1 | P a g e NHA CBCS EXAM 2024 ACTUAL EXAM COMPLETE 2 00 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+ A billing and coding specialist receives notific ation from a patients insur - ance company that the claim is denied. Which of the following scenarios can cause this denial - ....ANSWER... Preauthorized service Which of the following is the process a payer follows to determine if a claim should be paid - ....ANSWER... Payer adjudication Which of the following blocks one the CMS -1500 claim form must 2 | P a g e be signed in order to allow the provider to receive direct payment from a third -party payer - ....ANSWER... Assignment of benefits block A patient takes his me dication as prescribes and experience swollen lips. The billing and coding specialist should refer to which of the following sections of ICD -10-Cm to identify the appropriate code - ....ANSWER... Adverse effect How many key components must be taken into account when selecting a CPT code for a new -patient office visit - ....ANSWER... Three A patient who has nephrolithiasis should be treated for which of the following conditions - ....ANSWER... Kidney stones A bill ing and coding specialist should verify code linkage in the 3 | P a g e charge capture process to ensure which of the following - ....ANSWER... Medical necessity On an explanation of benefits form, which of the following should a billing and coding specialist use to d etermine why the insurance company denied an insurance claim - ....ANSWER... Remark Code Which of the following terms describes weakness or decrease in size of body tissues and structures caused by pathology or by disease of the muscle over a long period o f time - ....ANSWER... Atrophy Which of the following should a billing and coding specialist establish to keep track of the status of each claim that is billed - ....ANSWER... Aging report A provider evaluates his patient on his first day of admission to a 4 | P a g e facility. On the third day of service, the provider re -
evaluates the patient. The billing and coding specialist should code the second encounter from which of the following categories - ....ANSWER... 9251 -
99255 Inpatient Consultation Which of the following is withheld from coverage by some third party payers - ....ANSWER... Exclusions A billing and coding specialist is reviewing a signed release of information form that does not have a date. Which of the following is correct regarding this release - ....ANSWER... This release is not valid Which of the following is included in a release of information form - ....ANSWER... Patient diagnosis Which of the following is an example of fraud - ....ANSWER... Submitting claims for unnecessary serv ices
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