NHA Billing/Coding Baseline Practice
Test Exam Questions and Answers
(Latest Update 2026)
A billing and coding specialist discovers that one private payer has
not reimbursed the provider for any claims submitted in the past
year. Clean claims have been submitted to the payer and have been
acknowledged. Which of the following entities should the specialist
contact to report the payer's failure to submit timely
reimbursement? -
correct answer ✅State insurance commissioner's office
Which of the following is an example of a diagnostic category code?
-
correct answer ✅I10 , This is an example of a diagnostic category
code because it contains 3 characters
The star symbol in the CPT coding manual is used to indicate which
of the following? -
correct answer ✅telemedicine
Which of the following is an advantage of electronic claim
submission? -
correct answer ✅Claims are expedited
,NHA Billing/Coding Baseline Practice
Test Exam Questions and Answers
(Latest Update 2026)
When should a billing and coding specialist Initiate the collection of
the information needed to process a patient's insurance claim
form? -
correct answer ✅When the patient contacts the provider's office
and schedules an appointment
A billing and coding specialist is reviewing modifier use with a new
employee. Which of the following scenarios warrants the use of a
modifier? -
correct answer ✅Splinting of the fourth digit on the left foot
A billing and coding specialist is reviewing a provider's
documentation for a patient who underwent repair of multiple
wounds to the face and trunk. The provider coded repair of all
wounds individually. The specialist should recognize that the
provider should have applied which of the following concepts of the
documentation of the repair for this patient's wounds? -
correct answer ✅Wounds should be grouped by anatomic site and
coded in order of complexity.
, NHA Billing/Coding Baseline Practice
Test Exam Questions and Answers
(Latest Update 2026)
Which of the following terms describes the removal of the eye,
adnexa, and bony structure? -
correct answer ✅Exenteration
A billing and coding specialist is reviewing delinquent claims and
discovers that a third-party payer a claim but applied it to the
incorrect provider. The third-party payer will reimburse the
payment once the the improperly paid funds are recouped. Which
of the following terms is used to describe this claim? -
correct answer ✅Suspended
For which of the following reasons should a claim be resubmitted? -
correct answer ✅The claim requires an attachment to support
medical necessity.
A billing and coding specialist is preparing an accounts receivable
aging report. The specialist should expect the report to include
which of the following? -
correct answer ✅Outstanding balances organized by data
Test Exam Questions and Answers
(Latest Update 2026)
A billing and coding specialist discovers that one private payer has
not reimbursed the provider for any claims submitted in the past
year. Clean claims have been submitted to the payer and have been
acknowledged. Which of the following entities should the specialist
contact to report the payer's failure to submit timely
reimbursement? -
correct answer ✅State insurance commissioner's office
Which of the following is an example of a diagnostic category code?
-
correct answer ✅I10 , This is an example of a diagnostic category
code because it contains 3 characters
The star symbol in the CPT coding manual is used to indicate which
of the following? -
correct answer ✅telemedicine
Which of the following is an advantage of electronic claim
submission? -
correct answer ✅Claims are expedited
,NHA Billing/Coding Baseline Practice
Test Exam Questions and Answers
(Latest Update 2026)
When should a billing and coding specialist Initiate the collection of
the information needed to process a patient's insurance claim
form? -
correct answer ✅When the patient contacts the provider's office
and schedules an appointment
A billing and coding specialist is reviewing modifier use with a new
employee. Which of the following scenarios warrants the use of a
modifier? -
correct answer ✅Splinting of the fourth digit on the left foot
A billing and coding specialist is reviewing a provider's
documentation for a patient who underwent repair of multiple
wounds to the face and trunk. The provider coded repair of all
wounds individually. The specialist should recognize that the
provider should have applied which of the following concepts of the
documentation of the repair for this patient's wounds? -
correct answer ✅Wounds should be grouped by anatomic site and
coded in order of complexity.
, NHA Billing/Coding Baseline Practice
Test Exam Questions and Answers
(Latest Update 2026)
Which of the following terms describes the removal of the eye,
adnexa, and bony structure? -
correct answer ✅Exenteration
A billing and coding specialist is reviewing delinquent claims and
discovers that a third-party payer a claim but applied it to the
incorrect provider. The third-party payer will reimburse the
payment once the the improperly paid funds are recouped. Which
of the following terms is used to describe this claim? -
correct answer ✅Suspended
For which of the following reasons should a claim be resubmitted? -
correct answer ✅The claim requires an attachment to support
medical necessity.
A billing and coding specialist is preparing an accounts receivable
aging report. The specialist should expect the report to include
which of the following? -
correct answer ✅Outstanding balances organized by data
