NHA MEDICAL CODING AND BILLING
EXAM QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
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
EXAM QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
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
