NHA - CBCS STUDY GUIDE QUESTIONS
(CORRECT ANSWERS)
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - correct answer
q q q q q q q q q q q q q q q q q
Reinstated or recycled code q q q
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - correct answer
q q q q q q q q q q q q q q q q
Add-on codes q
As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim
q q q q q q q q q q q q q q q q q q q q
form before a further claim is required? - correct answer 12
q q q q q q q q q q
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
q q q q q q q q q q q q q q
procedures? - correct answer Operative report q q q q q
What action should be taken first when reviewing a delinquent claim? - correct answer Verify the age of the
q q q q q q q q q q q q q q q q q q q
account
A claim can be denied or rejected for which of the following reasons? - correct answer Block 24D contains the
q q q q q q q q q q q q q q q q q q q q
diagnosis code q
A coroner's autopsy is comprised of what examinations? - correct answer Gross Examination
q q q q q q q q q q q q
, Medigap coverage is offered to Medicare beneficiaries by whom? - correct answer Private third-party payers
q q q q q q q q q q q q q q
What part of Medicare covers prescriptions? - correct answer Part C
q q q q q q q q q q
What plane divides the body into left and right? - correct answer Sagittal
q q q q q q q q q q q q
Where can unlisted codes be found in the CPT manual? - correct answer Guidelines prior to each section
q q q q q q q q q q q q q q q q q
Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? -
q q q q q q q q q q q q q q q q
correct answer UB-04 Claim Form
q q q q
What color format is acceptable on the CMS-1500 claim form? - correct answer Red
q q q q q q q q q q q q q
Who is responsible to pay the deductible? - correct answer Patient
q q q q q q q q q q
A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? -
q q q q q q q q q q q q q q q q q q q q q q
correct answer Medicaid q q
Informed Consent - correct answer Providers explain medical or diagnostic procedures, surgical
q q q q q q q q q q q q
interventions, and the benefits and risks involved, giving patients an opportunity to ask questions before
q q q q q q q q q q q q q q q
medical intervention is provided.q q q
Implied Consent - correct answer A patient presents for treatment, such as extending an arm to allow a
q q q q q q q q q q q q q q q q q q
venipuncture to be performed. q q q
Clearinghouse - correct answer Agency that converts claims into standardized electronic format, looks for
q q q q q q q q q q q q q q
errors, and formats them according to HIPAA and insurance standards.
q q q q q q q q q
Individually Identifiable - correct answer Documents that identify the person or provide enough information
q q q q q q q q q q q q q q
so that the person can be identified.
q q q q q q
(CORRECT ANSWERS)
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - correct answer
q q q q q q q q q q q q q q q q q
Reinstated or recycled code q q q
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - correct answer
q q q q q q q q q q q q q q q q
Add-on codes q
As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim
q q q q q q q q q q q q q q q q q q q q
form before a further claim is required? - correct answer 12
q q q q q q q q q q
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
q q q q q q q q q q q q q q
procedures? - correct answer Operative report q q q q q
What action should be taken first when reviewing a delinquent claim? - correct answer Verify the age of the
q q q q q q q q q q q q q q q q q q q
account
A claim can be denied or rejected for which of the following reasons? - correct answer Block 24D contains the
q q q q q q q q q q q q q q q q q q q q
diagnosis code q
A coroner's autopsy is comprised of what examinations? - correct answer Gross Examination
q q q q q q q q q q q q
, Medigap coverage is offered to Medicare beneficiaries by whom? - correct answer Private third-party payers
q q q q q q q q q q q q q q
What part of Medicare covers prescriptions? - correct answer Part C
q q q q q q q q q q
What plane divides the body into left and right? - correct answer Sagittal
q q q q q q q q q q q q
Where can unlisted codes be found in the CPT manual? - correct answer Guidelines prior to each section
q q q q q q q q q q q q q q q q q
Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? -
q q q q q q q q q q q q q q q q
correct answer UB-04 Claim Form
q q q q
What color format is acceptable on the CMS-1500 claim form? - correct answer Red
q q q q q q q q q q q q q
Who is responsible to pay the deductible? - correct answer Patient
q q q q q q q q q q
A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? -
q q q q q q q q q q q q q q q q q q q q q q
correct answer Medicaid q q
Informed Consent - correct answer Providers explain medical or diagnostic procedures, surgical
q q q q q q q q q q q q
interventions, and the benefits and risks involved, giving patients an opportunity to ask questions before
q q q q q q q q q q q q q q q
medical intervention is provided.q q q
Implied Consent - correct answer A patient presents for treatment, such as extending an arm to allow a
q q q q q q q q q q q q q q q q q q
venipuncture to be performed. q q q
Clearinghouse - correct answer Agency that converts claims into standardized electronic format, looks for
q q q q q q q q q q q q q q
errors, and formats them according to HIPAA and insurance standards.
q q q q q q q q q
Individually Identifiable - correct answer Documents that identify the person or provide enough information
q q q q q q q q q q q q q q
so that the person can be identified.
q q q q q q
