NHA Medical Coding and
billing exam With 100%
correct answers
Place of Service - answer Billing and coding specialists should first
divide the E & M Code by
Privacy Officer - answer Compliant with HIPPA the following
position should be assigned in each office
Principal Diagnosis - answer Coding on the UB-04 Form, must
sequence the diagnosis code. Which is the first listed diagnosis?
Urethratresia - answer Obstruction of the urethra is
UB04 Forms - answer Ambulatory surgery centers, home health
center, and hospice use what form?
Encounter forms - answer Form that contains of DOS, CPT, ICD
codes, fees and copay information is called
Add on Codes - answer Anesthesia section of CPT manual which
are considered qualifying circumstances
,Title 11 - answer Patient presents with chest pain & shortness of
breath with abnormal ECG provider call a cardiologist. What
portion of the HIPPA allows this
Code set standards pertain to all providers - answer HIPPA
compliance guideline affecting EHR
Red - answer Color formats on CMS 1500 form acceptable
Patient Ledger account - answer Financial record generated by a
provider office
Coding Compliance Plan - answer Which of the following includes
procedures and best practices for correct coding
Sagittal - answer Which of the following planes divides the body
into left and right
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) -
answer 3rd Party payer validates a claim which takes place next
NCCI ( National Correct Coding Initiative) - answer Developed to
reduced Medicare Program expenditure by detecting in
appropriate codes & eliminating improper coding
, 0% - answer Beneficiary of Medicaid/ Medicare crossover claim is
responsible for the percentage
Internal monitoring and auditing - answer Which of the following
steps would be part of a physicians practice compliance program
HIPPA - answer Which of the following acts applies to the
administrative simplification guidelines?
Accounts recievable - answer Patient charges that have not been
paid will appear in which of the following
adjudication - answer Which of the following is considered the
final determination of the issues involving settlement of an
insurance claim
A billing worksheet from the patient account - answer A
prospective billing account audit prevents fraud by reviewing &
comparing a completed claim for with which of the following
documents
Lymphatic system - answer Which of the following parts of the
body system regulates immunity
Billing using 2- digit CPT Modifiers to indicate a procedure as
preformed differs from its usual 5 digit code - answer Which of the
following is allowed when billing procedural codes
billing exam With 100%
correct answers
Place of Service - answer Billing and coding specialists should first
divide the E & M Code by
Privacy Officer - answer Compliant with HIPPA the following
position should be assigned in each office
Principal Diagnosis - answer Coding on the UB-04 Form, must
sequence the diagnosis code. Which is the first listed diagnosis?
Urethratresia - answer Obstruction of the urethra is
UB04 Forms - answer Ambulatory surgery centers, home health
center, and hospice use what form?
Encounter forms - answer Form that contains of DOS, CPT, ICD
codes, fees and copay information is called
Add on Codes - answer Anesthesia section of CPT manual which
are considered qualifying circumstances
,Title 11 - answer Patient presents with chest pain & shortness of
breath with abnormal ECG provider call a cardiologist. What
portion of the HIPPA allows this
Code set standards pertain to all providers - answer HIPPA
compliance guideline affecting EHR
Red - answer Color formats on CMS 1500 form acceptable
Patient Ledger account - answer Financial record generated by a
provider office
Coding Compliance Plan - answer Which of the following includes
procedures and best practices for correct coding
Sagittal - answer Which of the following planes divides the body
into left and right
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) -
answer 3rd Party payer validates a claim which takes place next
NCCI ( National Correct Coding Initiative) - answer Developed to
reduced Medicare Program expenditure by detecting in
appropriate codes & eliminating improper coding
, 0% - answer Beneficiary of Medicaid/ Medicare crossover claim is
responsible for the percentage
Internal monitoring and auditing - answer Which of the following
steps would be part of a physicians practice compliance program
HIPPA - answer Which of the following acts applies to the
administrative simplification guidelines?
Accounts recievable - answer Patient charges that have not been
paid will appear in which of the following
adjudication - answer Which of the following is considered the
final determination of the issues involving settlement of an
insurance claim
A billing worksheet from the patient account - answer A
prospective billing account audit prevents fraud by reviewing &
comparing a completed claim for with which of the following
documents
Lymphatic system - answer Which of the following parts of the
body system regulates immunity
Billing using 2- digit CPT Modifiers to indicate a procedure as
preformed differs from its usual 5 digit code - answer Which of the
following is allowed when billing procedural codes
