1|Page
NHA CBCS Final Exam QUESTIONS AND ANSWERS
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Which of the following is entities outlines the minimum
essential elements of a comprehensive program? -
Answer-Office of inspector General (OIG)
Which of the following is the process of sending an
insurance claim through a series of edits for final
determination? - Answer-Adjudication
Two providers are having a conversation 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? - Answer-Incidental
disclosure
Which of the following actions by a billing and coding
specialist prevents fraud? - Answer-Performing periodic
audits
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A billing and coding specialist is preparing a claim for an
esophagectomy. Which of the following types of service is
being provided? - Answer-Removal
Which of the following is the purpose of a claims
clearinghouse? - Answer-To identify errors that will prevent
a claim from being paid
A billing and coding specialist is 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
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-57: Decision for surgery - Answer--57: Decision for
surgery
An internal retrospective billing account audit prevents
fraud and abuse by reviewing and comparing completed
claim forms with which of the following? - Answer-
Documentation from patient encounters
A billing and coding specialist is 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?
- Answer--22: Increased procedural services
Which of the following are included in the ICD-10-CM code
set?
- Fracture reduction
- Spiral fracture
- Cast application
- Walking boot - Answer-Spiral fracture
In which of the following circumstance should a billing and
coding specialist submit a claim with an attachment to a
NHA CBCS Final Exam QUESTIONS AND ANSWERS
ALREADY GRADED A+||Verified Exam!!|| 100%
Verified Solutions | Updated Per Latest Guidelines |
Graded A+||Newest Exam!!!
Which of the following is entities outlines the minimum
essential elements of a comprehensive program? -
Answer-Office of inspector General (OIG)
Which of the following is the process of sending an
insurance claim through a series of edits for final
determination? - Answer-Adjudication
Two providers are having a conversation 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? - Answer-Incidental
disclosure
Which of the following actions by a billing and coding
specialist prevents fraud? - Answer-Performing periodic
audits
,2|Page
A billing and coding specialist is preparing a claim for an
esophagectomy. Which of the following types of service is
being provided? - Answer-Removal
Which of the following is the purpose of a claims
clearinghouse? - Answer-To identify errors that will prevent
a claim from being paid
A billing and coding specialist is 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
, 3|Page
-57: Decision for surgery - Answer--57: Decision for
surgery
An internal retrospective billing account audit prevents
fraud and abuse by reviewing and comparing completed
claim forms with which of the following? - Answer-
Documentation from patient encounters
A billing and coding specialist is 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?
- Answer--22: Increased procedural services
Which of the following are included in the ICD-10-CM code
set?
- Fracture reduction
- Spiral fracture
- Cast application
- Walking boot - Answer-Spiral fracture
In which of the following circumstance should a billing and
coding specialist submit a claim with an attachment to a
