartBofBMedicareBcoversBprescriptions?B-BCORRECTBANSWERB-PartBC
WhatBplaneBdividesBtheBbodyBintoBleftBandBright?B-BCORRECTBANSWERB-Sagittal
WhereBcanBunlistedBcodesBbeBfoundBinBtheBCPTBmanual?B-BCORRECTBANSWERB-
GuidelinesBpriorBtoBeachBsection
, AmbulatoryBsurgeryBcenters,BhomeBhealthBcare,BandBhospiceBorganizationsBuseBwhichBformBtoBsubmitBclai
ms?B-BCORRECTBANSWERB-UB-04BClaimBForm
WhatBcolorBformatBisBacceptableBonBtheBCMS-1500BclaimBform?B-BCORRECTBANSWERB-Red
WhoBisBresponsibleBtoBpayBtheBdeductible?B-BCORRECTBANSWERB-Patient
ABpatient'sBhealthBplanBisBreferredBtoBasBtheB"payerBofBlastBresort."BWhatBisBtheBnameBofBthatBhealthBplan?B
-BCORRECTBANSWERB-Medicaid
InformedBConsentB-BCORRECTBANSWERB-
ProvidersBexplainBmedicalBorBdiagnosticBprocedures,BsurgicalBinterventions,BandBtheBbenefitsBandBrisksBinv
olved,BgivingBpatientsBanBopportunityBtoBaskBquestionsBbeforeBmedicalBinterventionBisBprovided.
ImpliedBConsentB-BCORRECTBANSWERB-
ABpatientBpresentsBforBtreatment,BsuchBasBextendingBanBarmBtoBallowBaBvenipunctureBtoBbeBperformed.
ClearinghouseB-BCORRECTBANSWERB-
AgencyBthatBconvertsBclaimsBintoBstandardizedBelectronicBformat,BlooksBforBerrors,BandBformatsBthemBacc
ordingBtoBHIPAABandBinsuranceBstandards.
IndividuallyBIdentifiableB-BCORRECTBANSWERB-
DocumentsBthatBidentifyBtheBpersonBorBprovideBenoughBinformationBsoBthatBtheBpersonBcanBbeBidentified.
De-identifiedBInformationB-BCORRECTBANSWERB-
InformationBthatBdoesBnotBidentifyBanBindividualBbecauseBuniqueBandBpersonalBcharacteristicsBhaveBbeenB
removed.
ConsentB-BCORRECTBANSWERB-ABpatient'sBpermissionBevidencedBbyBsignature.