WGU D366 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ 1. A billing and coding specialist discovers suspicious activity that may be
fraudulent in the workplace. Which of the following actions should the
specialist take?.
Answer: a. Call the U.S. Department of Health and Human Services'
(DHHS) anonymous hotline.
◍ Emergency surgery is performed due to fecal impaction in the distal _____.
A. ilium
B. ileum.
Answer: B. ileum
◍ 1. A billing and coding specialist is reviewing a claim that was denied for
services provided during the postoperative period. The patient was
diagnosed with pneumonia during a postoperative encounter for a knee joint
replacement 2 weeks ago. Which of the following modifiers should the
specialist add the claim prior to resubmitting?.
Answer: -24
◍ tachycardia
A. pararenal
B. antepartum
C. bradycardia
D. intravertebral.
Answer: C. bradycardia
◍ 1. Which of the following is a federal government health insurance
program?.
Answer: a. TRICARE
◍ On admission, temperature was ninety-eight point six degrees Fahrenheit,
, pulse 130, respirations 52, blood pressure 66/46, weight 3.5 kg.
A. 98.6° F
B. 98.6 °F.
Answer: B. 98.6 °F
◍ 1. In which of the following sections of SOAP note does a provider indicate
a patient's reported level of pain?.
Answer: a. Subjective
◍ What is your _____?
A. advise
B. advice.
Answer: B. advice
◍ 1. A billing and coding specialist is preparing a claim for a procedure with a
prolonged operative time that has modifier -22 attached. Which of the
following actions should the specialist take?.
Answer: a. Send a copy of the operative report with the claim
◍ 1. Which of the following symbols indicate an add-on code in the CPT
manual?.
Answer: a. Plus sign
◍ 1. Z codes are used to identify which of the following ?.
Answer: a. Immunization
◍ 1. A provider's office free is $100 and the Medicare Part B allowed amount
is $85. Assuming the beneficiary has not met their annual deductible, the
patient should be billed for which of the following amounts?.
Answer: $85
◍ The speech pathologist will evaluate the child for _____.
A. dysphasia
B. dypsphasia.
Answer: A. dysphasia
◍ 1. A billing and coding specialist is reviewing a claim for an established
, patient who arrived at the office with an upper respiratory infection. Which
of the following codes should the specifically use for this encounter?.
Answer: a. 99213
◍ 1. A patient is upset about a bill they received because their third-party
payer denied the claim. Which of the following actions should a billing and
coding specialist take?.
Answer: a. Inform the patient of the reason for the denial
◍ perirenal
A. pararenal
B. antepartum
C. gastrotomy
D. macroglossia.
Answer: A. pararenal
◍ The patient's neurologic symptoms suggested _____ disease.
A. Alzheimer's
B. alzheimer's.
Answer: A. Alzheimer's
◍ 1. Which of the following provisions ensures that an insured patient's
benefits from a third-party do not exceed 100% of allowable medical
expenses?.
Answer: a. Coordination of benefits
◍ microglossia
A. adduct
B. antepartum
C. gastrotomy
D. macroglossia.
Answer: D. macroglossia
◍ 1. A patient has a breast biopsy with the placement of a clip. After the
biopsy is determined to be malignant, the patient elects for a mastectomy
during the global period of the biopsy. Which of the following modifiers
QUESTIONS WITH ANSWERS GRADED A+
◍ 1. A billing and coding specialist discovers suspicious activity that may be
fraudulent in the workplace. Which of the following actions should the
specialist take?.
Answer: a. Call the U.S. Department of Health and Human Services'
(DHHS) anonymous hotline.
◍ Emergency surgery is performed due to fecal impaction in the distal _____.
A. ilium
B. ileum.
Answer: B. ileum
◍ 1. A billing and coding specialist is reviewing a claim that was denied for
services provided during the postoperative period. The patient was
diagnosed with pneumonia during a postoperative encounter for a knee joint
replacement 2 weeks ago. Which of the following modifiers should the
specialist add the claim prior to resubmitting?.
Answer: -24
◍ tachycardia
A. pararenal
B. antepartum
C. bradycardia
D. intravertebral.
Answer: C. bradycardia
◍ 1. Which of the following is a federal government health insurance
program?.
Answer: a. TRICARE
◍ On admission, temperature was ninety-eight point six degrees Fahrenheit,
, pulse 130, respirations 52, blood pressure 66/46, weight 3.5 kg.
A. 98.6° F
B. 98.6 °F.
Answer: B. 98.6 °F
◍ 1. In which of the following sections of SOAP note does a provider indicate
a patient's reported level of pain?.
Answer: a. Subjective
◍ What is your _____?
A. advise
B. advice.
Answer: B. advice
◍ 1. A billing and coding specialist is preparing a claim for a procedure with a
prolonged operative time that has modifier -22 attached. Which of the
following actions should the specialist take?.
Answer: a. Send a copy of the operative report with the claim
◍ 1. Which of the following symbols indicate an add-on code in the CPT
manual?.
Answer: a. Plus sign
◍ 1. Z codes are used to identify which of the following ?.
Answer: a. Immunization
◍ 1. A provider's office free is $100 and the Medicare Part B allowed amount
is $85. Assuming the beneficiary has not met their annual deductible, the
patient should be billed for which of the following amounts?.
Answer: $85
◍ The speech pathologist will evaluate the child for _____.
A. dysphasia
B. dypsphasia.
Answer: A. dysphasia
◍ 1. A billing and coding specialist is reviewing a claim for an established
, patient who arrived at the office with an upper respiratory infection. Which
of the following codes should the specifically use for this encounter?.
Answer: a. 99213
◍ 1. A patient is upset about a bill they received because their third-party
payer denied the claim. Which of the following actions should a billing and
coding specialist take?.
Answer: a. Inform the patient of the reason for the denial
◍ perirenal
A. pararenal
B. antepartum
C. gastrotomy
D. macroglossia.
Answer: A. pararenal
◍ The patient's neurologic symptoms suggested _____ disease.
A. Alzheimer's
B. alzheimer's.
Answer: A. Alzheimer's
◍ 1. Which of the following provisions ensures that an insured patient's
benefits from a third-party do not exceed 100% of allowable medical
expenses?.
Answer: a. Coordination of benefits
◍ microglossia
A. adduct
B. antepartum
C. gastrotomy
D. macroglossia.
Answer: D. macroglossia
◍ 1. A patient has a breast biopsy with the placement of a clip. After the
biopsy is determined to be malignant, the patient elects for a mastectomy
during the global period of the biopsy. Which of the following modifiers
