NHA MBC - PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS 2025

NHA - MBC - PRACTICE TEST QUESTIONS
WITH CORRECT ANSWERS 2025
ABbillingBandBcodingBspecialistBdiscoversBthatBoneBprivateBpayerBhasBnotBreimbursedBtheBproviderBforBanyBc
laimsBsubmittedBinBtheBpastByear.BCleanBclaimsBhaveBbeenBsubmittedBtoBtheBpayerBandBhaveBbeenBacknowl
edged.BWhichBofBtheBfollowingBentitiesBshouldBtheBspecialistBcontactBtoBreportBtheBpayer'sBfailureBtoBsubm
itBtimelyBreimbursement?B-BCORRECTBANSWERB-StateBInsuranceBCommissioner'sBoffice



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TheBstarBsymbolBinBtheBCPTBcodingBmanualBisBusedBtoBindicateBwhichBofBtheBfollowing?B-
BCORRECTBANSWERB-Telemedicine




WhichBofBtheBfollowingBisBanBadvantageBofBelectronicBclaimBsubmission?B-BCORRECTBANSWERB-
ClaimsBareBexpedited



WhenBshouldBaBbillingBandBcodingBspecialistBinitiateBtheBcollectionBofBtheBinformationBneededBtoBprocessB
aBpatient'sBinsuranceBclaimBform?B-BCORRECTBANSWERB-
WhenBtheBpatientBcontactsBtheBprovider'sBofficeBandBschedulesBanBappointment



ABbillingBandBcodingBspecialistBisBreviewingBmodifierBuseBwithBaBnewBemployee.BWhichBofBtheBfollowingBsc
enariosBwarrantsBtheBuseBofBaBmodifier?B-BCORRECTBANSWERB-SplintingBofBtheBfourthBdigitBonBtheBleftBfoot



ABbillingBandBcodingBspecialistBisBreviewingBaBprovider'sBdocumentationBforBaBpatientBwhoBunderwentBrep
airBofBmultipleBwoundsBtoBtheBfaceBandBtrunk.BTheBproviderBcodedBrepairBofBallBwoundsBindividually.BTheBs
pecialistBshouldBrecognizeBthatBtheBproviderBshouldBhaveBappliedBwhichBofBtheBfollowingBconceptsBtoBtheB
documentationBofBtheBrepairBforBthisBpatient'sBwounds?B-BCORRECTBANSWERB-
WoundsBshouldBbeBgroupedBbyBanatomicBsiteBandBcodedBinBorderBifBcomplexity



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BCORRECTBANSWERB-Extenteration




ABbillingBandBcodingBspecialistBisBreviewingBdelinquentBclaimsBandBdiscoversBthatBaBthird-
partyBpayerBpaidBaBclaimBbutBappliedBitBtoBtheBincorrectBprovider.BTheBthird-

, partyBpayerBwillBreimburseBtheBpaymentBonceBtheBimproperlyBpaidBfundsBareBrecouped.BWhichBofBtheBfoll
owingBtermsBisBusedBtoBdescribeBthisBclaims?B-BCORRECTBANSWERB-Suspended



ForBwhichBofBtheBfollowingBreasonsBshouldBaBclaimBbeBresubmitted?B-BCORRECTBANSWERB-
TheBclaimBrequiresBanBattachmentBtoBsupportBmedicalBnecessity



ABbillingBandBcodingBspecialistBisBpreparingBanBaccountsBreceivableBagingBreport.BTheBspecialistBshouldBexp
ectBtheBreportBtoBincludeBwhichBofBtheBfollowing?B-BCORRECTBANSWERB-
OutstandingBbalancesBorganizedBbyBdate



WhichBofBtheBfollowingBpiecesBofBguarantorBinformationBisBrequiredBwhenBestablishingBaBpatient'sBfinancia
lBrecord?B-BCORRECTBANSWERB-PhoneBnumber



WhichBofBtheBfollowingBactionsBbyBbillingBandBcodingBspecialistBensuresBaBpatient'sBhealthBinformationBisBp
rotected?B-BCORRECTBANSWERB-UsingBdataBencryptionBsoftwareBonBofficeBworkstations



ABbillingBandBcodingBspecialistBisBpreparingBanBappealBletterBinBresponseBtoBaBdenialBbyBaBthird-
partyBpayerBforBlackBofBmedicalBnecessity.BWhichBofBtheBfollowingBshouldBtheBspecialistBincludeBwithBtheBle
tterBtoBindicateBmedicalBnecessity?B-BCORRECTBANSWERB-MedicalBrecordBdocumentation



ABchildBisBbroughtBintoBaBfacilityBbyBtheirBmother.BTheBchildBisBcoveredBunderBbothBparents'BinsuranceBpolic
ies.BTheBchild'sBfatherBwasBbornBonB10/1/1980BandBtheirBmotherBwasBbornBonB10/02/1981.BWhichBofBtheBf
ollowingBstatementsBisBtrueBregardingBtheBprimaryBpolicyBholderBforBtheBchild?B-BCORRECTBANSWERB-
TheBfatherBisBtheBprimaryBpolicyBholderBbecauseBhisBbirthdayBfallsBfirstBinBtheBcalendarByear



ABbillingBandBcodingBspecialistBisBprocessingBaBclaimBforBaBpatientBwhoBbrokeBtheirBarmBwhileBrepairingBcar
sBatBtheirBworkplace.BThereBisBnoBnerveBdamage,BtheBarmBisBplacedBinBaBcastBforB6Bweeks,BandBtheBpatientBi
sBclearedBtoBreturnBtoBworkBinB6Bweeks.BWhichBofBtheBfollowingBtypesBofBworkers'BcompensationBappliesBt
oBthisBpatient?B-BCORRECTBANSWERB-TemporaryBdisability



WhichBofBtheBfollowingBinformationBisBrequiredBonBaBpatientBaccountBrecord?B-BCORRECTBANSWERB-
NameBandBaddressBofBguarantor