NHA CBCS Practice test number 1-2
Questions With Correct Answers
A billing and coding specialist discovers that one private payer has not
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reimbursed the provider for any claims submitted in the past year. Clean
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claims have been submitted to the payer and have been acknowledged.
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Which of the following entities should the specialist contact to report the
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payer's failure to submit timely reimbursement?
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- Department of Health and Human Services
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- Bureau of Health Workforce
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- State Insurnace Comissioner's Office
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- Federal Insurance Office
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State Insurnace Comissioner's Office
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Which of the following is a ICD-10-CM category code?
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- A 3-character code
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- A 5-character code
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- A 7-character code
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- A 6-character code
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A 3-character code
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,CPT Evaluation and Management codes are used for which of the
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following?
- Physical therapy modalities
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- Outpatient hemodialysis
| |
- Medical nutrition therapy
| | |
- Critical care services
| | |
Critical care services
| |
Which of the following is an advantage of electronic claim submission?
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- Claims are expedited
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- Claims are scrubbed
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- Claims are clean
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- Claims are paid
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Claims are expedited
| |
When should a billing and coding specialist initiate the collection of the
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information needed to process a patient's insurance claim form?
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- when the patient signs the HIPPA form at check in
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,- when the patient contacts the providers office and schedules an
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appointment
- when the patient pays the copay or deductible
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- when the patient checks out of the provider's office
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when the patient contacts the providers office and schedules an
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appointment
A billing and coding specialist is reviewing a modifier use with a new
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employee. Which of the following scenarios warrants the use of a
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modifier?
- fracture of the left femur
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- splinting of the fourth digit on the left foot
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- recurrent inguinal hernia
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- insertion of a drug delivery implant
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splinting of the fourth digit on the left foot
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Which of the following is a correct rule when using CPT add on codes?
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- they are automatically reduced in value
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- they should be sequenced first
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- they are used for unspecified codes
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, - they are exempt from the multiple procedure concept
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they are exempt from the multiple procedure concept
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Which of the following terms describe the removal of the eye, adnexa,
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and bony structure?
| |
- Evisceration
|
- Enucleation
|
- Exenteration
|
-Exploration
Exenteration
A billing and coding specialist is reviewing delinquent claims and
| | | | | | | | | |
discovers that a third-party payer paid a claim but applied it to the
| | | | | | | | | | | | |
incorrect provider. The third-party payer will reimburse the payment
| | | | | | | | |
once the improperly funds are recouped. Which of the following terms is
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used to described this claim?
| | | |
- Payment error
| |
- Rejected
|
- Denied
|
- Suspended
|
Questions With Correct Answers
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?
| | | | |
- Department of Health and Human Services
| | | | | |
- Bureau of Health Workforce
| | | |
- State Insurnace Comissioner's Office
| | | |
- Federal Insurance Office
| | |
State Insurnace Comissioner's Office
| | |
Which of the following is a ICD-10-CM category code?
| | | | | | | |
- A 3-character code
| | |
- A 5-character code
| | |
- A 7-character code
| | |
- A 6-character code
| | |
A 3-character code
| |
,CPT Evaluation and Management codes are used for which of the
| | | | | | | | | | |
following?
- Physical therapy modalities
| | |
- Outpatient hemodialysis
| |
- Medical nutrition therapy
| | |
- Critical care services
| | |
Critical care services
| |
Which of the following is an advantage of electronic claim submission?
| | | | | | | | | |
- Claims are expedited
| | |
- Claims are scrubbed
| | |
- Claims are clean
| | |
- Claims are paid
| | |
Claims are expedited
| |
When should a billing and coding specialist initiate the collection of the
| | | | | | | | | | | |
information needed to process a patient's insurance claim form?
| | | | | | | |
- when the patient signs the HIPPA form at check in
| | | | | | | | | |
,- when the patient contacts the providers office and schedules an
| | | | | | | | | | |
appointment
- when the patient pays the copay or deductible
| | | | | | | |
- when the patient checks out of the provider's office
| | | | | | | | |
when the patient contacts the providers office and schedules an
| | | | | | | | | |
appointment
A billing and coding specialist is reviewing a modifier use with a new
| | | | | | | | | | | | |
employee. Which of the following scenarios warrants the use of a
| | | | | | | | | | |
modifier?
- fracture of the left femur
| | | | |
- splinting of the fourth digit on the left foot
| | | | | | | | |
- recurrent inguinal hernia
| | |
- insertion of a drug delivery implant
| | | | | |
splinting of the fourth digit on the left foot
| | | | | | | |
Which of the following is a correct rule when using CPT add on codes?
| | | | | | | | | | | | |
- they are automatically reduced in value
| | | | | |
- they should be sequenced first
| | | | |
- they are used for unspecified codes
| | | | | |
, - they are exempt from the multiple procedure concept
| | | | | | | |
they are exempt from the multiple procedure concept
| | | | | | |
Which of the following terms describe the removal of the eye, adnexa,
| | | | | | | | | | | |
and bony structure?
| |
- Evisceration
|
- Enucleation
|
- Exenteration
|
-Exploration
Exenteration
A billing and coding specialist is reviewing delinquent claims and
| | | | | | | | | |
discovers that a third-party payer paid a claim but applied it to the
| | | | | | | | | | | | |
incorrect provider. The third-party payer will reimburse the payment
| | | | | | | | |
once the improperly funds are recouped. Which of the following terms is
| | | | | | | | | | | |
used to described this claim?
| | | |
- Payment error
| |
- Rejected
|
- Denied
|
- Suspended
|
