NHA MEDICAL CODING AND BILLING EXAM QUESTIONS AND CORRECT ANSWERS

NHA MEDICAL CODING AND BILLING
EXAM QUESTIONS AND CORRECT
ANSWERS
PlaceA2ofA2ServiceA2-A2Ans--
BillingA2andA2codingA2specialistsA2shouldA2firstA2divideA2theA2EA2&A2MA2CodeA2by

PrivacyA2OfficerA2-A2Ans--
CompliantA2withA2HIPPAA2theA2followingA2positionA2shouldA2beA2assignedA2inA2eachA2offic
e

PrincipalA2DiagnosisA2-A2Ans--CodingA2onA2theA2UB-
04A2Form,A2mustA2sequenceA2theA2diagnosisA2code.A2WhichA2isA2theA2firstA2listedA2diagno
sis?

UrethratresiaA2-A2Ans--ObstructionA2ofA2theA2urethraA2is

UB04A2FormsA2-A2Ans--
AmbulatoryA2surgeryA2centers,A2homeA2healthA2center,A2andA2hospiceA2useA2whatA2form?

EncounterA2formsA2-A2Ans--
FormA2thatA2containsA2ofA2DOS,A2CPT,A2ICDA2codes,A2feesA2andA2copayA2informationA2isA
2called


AddA2onA2CodesA2-A2Ans--
AnesthesiaA2sectionA2ofA2CPTA2manualA2whichA2areA2consideredA2qualifyingA2circumstan
ces

TitleA211A2-A2Ans--
PatientA2presentsA2withA2chestA2painA2&A2shortnessA2ofA2breathA2withA2abnormalA2ECGA2p
roviderA2callA2aA2cardiologist.A2WhatA2portionA2ofA2theA2HIPPAA2allowsA2this

CodeA2setA2standardsA2pertainA2toA2allA2providersA2-A2Ans--
HIPPAA2complianceA2guidelineA2affectingA2EHR

RedA2-A2Ans--ColorA2formatsA2onA2CMSA21500A2formA2acceptable

PatientA2LedgerA2accountA2-A2Ans--FinancialA2recordA2generatedA2byA2aA2providerA2office

CodingA2ComplianceA2PlanA2-A2Ans--
WhichA2ofA2theA2followingA2includesA2proceduresA2andA2bestA2practicesA2forA2correctA2cod
ing

, SagittalA2-A2Ans--
WhichA2ofA2theA2followingA2planesA2dividesA2theA2bodyA2intoA2leftA2andA2right

ClaimA2adjudication:
(A2TheA2termA2usedA2inA2theA2industryA2toA2referA2toA2theA2processA2ofA2payingA2claimsA2su
bmittedA2onA2denyingA2themA2afterA2comparingA2claimsA2toA2theA2benefitA2orA2coverageA2r
equirements)A2-A2Ans--3rdA2PartyA2payerA2validatesA2aA2claimA2whichA2takesA2placeA2next

NCCIA2(A2NationalA2CorrectA2CodingA2Initiative)A2-A2Ans--
DevelopedA2toA2reducedA2MedicareA2ProgramA2expenditureA2byA2detectingA2inA2appropria
teA2codesA2&A2eliminatingA2improperA2coding

0%A2-A2Ans--BeneficiaryA2ofA2Medicaid/
A2MedicareA2crossoverA2claimA2isA2responsibleA2forA2theA2percentage


InternalA2monitoringA2andA2auditingA2-A2Ans--
WhichA2ofA2theA2followingA2stepsA2wouldA2beA2partA2ofA2aA2physiciansA2practiceA2complian
ceA2program

HIPPAA2-A2Ans--
WhichA2ofA2theA2followingA2actsA2appliesA2toA2theA2administrativeA2simplificationA2guidelin
es?

AccountsA2recievableA2-A2Ans--
PatientA2chargesA2thatA2haveA2notA2beenA2paidA2willA2appearA2inA2whichA2ofA2theA2followin
g

adjudicationA2-A2Ans--
WhichA2ofA2theA2followingA2isA2consideredA2theA2finalA2determinationA2ofA2theA2issuesA2inv
olvingA2settlementA2ofA2anA2insuranceA2claim

AA2billingA2worksheetA2fromA2theA2patientA2accountA2-A2Ans--
AA2prospectiveA2billingA2accountA2auditA2preventsA2fraudA2byA2reviewingA2&A2comparingA2
aA2completedA2claimA2forA2withA2whichA2ofA2theA2followingA2documents

LymphaticA2systemA2-A2Ans--
WhichA2ofA2theA2followingA2partsA2ofA2theA2bodyA2systemA2regulatesA2immunity

BillingA2usingA22-
A2digitA2CPTA2ModifiersA2toA2indicateA2aA2procedureA2asA2preformedA2differsA2fromA2itsA2us
ualA25A2digitA2codeA2-A2Ans--
WhichA2ofA2theA2followingA2isA2allowedA2whenA2billingA2proceduralA2codes

DirectA2DataA2entryA2-A2Ans--
AA2billerA2willA2electronicallyA2submitA2aA2claimA2toA2theA2carrierA2viaA2whichA2ofA2theA2follo
wing?