When coding on the UB-04 form, the CBCS must sequence the diagnosis codes according to ICD guidelines. Which of the following is the primary function of the heart? Which of the following was developed to reduce Medicare program expenditure by detecting in appropriate cades and eliminating improper coding practice? When posting payment accurately, which of the following items should the CBCS include? It also analyzed reviews to verify trustworthiness. After a third party validates a claim, which of the following takes place next? The standard medical abbreviation "ECG" refers to a test used to assess which of the following body systems? The NHA CBCS exam is an industry certification developed by the National Heathcareer Association (NHA). an experimental chemotherapy medication for a patient who has stage III renal cancer. This is a sticker album that will behave you even extra to antiquated thing. NCCi (national correct coding initiative - detect inappropriate codes and eliminate improper coding practices). Which of the following explains why Medicare will deny a particular service or procedure? This is why we provide the book compilations in this SIC Code 73,732. the amount the patient must pay before the insurance company will start to provide benefits. ALL-NEW Certified Billing & Coding Exam and Prep This accredited certification exam proves competency in the knowledge and tasks most important for an entry-level billing and coding specialist and is accompanied by robust CBCS Exam Preparation materials designed to keep students both informed and engaged. Which of the following forms does a third party payer require for physician services? the CBC sends the patient's record to the patient's partner. After submitting the claim to the insurance, the claim is sent back with no payment. You will need to present valid identification. The assignment of the benefits box has been checked "yes". A patient comes to the hospital for an inpatient procedure. A coroner's autoplay is comprised of which of the following examinations? Which of the following best describes medical ethics? The financial staff has collected the following information on the project: The electronic transmission and code set standards require every p provider to use the health care transaction, code set and identifiers. As recognized, adventure as competently as experience roughly lesson, amusement, as without diculty as pact can be gotten by just checking out a books . The practice tests are designed to help prepare candidates for the National Healthcareer Association (NHA) CBCS certification exam. Which of the following is the maximum of modifiers that the CBCS can report on a CMS-1500 claim in block 24D. A claim is denied due to termination of coverage. Which of the following actions by a CBCS would be considered fraud? CBCS Certified Billing and Coding Specialist Exam Self Practice Review Questions Chak Tin Yu 2021-05-05 The CBCS exam is a professional certification aims to qualify one to become a Certified Billing and Coding Specialist. $44. A patient has met a Medicare deductible of $150. A husband and wife each have group insurance through their employers. Block 17b should list which of the following information? The unlisted codes can be found in which of the following locations in the CPT manual? As with the CPC, examinees must be members of the AHIMA to sit for the exam. Which of the following coding manuals is used to identify products, supplies and services? Which of the following information is required to include on an Advance Beneficiary Notice form? When a physician documents a patient's response to symptoms and various body systems. Assuming the beneficiary has not met his annual deductible, the office should bill the patient for which of the following amounts? A patient has AARP as secondary insurance, in which of the following blocks on the CMS-1500 form should this information be entered? Medical costs relating to the infection would. Which of the following is the deadline for Medicare claim submission? Which of the following describes a delinquent claim? \begin{matrix} The CBCS exam costs $109 and this fee includes study materials. Prepare for the Certified Billing and Coding Specialist (CBCS) exam with immediate feedback from the CBCS online practice test. Endpoint protection 14 for mac. Which of the following is a requirement of some third party payers before a procedure is performed? The destruction of lesions using cryosurgery would use which of the following treatments? 2. The questions fall into four topic areas, which NHA refers to as 'domains': The Revenue Cycle and Regulatory Compliance (15%) Insurance Eligibility and Other Payer Requirements (20%) Coding and Coding Guidelines (32%) : Which of the following should a CBCS use to submit a claim with supporting documents? Which of the following blocks require the patient's authorization to release medical information to process a claim? A patient has laboratory work done in the emergency department after an inhalation of toxic fumes from a faulty exhaust fan at her work place. I do plan to take the CPC as soon as possible (the online course did provide me with study guides and practice exams for both the CBCS and CPC). Patients are most easily encouraged to participate in those activities that: 4. Which of the following terms is used to communicate why a claim line item was denied or paid differently that it was billed? Services rendered by a physician whose opinion or advice is required by another physician or agency. Which of the following staff members is responsible for the initial patient interview, obtaining demographic and insurance information, and documenting the chief complaint? \text{Depreciation} & \text{3 million}\\ CBCS Exam Self Practice Review Questions for Billing and May 10th, 2019 - CBCS Exam Self Practice Review Questions . Blue shield allowed $80 and applied $40 to the patient's annual deduction. Which of the following is the correct term for an amount that has been determined to be uncollectible? The physician agrees to accept payment under the terms of the payer's program. In which of the following blocks on the S=CMS-1500 form should the CBCS enter the referring provider's NPI? Which of the following actions should be taken first when reviewing a delinquent claim? whosever birthday comes first is the primary insurance and will be billed first. Learn more. When an insurance company transfers data to allow coordination of benefits of a claim. The test assesses your knowledge of coding & billing practices, compliance standards, and ethics. CBCS Certification Exam Details: 100 questions, 25 pretest questions Exam time: 3 hours Which of the following is the advantage of electronic claim submission? Precertification (first step to determine if the patient has coverage). \end{matrix} A claim is denied because the service was not covered by the insurance. The CBCS exam is a professional certification aims to qualify one to become a Certified Billing and Coding Specialist. What are two pieces of information that needs to be collected from patients? psalm 150 song lyrics. Referring physician's national provider identification number. The explanation of benefits states the amount billed was $170. physicians can't refer patients to practitioners with whom they have a financial relationship. -While reviewing a claim, the CBCS reads the diagnosis before realizing that the patient is a neighbor -A CBCS queries the physician about a diagnosis in a patient's medical record -The physician uses his home phone to discuss patient care with the nursing staff -Patient information was disclosed to the patient's parents without consent : $230 = can collect a max of 15% over the non-PAR Medicare schedule mount. All email correspondence to a third party payer containing a patient's PHI should be _____ . Donald E. Kieso, Jerry J. Weygandt, Terry D. Warfield, Daniel F Viele, David H Marshall, Wayne W McManus. Which of the following steps would be part of a physician's practice compliance program? To which of the following should the specialist refer? 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? Claims that are submitted without an NPI number will delay payment to the provider because ______. Study for your NHA exam - AscendBase The study guide content is based on the actual certification exam, and the online version includes practice drills, audio narration and video for a more engaging experience. The CCS certification includes 2 credentials: CCS and CCS-P. CCS-P is exclusively designed for those professionals who will be assigned to the physician's office. Unbundling a code for higher reimbursement. What is the difference between co-pay and coinsurance? Designed to simulate the actual . If both parents have full coverage for a dependent child, which of the following is considered to be the primary insurance? 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 intestine? This item cannot be shipped to your selected delivery location. The parent who's birthday comes first in the calendar year is primary. Which of the following is a HIPAA compliance guideline affecting electronic health records? Provider performs an examination of a patient's knee joint and an optical device. A Disability Income policyowner suffers a disability that was due to the same cause as a previous disability. Which of the following causes a claim to be suspended? the amount the health insurance company will pay providers. On June 2, the provider orders an additional 6 month of injections. If the tax rate dropped to 30%, how would that change your answer to part a? The guidelines define items that are necessary to accurate code. Which of the following is the portion of the account balance the patient must pay after services are rendered and the annual deductible is met? Which of the following actions should the CBCS take to effectively manage accounts receivable? Which of the following describes the content of a medical practice aging report? inform the patient of reason of the denial. In which of the following columns should the CBCS apply the non allowed charge? Exam (elaborations) - Nha cbcs certification practice exam/questions & answers/ updated 3. Continuing education is how current CBCS certificate holders will renew their certification. Attach the remittance advice from the primary insurance along with the Medicaid claim (Medicaid is always secondary). Assessed Concepts. Which of the following health care providers should be alerted before the nurse can proceed with discharge planning? Ambulatory surgery centers, home health and hospice organizations use the ______. implied consent=patient is voluntarily undergoes treatment, the assume consent. Cancel 1 day in advance by 4:00 PM Pacific Standard Time. NHA CBCS 159 Terms. Which of the following is true regarding Medicaid eligibility? Which of the following describes an obstruction of the urethra? Take up the quiz and get to learn about it. These resources are aligned to the National Healthcareer Association (NHA) CBCS exam blueprint. Successfully complete a medical billing and coding training program. In addition to medical coding guidelines, the CBCS lets you prove your competence to potential employers in other areas: insurance eligibility, payer requirements, billing and reimbursement, revenue cycles, and regulatory compliance. Z codes are used to identify which of the following? Which of the following is the correct entry of a charge of $150 in block 24F ? The 4-hour review course will be conducted on Thursday, June 18th . You will get your results immediately after answering the questions correctly. Exam (elaborations) - Nha certified billing and coding specialist best cbcs q&a study guide graded a + 2. Its cost is $105.00, last a couple of hours, and it is online given at various locations. We work hard to protect your security and privacy. The results are documented as which of the following? assigning a code that will deliberately result in a higher payment. A CBCS should enter the prior authorization number on the CMS-1500 claim form in which of the following blocks? Which of the following situations constitutes a consultation? Which of the following statements is accurate regarding the diagnostic codes in block 21? Which of the following would most likely result in a denial on a Medicare claim? A CBCS submitted a claim to Medicare electronically. A patient has an emergency appendectomy while on vacation. It indicates which claims are outstanding. This amount is called? Medical Ethics are. Which of the following providers' is allowed to submit paper claims to Medicare? A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? Which of the following sections of the medical record is used to determine the correct evaluation and management code for billing and coding? This is why we give the ebook Upon confirmation of no errors on the claim, which of the following describes the process that will follow the denial? Also, the CCS-P exam includes medical coding for 16 medical records, unlike the regular 13 medical records. A patient's employer has not submitted a premium payment. Which of the following amounts is the limiting charge for this procedure? But remember, many programs will cover the cost of your exam. A provider's office receives a subpoena requesting medical documentation from a patient's medical record. In an outpatient setting, which of the following forms is used as a financial report of all services provided to patients? EOB=sent to the policyholder. Which of the following shows outstanding balances? Medical billing and coding specialist jobs are enjoying large growth, according to bls.gov's latest statistics. for people over the age of 65 or people under 65 with disabilities and people of all ages in end-stage kidney failure. Create your own Quiz. Some have 2 while some have 5 or 6. View Answers as You Go View 1 Question at a Time Types of Insurance Medical Billing Regulations HIPAA and Compliance Reimbursement and Collections Medical Billing Which of the following is the first listed diagnosis code? Which of the following is the primary information used to determine the priority of collection letters to patients? There was a problem loading your book clubs. A provider surgically punctures through the space between ribs using an aspirating needle to withdraw fluids from the chest cavity? Reschedule 0 days in advance by 4:00 PM Pacific Standard Time. When a patient has a condition that is both acute and chronic, how should it be reported? gatekeeper=PCP they determine if referrals to specialists, services, or facilities are needed and selects the provider that patient should go to. Which of the following describes the status of a claim that does not include the required preauthorization for a service? Which of the following describes the insurance check amount to be posted? - immediately What is cer tified mail - mail sent requiring a signature and return receipt How do you provide patient confidentiality - avoid using fax transmissions containing confidential material, don't discuss patients case, close . missing or invalid patient ID number and lack of authorization or referral number. When billing a secondary insurance, which block should the CBCS fill out on the CMS-1500 form? Which of the following terms describes when a plan pays 70% of the allowed amount and the patient pays 30%? Please try again. How Much Does the Exam Cost? Coding specialists create coded data used by hospitals and medical providers to obtain reimbursement from insurance companies or government programs such as Medicare and Medicaid. . The major objective of the applicant interview is to encourage the applicant to reveal as much information as possible regarding all of the following except his or her: 3. There was an error retrieving your Wish Lists. Which of the following blocks on the CMS-1500 form indicates an ICD diagnosis code? In the anesthesia section of the CPT manual, which of the following are considered qualifying circumstances? Patient access to psychotherapy notes may be restricted. a. A provider charged $500 to a claim that had an allowable amount of $400. Company Registration Number: 61965243 Which of the following is an example of electronic claim submission? ASIN A participating blue cross/blue shield provider receives an explanation of benefits for a patient account. What is the difference between informed and implied consent? patient : Jane Austin; Social Security No: 555-22-1111, Medicare ID no:555-33-2222A, DOB 05/22/1945. The patient's coinsurance is 20%, and the allowed amount is $600. primary=pays first, some have limited coverage. identifies the outstanding balances in each account. A patient who is an active member of the military service returned from overseas and is in need of specialty care. A physician's office fee is $100 and the Medicare Part B allowed amount is $85. Refer to the NHA website for more information. Make sure that you read all the questions carefully. How much should the patient expect to pay? $$ NHA- CCMA 2021. Collect payment from the patient at the time of service. Which of the following statements is true when determining patient financial responsibility by reviewing the remittance advice? Which of the following should the CBCS include in an authorization to release information? fraud=intentional misrepresenting services rendered for the purpose of receiving higher pay. The insurer may cover the second disability without a new elimination period under the. Do physicians have to legally explain privacy rules to their patients? If this project would cannibalize other projects by $1.5 million of cash flow before taxes per year, how would this change your answer to part a? HIPAA transaction standards apply to which of the following entities? Monday, Tuesday and Wednesdays 5:30 - 9:30pm December 20 to December 22. if primary doesn't pay all of it, the bill is then sent to the secondary to pick up anything left over. Which of the following describes an insurance carrier that pays the provider who rendered services to a patient? The explanation of benefits states the amount billed was $80. On the CMS-1500 claim form, block 1 through 13 include which of the following? A provider performs an examination of a patient's sore throat. Exam Details About the Test: Testing will take place at your school or at a PSI Testing Center near you. Each 100-question practice test offers an assessment of comprehension and mastery of billing and coding principles and provides explanations for items missed.Online materials can only be accessed on your computer or tablet. Which of the following is an example of a remark code from an explanation of benefits document? For purpose of exam readiness drilling, this product includes questions that have varying numbers of choices. Unable to add item to List. Compliance Regulations. Which of the following is the appropriate diagnosis for a patient who has an abnormal accumulation of fluids in her lower leg that has resulted in swelling? Adjudication (process of putting a claim through a series of edits for final determination), Which of the following information should the CBCS input into block 33a on the CMS-1500 claim form. $ 51.45 $ 17.99 5 items 1. pays for medical assistance for individuals who have low income and limited finiacial resources. Disclosure refers to the way health information is what? CBCS Certification Test Flashcards Learn Test Match Created by KMXx1 Terms in this set (107) What is the difference between informed and implied consent? NHA Billing and Coding Specialist (CBCS) Certification Exam (180 minutes) You can take this test on Computer. Which of the following includes procedures and best practices for correct coding? 150 questions 4. The patient still owes $500 for the year. When submitting claims, which of the following is the outcome if block 13 is left blank? \text{Operating costs (exluding depreciation)} & \text{10.5 million}\\ Download the NHA Candidate Handbook for full details on exam eligibility. Company Registration Number: 61965243 Which of the following is a private insurance carrier? Free Medical Flashcards about NHA CBCS Exam Start studying CBCS EXAM. Which of the following is included in the release of patient information? A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentage? Which of the following types of health insurance plan best describes a government sponsored benefit program? Patient information was disclosed to the patient's parents without consent. 30 day increments. A Medicare non-participating (non-PAR) provider's approved payment amount is $200 for a lobectomy and the deductible has been met. Question. 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