NHA NEW CBCS PRACTICE TESTS - study Latest Update 2025-2026 Exam 480 Questions with 100% Verified Correct Answers Guaranteed A+
-24 - CORRECT ANSWER: Unrelated E/M Services by the Same Physician During a
Postoperative Period
-26 - CORRECT ANSWER: Professional Component
-32 - CORRECT ANSWER: Mandated Services
-50 - CORRECT ANSWER: Bilateral Procedure
-51 - CORRECT ANSWER: Multiple Procedures
-58 - CORRECT ANSWER: Staged or Related Procedure or Service by the same
Physician during the Postoperative Period
-78 - CORRECT ANSWER: Return to Operating Room for a Related Procedure during
the Postoperative Period
-79 - CORRECT ANSWER: Unrelated Procedure by the Same Physician During the
Postoperative Period
-90 - CORRECT ANSWER: Reference (Outside) Laboratory
-99 - CORRECT ANSWER: Multiple Modifiers
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$95 - CORRECT ANSWER: the patient's out of pocket expense for an office visit charge of $130 wiht a copay of $30 and a unmet deductible of $65. The patient's out of pocket expense is
0030T - CORRECT ANSWER: a example of a code that is a Category II code or
performance code would be
042 - CORRECT ANSWER: an example of a category ICD-9 code is
2 major sections of CMS-1500 - CORRECT ANSWER: Blocks 1-13 patient information
Blocks 14-33 refers to physician infromation
2 types of accounting - CORRECT ANSWER: single and double entry
- sections of Alphabetic index - CORRECT ANSWER: Section 1: Index to Diseases:
each term is followed by the code or codes that apply to that term Section 2: Table of Drugs and Chemiclas: contains list of drugs and chemicals with corresponding poisoning codes and E codes.
- volumns of ICD-9 manal - CORRECT ANSWER: Volumn 1-Diseases: Tabular List
Volumn 2-Diseases: Alphabetic Index
Volumn 1 and 2 are used in the inpatient and outpatient setting
Volumn 3- Procedures:Tabular List and Alphabetic Index
3 ways to obtain heath insurance - CORRECT ANSWER: Group, personal, per-paid
health plan
8 am - CORRECT ANSWER: a collection agency can not make collection calls before
what time
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- pm - CORRECT ANSWER: the collection agency was not able to call the patient after
what time in the evening
a medical insurance claim - CORRECT ANSWER: a billable record of the diagnosis and services provided for a patient is a
a plus sign - CORRECT ANSWER: indicates a add-on codes
A triangle - CORRECT ANSWER: symbol in the CPT manual that represents a change
in the code description since the last edition. The change may be minor or significant and it could be and addition, deletion or revision.
ABN - CORRECT ANSWER: a document signed by the patient that indicates they will
be responsible for any charges not covered by Medicare
ABN - CORRECT ANSWER: Advanced Beneficiary Notice
abstracting - CORRECT ANSWER: the process of translating medical documentation
into codes is called
Abuse - CORRECT ANSWER: Defined as incidents or practices, not usually considered fradulaent that are inconsistant with the accepted medical business or fiscal practices in the industry.
accept assignment - CORRECT ANSWER: provider agrees to accept what the
insurance comany approves as payment in full for the claim
accepting assignment - CORRECT ANSWER: the provider agrees to the amount the
carrier will pay for the services, this is called
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Accepting Assignment - CORRECT ANSWER: the provider is a PAR provider for BCBS,
therefore the provider agrees to accept the fee the insurance company will pay, this is called
Accounts Receivable - CORRECT ANSWER: outstanding balances due to the office
accrual accounting - CORRECT ANSWER: recording income as they are earned
add on codes - CORRECT ANSWER: the + symbol indicates an add on code, which is
a CPT code that cannot be used without another primary CPT code
add-on codes - CORRECT ANSWER: used for procedures that is always performed
during the same operative session as another surgery in addition to the primary service/procedure and is never performed separatley.Never stand alone, they are always reported in addition to a primary procedure code.Modifier -51 (multiple procedures) exempt
adjudication - CORRECT ANSWER: the claim was received at BCBS, as a clean claim, and ready for processing for payment, the process is called
adjudication - CORRECT ANSWER: the insurance process of reviewing a claim for
payment
adjustment - CORRECT ANSWER: often called the write off or discount, this is the difference between the total charges and the allowed amount
Administrative Simplification-The goal is to focus on the health care practice setting to reduce administrative cost and burdens. - CORRECT ANSWER: Two parts:
- Development and implementation of standardized health-related financial and
- Implementation of privacy and security procedures to prevent the misuse of health
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administrative activities electronically.
information by ensuring confidentiality.