4/12/25, 8:26 NHA CBCS Final Practice Test Flashcards |
PM
NHA CBCS FINAL PRACTICE TEST EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE
7 studiers today (1 review)
Save
Terms in this set (117)
Which of the following is an example of a When a provider requests the advice of another provider
consultation?
Which of the CPT codes should a billing 84153 Prostate specific antigen (PSA); Total
and coding specialist use to indicate total
prosthetic specific antigen (PSA) test?
Which of the following coding manuals is HCPCS Level II
use to identify products, supplies and
services?
In which of the following scenarios is it When the patient is being investigated by the police
appropriate to release a patient's
psychiatric records without the patient's
consent?
A billing and coding specialist is Medicare is not the primary insurance
reviewing a Medicare Part C denial for a
patient who was injured on the job. The
Specialist should expect which of the
following to be the reason for the denial?
Which of the following is the purpose of To verify coverage
precertification?
Which of the following is entities outlines Office of inspector General (OIG)
the minimum essential elements of a
comprehensive program?
Which of the following is the process Adjudication
of sending an insurance claim
through a series of edits for final
determination?
Two providers are having a conversation Incidental disclosure
about a patient's test results at the nursing
station. A different patient overhears them
talking. This type of privacy exposure is
known as which of the following?
Which of the following actions by a billing Performing periodic audits
and coding specialist prevents fraud?
A billing and coding specialist is Removal
preparing a claim for an esophagectomy.
Which of the following types of service is
being provided?
Which of the following is the purpose of a To identify errors that will prevent a claim from being paid
claims clearinghouse?
1/10
, 4/12/25, 8:26 NHA CBCS Final Practice Test Flashcards |
PM
A billing and coding specialist is -57: Decision for surgery
preparing a claim
for a patient who had an Evaluation
and Management (E/M) visit for
abdominal pain that resulted in the
decision to remove the appendix
immediately. Which of the following
modifiers should the
specialist use for this claim?
-24: Unrelated evaluation and
management service by the same
physician or other qualified health care
professional during a postoperative
period.
-25: significant, separately identifiable
evaluation and management service by
the same physician or other qualified
health care professional on the same day
of the procedure or other service.
-51: Multiple procedures
-57: Decision for surgery
An internal retrospective billing account Documentation from patient encounters
audit prevents fraud and abuse by
reviewing and comparing completed
claim forms with which of the following?
A billing and coding specialist is -22: Increased procedural services
preparing a claim for a procedure that
typically takes about 2 hr. Due to
complications, it took 4.5 hr to complete
the procedure. Which of the following
modifiers should the specialist use?
Which of the following are included in the Spiral fracture
ICD-10-CM code set?
- Fracture reduction
- Spiral fracture
- Cast application
- Walking boot
In which of the following circumstance When a claim contains unlisted procedure codes
should a billing and coding
specialist submit a claim with an
attachment to a third-party payer?
Which of the following describes denied
the status of a claim that is in
process and does not include
required
preauthorization for a service?
A billing and coding specialist notices Schedule an office training session about procedures that require
that there have recently been several preauthorization.
appeals for denials due to failure to
obtain procedure preauthorization. Which
of the following actions should the
specialist take?
2/10
PM
NHA CBCS FINAL PRACTICE TEST EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE
7 studiers today (1 review)
Save
Terms in this set (117)
Which of the following is an example of a When a provider requests the advice of another provider
consultation?
Which of the CPT codes should a billing 84153 Prostate specific antigen (PSA); Total
and coding specialist use to indicate total
prosthetic specific antigen (PSA) test?
Which of the following coding manuals is HCPCS Level II
use to identify products, supplies and
services?
In which of the following scenarios is it When the patient is being investigated by the police
appropriate to release a patient's
psychiatric records without the patient's
consent?
A billing and coding specialist is Medicare is not the primary insurance
reviewing a Medicare Part C denial for a
patient who was injured on the job. The
Specialist should expect which of the
following to be the reason for the denial?
Which of the following is the purpose of To verify coverage
precertification?
Which of the following is entities outlines Office of inspector General (OIG)
the minimum essential elements of a
comprehensive program?
Which of the following is the process Adjudication
of sending an insurance claim
through a series of edits for final
determination?
Two providers are having a conversation Incidental disclosure
about a patient's test results at the nursing
station. A different patient overhears them
talking. This type of privacy exposure is
known as which of the following?
Which of the following actions by a billing Performing periodic audits
and coding specialist prevents fraud?
A billing and coding specialist is Removal
preparing a claim for an esophagectomy.
Which of the following types of service is
being provided?
Which of the following is the purpose of a To identify errors that will prevent a claim from being paid
claims clearinghouse?
1/10
, 4/12/25, 8:26 NHA CBCS Final Practice Test Flashcards |
PM
A billing and coding specialist is -57: Decision for surgery
preparing a claim
for a patient who had an Evaluation
and Management (E/M) visit for
abdominal pain that resulted in the
decision to remove the appendix
immediately. Which of the following
modifiers should the
specialist use for this claim?
-24: Unrelated evaluation and
management service by the same
physician or other qualified health care
professional during a postoperative
period.
-25: significant, separately identifiable
evaluation and management service by
the same physician or other qualified
health care professional on the same day
of the procedure or other service.
-51: Multiple procedures
-57: Decision for surgery
An internal retrospective billing account Documentation from patient encounters
audit prevents fraud and abuse by
reviewing and comparing completed
claim forms with which of the following?
A billing and coding specialist is -22: Increased procedural services
preparing a claim for a procedure that
typically takes about 2 hr. Due to
complications, it took 4.5 hr to complete
the procedure. Which of the following
modifiers should the specialist use?
Which of the following are included in the Spiral fracture
ICD-10-CM code set?
- Fracture reduction
- Spiral fracture
- Cast application
- Walking boot
In which of the following circumstance When a claim contains unlisted procedure codes
should a billing and coding
specialist submit a claim with an
attachment to a third-party payer?
Which of the following describes denied
the status of a claim that is in
process and does not include
required
preauthorization for a service?
A billing and coding specialist notices Schedule an office training session about procedures that require
that there have recently been several preauthorization.
appeals for denials due to failure to
obtain procedure preauthorization. Which
of the following actions should the
specialist take?
2/10
