NHA CBCS PRACTICE EXAM 3
Actual Questions with Verified Answers & Rationales
100% Guarantee passing score
Consist of 100 multichoice Questions with Answers
1. During a virtual visit, Dr. Smith conducts a comprehensive evaluation of
Jane Doe's chronic condition, including a detailed history and medical de-
cision-making of moderate complexity. Which CPT code should be used to
accurately bill for this service?
A) 99212
B) 99213
C) 99214
D) 99215
Answer
99214
Rationale: CPT code 99214 is used for an office or other outpatient visit for the evalu-
ation and management of an established patient, which requires a medically appro-
,priate history and/or examination and moderate level of medical decision-making.
Option A (99212) is for a problem-focused visit with straightforward decision-making,
which is too low for this scenario. Option B (99213) involves low complexity, which
does not match the moderate complexity described. Option D (99215) is for high
complexity decision-making, which is more extensive than required. Therefore,
99214 is the most accurate code for Dr. Smith's comprehensive evaluation and
moderate complexity decision-making during Jane Doe's virtual visit.
2. What is one of the primary objectives of the Health Information Technology
for Economic and Clinical Health (HITECH) Act?
A) To establish a national health insurance program
B) To promote the adoption and meaningful use of health information technol-
ogy
C) To regulate the prices of medical services
D) To mandate the use of paper records in healthcare facilities
Answer
To promote the adoption and meaningful use of health information
3. Under the False Claims Act, which of the following actions could result in
significant penalties for a healthcare provider?
,A) Submitting a claim for services not rendered
B) Coding a service at a lower level than provided
C) Correcting a billing error within 30 days
D) Providing free services to uninsured patients
Answer
Submitting a claim for services not rendered
4. When completing the CMS-1500 claim form, where should the primary
diagnosis code be placed?
A) Box 21, Line A
B) Box 24E
C) Box 33
D) Box 1A
Answer
Box 21, Line A
Rationale: The primary diagnosis code should be placed in Box 21, Line A of the
CMS-1500 claim form. This box is specifically designated for listing diagnosis codes,
, with Line A reserved for the primary diagnosis. Box 24E is used for indicating the
diagnosis pointer, which links the diagnosis to the procedure. Box 33 is for the billing
provider's information, and Box 1A is for the insured's ID number. Proper placement
of the primary diagnosis code ensures accurate billing and reimbursement, as it
directly influences the processing of the claim. Misplacing this information can lead
to claim denials or delays.
5. Which of the following is the first step in the revenue cycle for a healthcare
provider?
A) Claim Submission
B) Patient Registration
C) Insurance Verification
D) Coding of Services
Answer
Patient Registration
6. Which of the following is NOT a key component in determining the level of
Evaluation and Management (E/M) services?
A) History
B) Examination
Actual Questions with Verified Answers & Rationales
100% Guarantee passing score
Consist of 100 multichoice Questions with Answers
1. During a virtual visit, Dr. Smith conducts a comprehensive evaluation of
Jane Doe's chronic condition, including a detailed history and medical de-
cision-making of moderate complexity. Which CPT code should be used to
accurately bill for this service?
A) 99212
B) 99213
C) 99214
D) 99215
Answer
99214
Rationale: CPT code 99214 is used for an office or other outpatient visit for the evalu-
ation and management of an established patient, which requires a medically appro-
,priate history and/or examination and moderate level of medical decision-making.
Option A (99212) is for a problem-focused visit with straightforward decision-making,
which is too low for this scenario. Option B (99213) involves low complexity, which
does not match the moderate complexity described. Option D (99215) is for high
complexity decision-making, which is more extensive than required. Therefore,
99214 is the most accurate code for Dr. Smith's comprehensive evaluation and
moderate complexity decision-making during Jane Doe's virtual visit.
2. What is one of the primary objectives of the Health Information Technology
for Economic and Clinical Health (HITECH) Act?
A) To establish a national health insurance program
B) To promote the adoption and meaningful use of health information technol-
ogy
C) To regulate the prices of medical services
D) To mandate the use of paper records in healthcare facilities
Answer
To promote the adoption and meaningful use of health information
3. Under the False Claims Act, which of the following actions could result in
significant penalties for a healthcare provider?
,A) Submitting a claim for services not rendered
B) Coding a service at a lower level than provided
C) Correcting a billing error within 30 days
D) Providing free services to uninsured patients
Answer
Submitting a claim for services not rendered
4. When completing the CMS-1500 claim form, where should the primary
diagnosis code be placed?
A) Box 21, Line A
B) Box 24E
C) Box 33
D) Box 1A
Answer
Box 21, Line A
Rationale: The primary diagnosis code should be placed in Box 21, Line A of the
CMS-1500 claim form. This box is specifically designated for listing diagnosis codes,
, with Line A reserved for the primary diagnosis. Box 24E is used for indicating the
diagnosis pointer, which links the diagnosis to the procedure. Box 33 is for the billing
provider's information, and Box 1A is for the insured's ID number. Proper placement
of the primary diagnosis code ensures accurate billing and reimbursement, as it
directly influences the processing of the claim. Misplacing this information can lead
to claim denials or delays.
5. Which of the following is the first step in the revenue cycle for a healthcare
provider?
A) Claim Submission
B) Patient Registration
C) Insurance Verification
D) Coding of Services
Answer
Patient Registration
6. Which of the following is NOT a key component in determining the level of
Evaluation and Management (E/M) services?
A) History
B) Examination
