4/12/25, 8:26 NHA CBCS practice test #3, NHA CBCS Practice Test #4 Flashcards |
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NHA CBCS PRACTICE TEST #3, NHA CBCS PRACTICE TEST
#4 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Leave the first rating
Save
Terms in this set (200)
On a remittance advice form, which of Provider
the following is responsible for writing off
the difference between the amount
billed
and the amount allowed by
the agreement?
Which of the following codes are Aquired access of limbs
included in the ICD-10-CM code set?
A patient has a resection of the intestines Colostomy
with anastomosis through the abdominal (A surgical procedure that involves creating an opening through the abdominal
walls. Which of the following is a type of wall).
anastomosis?
Which of the following is the purpose of To verify that the medical records and the billing record match
an internal review in a provider's office?
Which of the following is a valid ICD-10- Code signs and symptoms in the absence of definitive diagnosis
CM principal?
Which of the following editing systems National Correct Coding Initiative (NCCI)
should a billing and coding specialist
reference to determine if a supplies and - (The NCCI is also used to to promote national correct coding methodologies
materials code should be assigned to and control improper coding leading to inappropriate payment of claims).
report a surgical tray used during an
ambulatory procedure?
When should a billing and coding When the patient contacts the providers office and schedules an appointment
specialist initiate the collection of the
information needed to process a patient's
insurance claim form?
A patient wants to see an endocrinologist Health Maintenance Organization (HMO)
for a consultation about their
diabetes
mellitus, but they must see their primary
care provider (PCP) for a referral to an in-
network specialist first. Which of the
following types of insurance does the
patient have?
1/10
, 4/12/25, 8:26 NHA CBCS practice test #3, NHA CBCS Practice Test #4 Flashcards |
PM
A billing and coding specialist is Excisional procedure
reviewing the procedure notes from a
provider who selected a code
indicating an incisional biopsy when the
entirety of the patient's lesion was
removed. The
specialist should verify with the
provider that which of the following
types of
procedures was performed?
A billing and coding specialist is Resubmit and updated claim
reviewing a report from the
clearinghouse after submitting electronic
claims and notices that one claim was
rejected due to missing demographic
information. Which of the
following actions should the
specialist take?
A billing and coding speiclaist is -25: Significant, seperetly identifiable evaluation and management (E/M) service
reviewing a claim for a patient who by the same physician or other qualified health care professional on the same day
presented to the provider's office for an of the procedure or other service.
upper respiratory infection. during
the
encounter, the patient also received the
influenza vaccine. Which of the following
modifiers should be attached to the
Evaluation and Management (E/M) code?
A patient is upset about a bill they Inform the patient of the reason for the denial
received because their third party payer
denied the claim. Which of the following
actions should a billing and coding
specialist take?
A billing and coding specialist is assisting Payment for the encounter is based on a flat rate
a patient who has a capacitated
health
maintenance organization (HMO) and
presents to the office with a sinus
infection. The specialist should identify
that which of the following statements
is true regarding a capacitated
HMO?
When a patient has a condition that is Code both the acute and chronic conditions, sequencing the acute condition first
both acute and chronic, how should it be
coded?
A billing and coding specialist is Medical record documentation
preparing an appeal letter in response to
a denial by a third-party payer for lack of
medical necessity. Which of the
following should the specialist include
with the
letter to indicate medical necessity?
HIPPA transaction standards apply to Health care clearinghouses
which of the following entities?
In the ICD-10-CM code set, which of the X
following characters is the placeholder?
Which of the following are included in Preoperative history and physical
surgery service codes?
2/10
PM
NHA CBCS PRACTICE TEST #3, NHA CBCS PRACTICE TEST
#4 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Leave the first rating
Save
Terms in this set (200)
On a remittance advice form, which of Provider
the following is responsible for writing off
the difference between the amount
billed
and the amount allowed by
the agreement?
Which of the following codes are Aquired access of limbs
included in the ICD-10-CM code set?
A patient has a resection of the intestines Colostomy
with anastomosis through the abdominal (A surgical procedure that involves creating an opening through the abdominal
walls. Which of the following is a type of wall).
anastomosis?
Which of the following is the purpose of To verify that the medical records and the billing record match
an internal review in a provider's office?
Which of the following is a valid ICD-10- Code signs and symptoms in the absence of definitive diagnosis
CM principal?
Which of the following editing systems National Correct Coding Initiative (NCCI)
should a billing and coding specialist
reference to determine if a supplies and - (The NCCI is also used to to promote national correct coding methodologies
materials code should be assigned to and control improper coding leading to inappropriate payment of claims).
report a surgical tray used during an
ambulatory procedure?
When should a billing and coding When the patient contacts the providers office and schedules an appointment
specialist initiate the collection of the
information needed to process a patient's
insurance claim form?
A patient wants to see an endocrinologist Health Maintenance Organization (HMO)
for a consultation about their
diabetes
mellitus, but they must see their primary
care provider (PCP) for a referral to an in-
network specialist first. Which of the
following types of insurance does the
patient have?
1/10
, 4/12/25, 8:26 NHA CBCS practice test #3, NHA CBCS Practice Test #4 Flashcards |
PM
A billing and coding specialist is Excisional procedure
reviewing the procedure notes from a
provider who selected a code
indicating an incisional biopsy when the
entirety of the patient's lesion was
removed. The
specialist should verify with the
provider that which of the following
types of
procedures was performed?
A billing and coding specialist is Resubmit and updated claim
reviewing a report from the
clearinghouse after submitting electronic
claims and notices that one claim was
rejected due to missing demographic
information. Which of the
following actions should the
specialist take?
A billing and coding speiclaist is -25: Significant, seperetly identifiable evaluation and management (E/M) service
reviewing a claim for a patient who by the same physician or other qualified health care professional on the same day
presented to the provider's office for an of the procedure or other service.
upper respiratory infection. during
the
encounter, the patient also received the
influenza vaccine. Which of the following
modifiers should be attached to the
Evaluation and Management (E/M) code?
A patient is upset about a bill they Inform the patient of the reason for the denial
received because their third party payer
denied the claim. Which of the following
actions should a billing and coding
specialist take?
A billing and coding specialist is assisting Payment for the encounter is based on a flat rate
a patient who has a capacitated
health
maintenance organization (HMO) and
presents to the office with a sinus
infection. The specialist should identify
that which of the following statements
is true regarding a capacitated
HMO?
When a patient has a condition that is Code both the acute and chronic conditions, sequencing the acute condition first
both acute and chronic, how should it be
coded?
A billing and coding specialist is Medical record documentation
preparing an appeal letter in response to
a denial by a third-party payer for lack of
medical necessity. Which of the
following should the specialist include
with the
letter to indicate medical necessity?
HIPPA transaction standards apply to Health care clearinghouses
which of the following entities?
In the ICD-10-CM code set, which of the X
following characters is the placeholder?
Which of the following are included in Preoperative history and physical
surgery service codes?
2/10
