NHA MEDICAL CODING AND BILLING FINAL
PAPER ACTUAL EXAM EXAM STUDY SHEET
2026 GRADED A+.
⫸ Privacy Officer. Answer: Compliant with HIPPA the following
position should be assigned in each office
⫸ Principal Diagnosis. Answer: Coding on the UB-04 Form, must
sequence the diagnosis code. Which is the first listed diagnosis?
⫸ Urethratresia. Answer: Obstruction of the urethra is
⫸ UB04 Forms. Answer: Ambulatory surgery centers, home health
center, and hospice use what form?
⫸ Encounter forms. Answer: Form that contains of DOS, CPT, ICD
codes, fees and copay information is called
⫸ Add on Codes. Answer: Anesthesia section of CPT manual which
are considered qualifying circumstances
⫸ Title 11. Answer: Patient presents with chest pain & shortness of
breath with abnormal ECG provider call a cardiologist. What portion
of the HIPPA allows this
,⫸ Code set standards pertain to all providers. Answer: HIPPA
compliance guideline affecting EHR
⫸ Red. Answer: Color formats on CMS 1500 form acceptable
⫸ Patient Ledger account. Answer: Financial record generated by a
provider office
⫸ Coding Compliance Plan. Answer: Which of the following
includes procedures and best practices for correct coding
⫸ Sagittal. Answer: Which of the following planes divides the body
into left and right
⫸ Claim adjudication:( The term used in the industry to refer to the
process of paying claims submitted on denying them after comparing
claims to the benefit or coverage requirements). Answer: 3rd Party
payer validates a claim which takes place next
⫸ NCCI ( National Correct Coding Initiative). Answer: Developed to
reduced Medicare Program expenditure by detecting in appropriate
codes & eliminating improper coding
⫸ 0%. Answer: Beneficiary of Medicaid/ Medicare crossover claim is
responsible for the percentage
, ⫸ Internal monitoring and auditing. Answer: Which of the following
steps would be part of a physicians practice compliance program
⫸ HIPPA. Answer: Which of the following acts applies to the
administrative simplification guidelines?
⫸ Accounts recievable. Answer: Patient charges that have not been
paid will appear in which of the following
⫸ adjudication. Answer: Which of the following is considered the
final determination of the issues involving settlement of an insurance
claim
⫸ A billing worksheet from the patient account. Answer: A
prospective billing account audit prevents fraud by reviewing &
comparing a completed claim for with which of the following
documents
⫸ Lymphatic system. Answer: Which of the following parts of the
body system regulates immunity
⫸ Billing using 2- digit CPT Modifiers to indicate a procedure as
preformed differs from its usual 5 digit code. Answer: Which of the
following is allowed when billing procedural codes
PAPER ACTUAL EXAM EXAM STUDY SHEET
2026 GRADED A+.
⫸ Privacy Officer. Answer: Compliant with HIPPA the following
position should be assigned in each office
⫸ Principal Diagnosis. Answer: Coding on the UB-04 Form, must
sequence the diagnosis code. Which is the first listed diagnosis?
⫸ Urethratresia. Answer: Obstruction of the urethra is
⫸ UB04 Forms. Answer: Ambulatory surgery centers, home health
center, and hospice use what form?
⫸ Encounter forms. Answer: Form that contains of DOS, CPT, ICD
codes, fees and copay information is called
⫸ Add on Codes. Answer: Anesthesia section of CPT manual which
are considered qualifying circumstances
⫸ Title 11. Answer: Patient presents with chest pain & shortness of
breath with abnormal ECG provider call a cardiologist. What portion
of the HIPPA allows this
,⫸ Code set standards pertain to all providers. Answer: HIPPA
compliance guideline affecting EHR
⫸ Red. Answer: Color formats on CMS 1500 form acceptable
⫸ Patient Ledger account. Answer: Financial record generated by a
provider office
⫸ Coding Compliance Plan. Answer: Which of the following
includes procedures and best practices for correct coding
⫸ Sagittal. Answer: Which of the following planes divides the body
into left and right
⫸ Claim adjudication:( The term used in the industry to refer to the
process of paying claims submitted on denying them after comparing
claims to the benefit or coverage requirements). Answer: 3rd Party
payer validates a claim which takes place next
⫸ NCCI ( National Correct Coding Initiative). Answer: Developed to
reduced Medicare Program expenditure by detecting in appropriate
codes & eliminating improper coding
⫸ 0%. Answer: Beneficiary of Medicaid/ Medicare crossover claim is
responsible for the percentage
, ⫸ Internal monitoring and auditing. Answer: Which of the following
steps would be part of a physicians practice compliance program
⫸ HIPPA. Answer: Which of the following acts applies to the
administrative simplification guidelines?
⫸ Accounts recievable. Answer: Patient charges that have not been
paid will appear in which of the following
⫸ adjudication. Answer: Which of the following is considered the
final determination of the issues involving settlement of an insurance
claim
⫸ A billing worksheet from the patient account. Answer: A
prospective billing account audit prevents fraud by reviewing &
comparing a completed claim for with which of the following
documents
⫸ Lymphatic system. Answer: Which of the following parts of the
body system regulates immunity
⫸ Billing using 2- digit CPT Modifiers to indicate a procedure as
preformed differs from its usual 5 digit code. Answer: Which of the
following is allowed when billing procedural codes
