NHA MEDICAL BILLING AND CODING EXAM 2024/2025 NEWEST !!!
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS ) ALREADY GRADED A+.
Which of the following is an example of consultation? - ANSWER-
When a provider request the advice of another provider
Claims that are submitted without an NPI number will delay payment
to the provider because - ANSWER-The number is needed to identify
the provider
Which of the following describes a CPT modifer that is used to
indicate a provider supervision and interpreted a radiology
procedure? - ANSWER-Professional component
Which of the following is a HIPAA compliance guideline affecting
electronic health records? - ANSWER-The electronic transmission
and code set standards requires every provider to use the health care
transactions, code sets, and identifiers.
Which of the following are used to code provider and outpatient
services? - ANSWER-CPT codes
A billing and coding specialist is preparing to create patient
statements and has been asked to collect finance charges on any late
payments. According to the Truth in lending Act, which of the
,following is the way the finance chargers must be disclosed on the
statement? - ANSWER-As an annual percentage rate
How many behavior classifications are there on the neoplasm table -
ANSWER-6
Which of the following introduced documentation guidelines to
Medicare carriers to ensure that services paid for have been provided
and were medically necessary? - ANSWER-CMS
Last resort payer is always - ANSWER-Medicaid
A billing and coding specialist is submitting a batch of claims to the
clearing house and receives a report stating that three claims were
rejected. Which is the following action should the specialist take? -
ANSWER-Review the scrubber report
A billing and coding specialist is reviewing an operative report for a
patient who had a graft. The specialist should consult the CPT
guidelines to determine that which of the following is a tissue
transplant from one individual to another of the same species but
different genotype? - ANSWER-Allograft
Which of the following is the filing limit for a claim submission for an
outpatient service with TRICARE? - ANSWER-Within one year from
the date of service
,Billing and coding specialist should first divide the E/M code by -
ANSWER-Place of Service
Complaint with HIPPA the following position should be assigned in
each office - ANSWER-Privacy Officer
Coding on the UB-04 Form, must sequence the diagnosis code. Which
is the first listed diagnosis? - ANSWER-Principal Diagnosis
Obstruction of the urethra is? - ANSWER-Urethratresia
Ambulatory surgery centers, home health center, and hospice use
what form? - ANSWER-UB04
Form that contains DOS, CPT, ICD codes, Fees and Copay information
is called? - ANSWER-Encounter forms
Anesthesia section of CPT manual which are considered qualifying
circumstances? - ANSWER-Add-on codes
Patient presents with chest pain and shortness of breath with
abnormal ECG the provider calls a cardiologist. What portion of
HIPPA allows this? - ANSWER-Title II
HIPPA compliance guidelines affecting EHR - ANSWER-Code set
standard pertain to all providers
Color formats on CMS 1500 form acceptable - ANSWER-Red
, Financial record generated by a provider office - ANSWER-Patient
Ledger account
Which of the following includes procedures and best practices for
correct coding - ANSWER-Coding Compliance Plan
Which of the following planes divides the body into left and right -
ANSWER-Sagittal
3rd Party payer validates a claim which takes place next? – ANSWER-
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
Developed to reduced Medicare program expenditure by detecting in
appropriate codes and eliminating improper coding - ANSWER-NCCI
(National Correct Coding Initiative)
Beneficiary of Medicaid/Medicare crossover claim is responsible for
the percentage - ANSWER-0%
Which of the following steps would be party of a physicians practice
compliance program - ANSWER-Internal monitoring and auditing
Which of the following acts applies to the administrative simplification
guidelines? - ANSWER-HIPPA
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS ) ALREADY GRADED A+.
Which of the following is an example of consultation? - ANSWER-
When a provider request the advice of another provider
Claims that are submitted without an NPI number will delay payment
to the provider because - ANSWER-The number is needed to identify
the provider
Which of the following describes a CPT modifer that is used to
indicate a provider supervision and interpreted a radiology
procedure? - ANSWER-Professional component
Which of the following is a HIPAA compliance guideline affecting
electronic health records? - ANSWER-The electronic transmission
and code set standards requires every provider to use the health care
transactions, code sets, and identifiers.
Which of the following are used to code provider and outpatient
services? - ANSWER-CPT codes
A billing and coding specialist is preparing to create patient
statements and has been asked to collect finance charges on any late
payments. According to the Truth in lending Act, which of the
,following is the way the finance chargers must be disclosed on the
statement? - ANSWER-As an annual percentage rate
How many behavior classifications are there on the neoplasm table -
ANSWER-6
Which of the following introduced documentation guidelines to
Medicare carriers to ensure that services paid for have been provided
and were medically necessary? - ANSWER-CMS
Last resort payer is always - ANSWER-Medicaid
A billing and coding specialist is submitting a batch of claims to the
clearing house and receives a report stating that three claims were
rejected. Which is the following action should the specialist take? -
ANSWER-Review the scrubber report
A billing and coding specialist is reviewing an operative report for a
patient who had a graft. The specialist should consult the CPT
guidelines to determine that which of the following is a tissue
transplant from one individual to another of the same species but
different genotype? - ANSWER-Allograft
Which of the following is the filing limit for a claim submission for an
outpatient service with TRICARE? - ANSWER-Within one year from
the date of service
,Billing and coding specialist should first divide the E/M code by -
ANSWER-Place of Service
Complaint with HIPPA the following position should be assigned in
each office - ANSWER-Privacy Officer
Coding on the UB-04 Form, must sequence the diagnosis code. Which
is the first listed diagnosis? - ANSWER-Principal Diagnosis
Obstruction of the urethra is? - ANSWER-Urethratresia
Ambulatory surgery centers, home health center, and hospice use
what form? - ANSWER-UB04
Form that contains DOS, CPT, ICD codes, Fees and Copay information
is called? - ANSWER-Encounter forms
Anesthesia section of CPT manual which are considered qualifying
circumstances? - ANSWER-Add-on codes
Patient presents with chest pain and shortness of breath with
abnormal ECG the provider calls a cardiologist. What portion of
HIPPA allows this? - ANSWER-Title II
HIPPA compliance guidelines affecting EHR - ANSWER-Code set
standard pertain to all providers
Color formats on CMS 1500 form acceptable - ANSWER-Red
, Financial record generated by a provider office - ANSWER-Patient
Ledger account
Which of the following includes procedures and best practices for
correct coding - ANSWER-Coding Compliance Plan
Which of the following planes divides the body into left and right -
ANSWER-Sagittal
3rd Party payer validates a claim which takes place next? – ANSWER-
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
Developed to reduced Medicare program expenditure by detecting in
appropriate codes and eliminating improper coding - ANSWER-NCCI
(National Correct Coding Initiative)
Beneficiary of Medicaid/Medicare crossover claim is responsible for
the percentage - ANSWER-0%
Which of the following steps would be party of a physicians practice
compliance program - ANSWER-Internal monitoring and auditing
Which of the following acts applies to the administrative simplification
guidelines? - ANSWER-HIPPA
