NHA Medical Billing and Coding Exam
2025 With 100% Correct Answers
Billing and coding specialist should first divide the E/M code by - correct answers ✔✔Place of Service
Complaint with HIPPA the following position should be assigned in each office - correct answers
✔✔Privacy Officer
Coding on the UB-04 Form, must sequence the diagnosis code. Which is the first listed diagnosis? -
correct answers ✔✔Principal Diagnosis
Obstruction of the urethra is? - correct answers ✔✔Urethratresia
Ambulatory surgery centers, home health center, and hospice use what form? - correct answers
✔✔UB04
Form that contains DOS, CPT, ICD codes, Fees and Copay information is called? - correct answers
✔✔Encounter forms
Anesthesia section of CPT manual which are considered qualifying circumstances? - correct answers
✔✔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? - correct answers ✔✔Title II
HIPPA compliance guidelines affecting EHR - correct answers ✔✔Code set standard pertain to all
providers
Color formats on CMS 1500 form acceptable - correct answers ✔✔Red
, Financial record generated by a provider office - correct answers ✔✔Patient Ledger account
Which of the following includes procedures and best practices for correct coding - correct answers
✔✔Coding Compliance Plan
Which of the following planes divides the body into left and right - correct answers ✔✔Sagittal
3rd Party payer validates a claim which takes place next? - correct answers ✔✔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 - correct answers ✔✔NCCI (National Correct Coding Initiative)
Beneficiary of Medicaid/Medicare crossover claim is responsible for the percentage - correct answers
✔✔0%
Which of the following steps would be party of a physicians practice compliance program - correct
answers ✔✔Internal monitoring and auditing
Which of the following acts applies to the administrative simplification guidelines? - correct answers
✔✔HIPPA
Patient charges that have not been paid will appear in which of the following? - correct answers
✔✔Accounts receivable
Which of the following is considered the final determination of the issues involving settlement of an
insurance claim? - correct answers ✔✔Adjudication
A prospective billing account audit prevents fraud by reviewing and comparing a completed claim with
which of the following documents - correct answers ✔✔A billing worksheet from the patient account
2025 With 100% Correct Answers
Billing and coding specialist should first divide the E/M code by - correct answers ✔✔Place of Service
Complaint with HIPPA the following position should be assigned in each office - correct answers
✔✔Privacy Officer
Coding on the UB-04 Form, must sequence the diagnosis code. Which is the first listed diagnosis? -
correct answers ✔✔Principal Diagnosis
Obstruction of the urethra is? - correct answers ✔✔Urethratresia
Ambulatory surgery centers, home health center, and hospice use what form? - correct answers
✔✔UB04
Form that contains DOS, CPT, ICD codes, Fees and Copay information is called? - correct answers
✔✔Encounter forms
Anesthesia section of CPT manual which are considered qualifying circumstances? - correct answers
✔✔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? - correct answers ✔✔Title II
HIPPA compliance guidelines affecting EHR - correct answers ✔✔Code set standard pertain to all
providers
Color formats on CMS 1500 form acceptable - correct answers ✔✔Red
, Financial record generated by a provider office - correct answers ✔✔Patient Ledger account
Which of the following includes procedures and best practices for correct coding - correct answers
✔✔Coding Compliance Plan
Which of the following planes divides the body into left and right - correct answers ✔✔Sagittal
3rd Party payer validates a claim which takes place next? - correct answers ✔✔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 - correct answers ✔✔NCCI (National Correct Coding Initiative)
Beneficiary of Medicaid/Medicare crossover claim is responsible for the percentage - correct answers
✔✔0%
Which of the following steps would be party of a physicians practice compliance program - correct
answers ✔✔Internal monitoring and auditing
Which of the following acts applies to the administrative simplification guidelines? - correct answers
✔✔HIPPA
Patient charges that have not been paid will appear in which of the following? - correct answers
✔✔Accounts receivable
Which of the following is considered the final determination of the issues involving settlement of an
insurance claim? - correct answers ✔✔Adjudication
A prospective billing account audit prevents fraud by reviewing and comparing a completed claim with
which of the following documents - correct answers ✔✔A billing worksheet from the patient account
