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NHA BILLING AND CODING SPECIALIST EXAM
NEWEST 2026 ACTUAL VERIFIED EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||NEWEST EXAM!!||
1. Which of the following terms describe the removal of the
eye, adnexa, and bony structure? - Answer-a.
Exenteration
1. A billing and coding specialist is reviewing delinquent
claims and discovers that a third-party payer paid a claim
but applied it to the incorrect provider. The third-party
payer will reimburse the payment once the improperly paid
funds are recouped. Which of the following terms is used
to describe this claim? - Answer-a. Suspended
1. For which of the following reasons should a claim be
resubmitted? - Answer-a. The claim requires an
attachment to support medical necessity
1. A billing and coding specialist is preparing an account
receivable aging report. The specialist should expect the
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report to include which of the following? - Answer-a.
Outstanding balances organized by date
1. Which of the following pieces of guarantor information is
required when establishing a patient's financial record? -
Answer-a. Phone number
1. Which of the following actions by a billing and coding
specialist ensures a patient's health information is
protected? - Answer-a. Using data encryption software on
office workstations
1. A billing and coding specialist is preparing an appeal
letter in response to a denial by a third-party payer for lack
of medical necessity. Which of the following should the
specialist include with the letter to indicate medical
necessity? - Answer-a. Medical record documentation
1. A billing and coding specialist discovers that one private
payer has not reimbursed the provider for any claims
submitted in the past year. Clean claims have been
submitted to the payer and have been acknowledged.
Which of the following entities should the specialist contact
to report the payer's failure to submit timely
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reimbursement? - Answer-a. State Insurance
Commissioner's office
1. Which of the following is an example of a diagnostic
category code? - Answer-a. I10
1. The star symbol in the CPT coding manual is used to
indicate which of the following? - Answer-a. Telemedicine
1. Which of the following is an advantage of electronic
claim submission? - Answer-a. Claims are expedited
1. When should a billing and coding specialist initiate the
collection of the information needed to process a patient's
insurance claim form? - Answer-a. When the patient
contacts the provider's office and schedules an
appointment
1. A billing and coding specialist is reviewing modifier use
with a new employee. Which of the following scenarios
warrants the use of a modifier? - Answer-a. Splinting of the
fourth digit on the left foot
NHA BILLING AND CODING SPECIALIST EXAM
NEWEST 2026 ACTUAL VERIFIED EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||NEWEST EXAM!!||
1. Which of the following terms describe the removal of the
eye, adnexa, and bony structure? - Answer-a.
Exenteration
1. A billing and coding specialist is reviewing delinquent
claims and discovers that a third-party payer paid a claim
but applied it to the incorrect provider. The third-party
payer will reimburse the payment once the improperly paid
funds are recouped. Which of the following terms is used
to describe this claim? - Answer-a. Suspended
1. For which of the following reasons should a claim be
resubmitted? - Answer-a. The claim requires an
attachment to support medical necessity
1. A billing and coding specialist is preparing an account
receivable aging report. The specialist should expect the
,2|Page
report to include which of the following? - Answer-a.
Outstanding balances organized by date
1. Which of the following pieces of guarantor information is
required when establishing a patient's financial record? -
Answer-a. Phone number
1. Which of the following actions by a billing and coding
specialist ensures a patient's health information is
protected? - Answer-a. Using data encryption software on
office workstations
1. A billing and coding specialist is preparing an appeal
letter in response to a denial by a third-party payer for lack
of medical necessity. Which of the following should the
specialist include with the letter to indicate medical
necessity? - Answer-a. Medical record documentation
1. A billing and coding specialist discovers that one private
payer has not reimbursed the provider for any claims
submitted in the past year. Clean claims have been
submitted to the payer and have been acknowledged.
Which of the following entities should the specialist contact
to report the payer's failure to submit timely
, 3|Page
reimbursement? - Answer-a. State Insurance
Commissioner's office
1. Which of the following is an example of a diagnostic
category code? - Answer-a. I10
1. The star symbol in the CPT coding manual is used to
indicate which of the following? - Answer-a. Telemedicine
1. Which of the following is an advantage of electronic
claim submission? - Answer-a. Claims are expedited
1. When should a billing and coding specialist initiate the
collection of the information needed to process a patient's
insurance claim form? - Answer-a. When the patient
contacts the provider's office and schedules an
appointment
1. A billing and coding specialist is reviewing modifier use
with a new employee. Which of the following scenarios
warrants the use of a modifier? - Answer-a. Splinting of the
fourth digit on the left foot
