NHA MEDICAL BILLING AND CODING FINAL PRACTICE TEST 2025 QUESTIONS AND CORRECT ANSWERS

NHA MEDICAL BILLING AND CODING
FINAL PRACTICE TEST 2025 QUESTIONS
AND CORRECT ANSWERS
WhichA2ofA2theA2followingA2isA2aA2keyA2protectionA2standardA2ofA2theA2HIPAAA2PrivacyA2R
uleA2thatA2requiresA2coveredA2entitiesA2andA2businessA2associatesA2toA2limitA2theA2useA2or
A2releaseA2ofA2protectedA2healthA2informationA2(PHI)?A2-A2Ans--Disclosure


AA2billingA2andA2codingA2specialistA2isA2preparingA2aA2claimA2thatA2includesA2aA2codeA2forA2
aA2miscellaneousA2supply.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2specialistA2t
akeA2toA2ensureA2theA2claimA2willA2beA2paidA2theA2firstA2timeA2itA2isA2submitted?A2-A2Ans--
AddA2supplementalA2documentationA2withA2theA2claim.

WhichA2ofA2theA2followingA2describesA2theA2statusA2ofA2aA2claimA2thatA2isA2inA2processA2an
dA2doesA2notA2includeA2requiredA2preauthorizationA2forA2aA2service?A2-A2Ans--denied

AA2third-
partyA2payerA2requestsA2aA2patient'sA2informationA2relatedA2toA2aA2claim.A2AA2billingA2andA2
codingA2specialistA2shouldA2ensureA2thatA2whichA2ofA2theA2followingA2isA2includedA2inA2theA
2patient'sA2fileA2beforeA2providingA2theA2information?A2-A2Ans--
signedA2releaseA2ofA2informationA2form

CodingA2manualsA2useA2whichA2ofA2theA2followingA2conventions?A2-A2Ans--Icons

AA2billingA2andA2codingA2specialistA2isA2usingA2anA2accountsA2receivableA2agingA2reportA2t
oA2determineA2whichA2accountsA2shouldA2beA2sentA2toA2collections.A2AccordingA2toA2bestA
2practices,A2whichA2ofA2theA2followingA2accountsA2shouldA2theA2specialistA2sendA2toA2colle
ctions?A2-A2Ans--AnA2accountA2thatA2hasA2aA2balanceA2ofA2$600A2andA2isA2135A2daysA2old

WhichA2ofA2theA2followingA2CPT®A2codesA2shouldA2aA2billingA2andA2codingA2specialistA2us
eA2toA2indicateA2aA2totalA2prostate-specificA2antigenA2(PSA)A2test?A2-A2Ans--
84153A2ProstateA2specificA2antigenA2(PSA);A2Total

WhichA2ofA2theA2followingA2isA2theA2purposeA2ofA2aA2claimsA2clearinghouse?A2-A2Ans--
ToA2identifyA2errorsA2thatA2willA2preventA2aA2claimA2fromA2beingA2paid

WhichA2ofA2theA2followingA2describesA2aA2claimA2thatA2isA2120A2daysA2old?A2-A2Ans--
Delinquent

WhichA2ofA2theA2followingA2governmentA2agenciesA2isA2responsibleA2forA2combatingA2frau
dA2andA2abuseA2inA2healthA2insuranceA2andA2healthA2careA2delivery?A2-A2Ans--
OfficeA2ofA2InspectorA2GeneralA2(OIG)

, WhichA2ofA2theA2followingA2plansA2requiresA2providersA2toA2adhereA2toA2managedA2careA2
provisions?A2-A2Ans--HealthA2maintenanceA2organizationA2(HMO)A2plan

WhichA2ofA2theA2followingA2areA2includedA2inA2theA2ICD-10-CMA2codeA2set?A2-A2Ans--
SpiralA2fracture

WhichA2ofA2theA2followingA2codesA2areA2usedA2toA2codeA2diseases,A2injuries,A2impairment
s,A2andA2otherA2health-relatedA2problems?A2-A2Ans--ICD-10-CMA2codes

AnA2internalA2retrospectiveA2billingA2accountA2auditA2preventsA2fraudA2andA2abuseA2byA2re
viewingA2andA2comparingA2completedA2claimA2formsA2withA2whichA2ofA2theA2following?A2-
A2Ans--DocumentationA2ofA2complianceA2plans


WhichA2ofA2theA2followingA2typesA2ofA2insuranceA2doA2healthcareA2professionalsA2purchas
eA2toA2protectA2themselvesA2fromA2liabilityA2relatingA2toA2claimsA2arisingA2fromA2patientA2tr
eatments?A2-A2Ans--MedicalA2malpractice

AA2newA2patientA2isA2seenA2inA2theA2officeA2forA2frequentA2urinationA2andA2excessiveA2thirs
t.A2TheA2providerA2performsA2aA2detailedA2historyA2andA2examination.A2WhichA2ofA2theA2fol
lowingA2codingA2manualsA2shouldA2aA2billingA2andA2codingA2specialistA2referenceA2toA2det
ermineA2theA2EvaluationA2andA2ManagementA2(E/M)A2levelA2ofA2careA2forA2thisA2visit?A2-
A2Ans--CPT


AA2billingA2andA2codingA2specialistA2shouldA2considerA2whichA2ofA2theA2followingA2whenA2d
eterminingA2anA2EvaluationA2andA2ManagementA2(E/M)A2code?A2-A2Ans--
PlaceA2ofA2service

AA2billingA2andA2codingA2specialistA2isA2preparingA2aA2claimA2forA2aA2patientA2whoA2hadA2a
nA2EvaluationA2andA2ManagementA2(E/
M)A2visitA2forA2abdominalA2painA2thatA2resultedA2inA2theA2decisionA2toA2removeA2theA2appe
ndixA2immediately.A2WhichA2ofA2theA2followingA2modifiersA2shouldA2theA2specialistA2useA2f
orA2thisA2claim?A2-A2Ans---57

AA2patientA2whoA2hasA2aA2pastA2dueA2balanceA2requestsA2theirA2recordsA2beA2sentA2toA2an
otherA2provider.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2billingA2andA2codingA2s
pecialistA2takeA2withA2regardA2toA2theA2recordsA2request?A2-A2Ans--
BeginA2collectionA2actionA2onA2theA2balanceA2due.

AfterA2aA2third-
partyA2payerA2validatesA2aA2claim,A2whichA2ofA2theA2followingA2takesA2placeA2next?A2-
A2Ans--ClaimA2adjudication


HowA2manyA2daysA2afterA2receiptA2ofA2anA2initialA2demandA2letterA2fromA2aA2MedicareA2ad
ministrativeA2contractorA2(MAC)A2doesA2aA2providerA2haveA2toA2returnA2anA2overpaymentA
2ofA2$25A2orA2moreA2withoutA2accruingA2interest?A2-A2Ans--30A2days