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NHA CBCS FINAL EXAM, CERTIFICATION
EXAM AND STUDY GUIDE (ALL IN ONE
DOCUMENT) NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 450 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
NHA CBCS FINAL EXAM
Which of the following describes a two-digit CPT code used to
indicate that the provider supervised an interpreted a radiology
procedure? - CORRECT ANSWER-Professional component
Which of the following formats are used to submit electronic
claims to a third-party payer? - CORRECT ANSWER-837
Urine moved from the kidneys to the bladder through which of
the following parts of the body? - CORRECT ANSWER-Ureters
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

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Which of the following does a patient sign to allow payment of
claims directly to the provider? - CORRECT ANSWERAssignment of benefits
Which of the following is the primary function of the heart? -
CORRECT ANSWER-Pumping blood in the circulatory system
Which of the following is true regarding Medicaid eligibility? -
CORRECT ANSWER-Patient eligibility is determined monthly
The explanation of benefits states the amount billed was $80.
The allowed amount is $60, and the patient is required to pay a
$20 copayment. Which of the following describes the insurance
check amount to be posted? - CORRECT ANSWER-$40
Which of the following provisions ensures that an insured's
benefits from all insurance companies do not exceed 100% of
allowable medical expenses? - CORRECT ANSWERCoordination of benefits
If a clean claim is received on March 1 of this year, which of the
following is the allowable last day of payment in order to meet
Medicare compliance requirements? - CORRECT ANSWERMarch 30

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On a remittance advice form, which of the following is
responsible for writing off the difference between the amount
billed and the amount allowed by the agreement? - CORRECT
ANSWER-Provider
Which of the following is the maximum number of modifiers
that the billing and coding specialist can report on a CMS-1500
claim form in Block 24D? - CORRECT ANSWER-4
When the remittance advice is sent from the third-party payer to
the provider, which of the following actions should the billing
and coding specialist perform first? - CORRECT ANSWEREnsure proper payment has been made
Which of the following is a reason a claim would be denied? -
CORRECT ANSWER-Incorrectly linked codes
The billing and coding specialist should follow the guidelines in
the CPT manual for which of the following reasons? -
CORRECT ANSWER-The guidelines define items that are
necessary to accurately code
Which of the following documentation is a valid authorization to
release medical information to the judicial system? - CORRECT
ANSWER-Subpoena duces tecum

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A claim is denied due to termination of coverage. Which of the
following actions should the billing and coding specialist take
next? - CORRECT ANSWER-Follow up with the patient to
determine current name, address, and insurance carrier for
resubmission
A patient who has a primary malignant neoplasm of the lung
should be referred to which of the following specialists? -
CORRECT ANSWER-Pulmonary oncologist
Which of the following is a HIPAA compliance guideline
affecting electronic health records? - CORRECT ANSWER-The
electronic transmission and code set standards require every
provider to use the healthcare transactions, code sets, and
identifiers
Which of the following options is considered proper supportive
documentation for reporting CPT and ICD codes for surgical
procedures? - CORRECT ANSWER-Operative report
Which of the following blocks on the CMS-1500 claim form is
used to accept assignment of benefits? - CORRECT ANSWERBlock 27