NHA BILLING AND CODING PRACTICE TEST QUESTIONS AND CORRECT ANSWERS

NHA BILLING AND CODING PRACTICE
TEST QUESTIONS AND CORRECT
ANSWERS
1.A2AA2billingA2andA2codingA2specialistA2discoversA2thatA2oneA2privateA2payerA2hasA2notA2r
eimbursedA2theA2providerA2forA2anyA2claimsA2submittedA2inA2theA2pastA2year.A2CleanA2clai
msA2haveA2beenA2submittedA2toA2theA2payerA2andA2haveA2beenA2acknowledged.A2WhichA2
ofA2theA2followingA2entitiesA2shouldA2theA2specialistA2contactA2toA2reportA2theA2payer'sA2fail
ureA2toA2submitA2timelyA2reimbursement?A2-A2Ans--
a.A2StateA2InsuranceA2Commissioner'sA2office

1.A2WhichA2ofA2theA2followingA2isA2anA2exampleA2ofA2aA2diagnosticA2categoryA2code?A2-
A2Ans--a.A2I10


1.A2TheA2starA2symbolA2inA2theA2CPTA2codingA2manualA2isA2usedA2toA2indicateA2whichA2ofA
2theA2following?A2-A2Ans--a.A2Telemedicine


1.A2WhichA2ofA2theA2followingA2isA2anA2advantageA2ofA2electronicA2claimA2submission?A2-
A2Ans--a.A2ClaimsA2areA2expedited


1.A2WhenA2shouldA2aA2billingA2andA2codingA2specialistA2initiateA2theA2collectionA2ofA2theA2in
formationA2neededA2toA2processA2aA2patient'sA2insuranceA2claimA2form?A2-A2Ans--
a.A2WhenA2theA2patientA2contactsA2theA2provider'sA2officeA2andA2schedulesA2anA2appointm
ent

1.A2AA2billingA2andA2codingA2specialistA2isA2reviewingA2modifierA2useA2withA2aA2newA2empl
oyee.A2WhichA2ofA2theA2followingA2scenariosA2warrantsA2theA2useA2ofA2aA2modifier?A2-
A2Ans--a.A2SplintingA2ofA2theA2fourthA2digitA2onA2theA2leftA2foot


1.A2AA2billingA2andA2codingA2specialistA2isA2reviewingA2aA2provider'sA2documentationA2forA2
aA2patientA2whoA2underwentA2repairA2ofA2multipleA2woundsA2toA2theA2faceA2andA2trunk.A2T
heA2providerA2codedA2repairA2ofA2allA2woundsA2individually.A2TheA2specialistA2shouldA2rec
ognizeA2thatA2theA2providerA2shouldA2haveA2appliedA2whichA2ofA2theA2followingA2conceptsA
2toA2theA2documentationA2ofA2theA2repairA2forA2thisA2patient'sA2wounds?A2-A2Ans--
a.A2WoundsA2shouldA2beA2groupedA2byA2anatomicA2siteA2andA2codedA2inA2orderA2ofA2comp
lexity

1.A2WhichA2ofA2theA2followingA2termsA2describeA2theA2removalA2ofA2theA2eye,A2adnexa,A2a
ndA2bonyA2structure?A2-A2Ans--a.A2Exenteration

1.A2AA2billingA2andA2codingA2specialistA2isA2reviewingA2delinquentA2claimsA2andA2discovers
A2thatA2aA2third-
partyA2payerA2paidA2aA2claimA2butA2appliedA2itA2toA2theA2incorrectA2provider.A2TheA2third-

, partyA2payerA2willA2reimburseA2theA2paymentA2onceA2theA2improperlyA2paidA2fundsA2areA2r
ecouped.A2WhichA2ofA2theA2followingA2termsA2isA2usedA2toA2describeA2thisA2claim?A2-
A2Ans--a.A2Suspended


1.A2ForA2whichA2ofA2theA2followingA2reasonsA2shouldA2aA2claimA2beA2resubmitted?A2-
A2Ans--a.A2TheA2claimA2requiresA2anA2attachmentA2toA2supportA2medicalA2necessity


1.A2AA2billingA2andA2codingA2specialistA2isA2preparingA2anA2accountA2receivableA2agingA2re
port.A2TheA2specialistA2shouldA2expectA2theA2reportA2toA2includeA2whichA2ofA2theA2following
?A2-A2Ans--a.A2OutstandingA2balancesA2organizedA2byA2date

1.A2WhichA2ofA2theA2followingA2piecesA2ofA2guarantorA2informationA2isA2requiredA2whenA2e
stablishingA2aA2patient'sA2financialA2record?A2-A2Ans--a.A2PhoneA2number

1.A2WhichA2ofA2theA2followingA2actionsA2byA2aA2billingA2andA2codingA2specialistA2ensuresA2
aA2patient'sA2healthA2informationA2isA2protected?A2-A2Ans--
a.A2UsingA2dataA2encryptionA2softwareA2onA2officeA2workstations

1.A2AA2billingA2andA2codingA2specialistA2isA2preparingA2anA2appealA2letterA2inA2responseA2t
oA2aA2denialA2byA2aA2third-
partyA2payerA2forA2lackA2ofA2medicalA2necessity.A2WhichA2ofA2theA2followingA2shouldA2theA2
specialistA2includeA2withA2theA2letterA2toA2indicateA2medicalA2necessity?A2-A2Ans--
a.A2MedicalA2recordA2documentation

1.A2AA2childA2isA2broughtA2intoA2aA2facilityA2byA2theirA2mother.A2TheA2childA2isA2coverA2unde
rA2bothA2parents'A2insuranceA2policies.A2TheA2child'sA2fatherA2wasA2bornA2onA210/1/1980A2
andA2theirA2motherA2wasA2bornA2onA210/2/1921.A2WhichA2ofA2theA2followingA2statementsA2i
sA2trueA2regardingA2theA2primaryA2policyA2holderA2forA2theA2child?A2-A2Ans--
a.A2TheA2fatherA2isA2theA2primaryA2policyA2holderA2becauseA2hisA2birthdayA2fallsA2firstA2inA2t
heA2calendarA2year

1.A2AA2billingA2andA2codingA2specialistA2isA2processingA2aA2claimA2forA2aA2patientA2whoA2br
okeA2theirA2armA2whileA2repairingA2carsA2atA2theirA2workplace.A2ThereA2isA2noA2nerveA2da
mage,A2theA2armA2isA2placedA2inA2aA2castA2forA26A2weeks,A2andA2theA2patientA2isA2clearedA
2toA2returnA2toA2workA2inA26A2weeks.A2WhichA2ofA2theA2followingA2typesA2ofA2workers'A2com
pensationA2appliesA2toA2thisA2patient?A2-A2Ans--a.A2TemporaryA2disability

1.A2WhichA2ofA2theA2followingA2informationA2isA2requiredA2onA2aA2patientA2accountA2require
d?A2-A2Ans--a.A2NameA2andA2addressA2ofA2guarantor

1.A2AA2billingA2andA2codingA2specialistA2isA2reviewingA2aA2delinquentA2claim.A2WhichA2ofA2t
heA2followingA2actionsA2shouldA2theA2specialistA2takeA2first?A2-A2Ans--
a.A2VerifyA2theA2ageA2ofA2theA2account

1.A2AA2patientA2presentsA2toA2aA2provider'sA2officeA2withA2difficultyA2speaking,A2facialA2droo
ping,A2andA2anA2inabilityA2toA2closeA2theirA2leftA2eye.A2TheyA2areA2diagnosedA2withA2Bell'sA