NHA MEDICAL CODING AND BILLING EXAM QUESTIONS AND
ANSWERS
Place of Service - CORRECT ANSWER✅✅Billing and coding specialists should first divide the E & M Code
by
Privacy Officer - CORRECT ANSWER✅✅Compliant with HIPPA the following position should be assigned
in each office
Principal Diagnosis - CORRECT ANSWER✅✅Coding on the UB-04 Form, must sequence the diagnosis
code. Which is the first listed diagnosis?
Urethratresia - CORRECT ANSWER✅✅Obstruction of the urethra is
UB04 Forms - CORRECT ANSWER✅✅Ambulatory surgery centers, home health center, and hospice use
what form?
Encounter forms - CORRECT ANSWER✅✅Form that contains of DOS, CPT, ICD codes, fees and copay
information is called
Add on Codes - CORRECT ANSWER✅✅Anesthesia section of CPT manual which are considered
qualifying circumstances
Title 11 - CORRECT 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 - CORRECT ANSWER✅✅HIPPA compliance guideline
affecting EHR
Red - CORRECT ANSWER✅✅Color formats on CMS 1500 form acceptable
Patient Ledger account - CORRECT ANSWER✅✅Financial record generated by a provider office
, Coding Compliance Plan - CORRECT ANSWER✅✅Which of the following includes procedures and best
practices for correct coding
Sagittal - CORRECT 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) - CORRECT
ANSWER✅✅3rd Party payer validates a claim which takes place next
NCCI ( National Correct Coding Initiative) - CORRECT ANSWER✅✅Developed to reduced Medicare
Program expenditure by detecting in appropriate codes & eliminating improper coding
0% - CORRECT ANSWER✅✅Beneficiary of Medicaid/ Medicare crossover claim is responsible for the
percentage
Internal monitoring and auditing - CORRECT ANSWER✅✅Which of the following steps would be part of
a physicians practice compliance program
HIPPA - CORRECT ANSWER✅✅Which of the following acts applies to the administrative simplification
guidelines?
Accounts recievable - CORRECT ANSWER✅✅Patient charges that have not been paid will appear in
which of the following
adjudication - CORRECT 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 - CORRECT ANSWER✅✅A prospective billing account
audit prevents fraud by reviewing & comparing a completed claim for with which of the following
documents
ANSWERS
Place of Service - CORRECT ANSWER✅✅Billing and coding specialists should first divide the E & M Code
by
Privacy Officer - CORRECT ANSWER✅✅Compliant with HIPPA the following position should be assigned
in each office
Principal Diagnosis - CORRECT ANSWER✅✅Coding on the UB-04 Form, must sequence the diagnosis
code. Which is the first listed diagnosis?
Urethratresia - CORRECT ANSWER✅✅Obstruction of the urethra is
UB04 Forms - CORRECT ANSWER✅✅Ambulatory surgery centers, home health center, and hospice use
what form?
Encounter forms - CORRECT ANSWER✅✅Form that contains of DOS, CPT, ICD codes, fees and copay
information is called
Add on Codes - CORRECT ANSWER✅✅Anesthesia section of CPT manual which are considered
qualifying circumstances
Title 11 - CORRECT 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 - CORRECT ANSWER✅✅HIPPA compliance guideline
affecting EHR
Red - CORRECT ANSWER✅✅Color formats on CMS 1500 form acceptable
Patient Ledger account - CORRECT ANSWER✅✅Financial record generated by a provider office
, Coding Compliance Plan - CORRECT ANSWER✅✅Which of the following includes procedures and best
practices for correct coding
Sagittal - CORRECT 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) - CORRECT
ANSWER✅✅3rd Party payer validates a claim which takes place next
NCCI ( National Correct Coding Initiative) - CORRECT ANSWER✅✅Developed to reduced Medicare
Program expenditure by detecting in appropriate codes & eliminating improper coding
0% - CORRECT ANSWER✅✅Beneficiary of Medicaid/ Medicare crossover claim is responsible for the
percentage
Internal monitoring and auditing - CORRECT ANSWER✅✅Which of the following steps would be part of
a physicians practice compliance program
HIPPA - CORRECT ANSWER✅✅Which of the following acts applies to the administrative simplification
guidelines?
Accounts recievable - CORRECT ANSWER✅✅Patient charges that have not been paid will appear in
which of the following
adjudication - CORRECT 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 - CORRECT ANSWER✅✅A prospective billing account
audit prevents fraud by reviewing & comparing a completed claim for with which of the following
documents
