NHA MEDICAL BILLING AND CODING
FINAL PRACTICE TEST 2026
CURRENTLY TESTING COMPLETE
QUESTIONS WITH DETAILED
VERIFIED ANSWERS ALREADY
GRADED A+ BRAND NEW!
"What organization identifies improper payments made by CMS claims - CORRECT ANSWER=>
Recovery Audit Contractor (RAC)"
"Z codes are used to identify - CORRECT ANSWER=> Immunizations"
"Add modifier -50 codes when reporting - CORRECT ANSWER=> Bilateral procedure"
"Who is allowed to submit a paper claim to Medicare - CORRECT ANSWER=> A providers office
with fewer than 10 full time employees"
"What described the status of a claim that does not include required pre auth - CORRECT
ANSWER=> Denied"
"Crossover claim submitted by a participating provider is responsible for what percent -
CORRECT ANSWER=> 0%"
"What part of the body system regulates immunity - CORRECT ANSWER=> Lymphatic systems"
"What modifier should be used to indicate a professional service has been discounted prior to
completion - CORRECT ANSWER=> -53"
Page | 1
,"A prospective billing account audit prevents fraud by reviewing and comparing and completed
form with - CORRECT ANSWER=> A billing worksheet from the patients account"
"UB-04 form first listed diagnosis code - CORRECT ANSWER=> Principle diagnosis"
"What is one purpose of an internal audit - CORRECT ANSWER=> Verifying that all medical
records and billing match"
"Obstruction of the urethra - CORRECT ANSWER=> Urethratirsia"
"Edema means - CORRECT ANSWER=> Swelling"
"What is allowed when billing procedural codes - CORRECT ANSWER=> Billing using 2 digit CPT
modifiers to indicate a procedure as preformed"
"What is informed consent - CORRECT ANSWER=> is required in writing after explanation of a
procedure with time to ask questions"
"Implied consent - CORRECT ANSWER=> is aasumed"
"What is documentation - CORRECT ANSWER=> A complete accurate up to date record of the
care patient receives at a health care facility"
"Disclosure refers to the way health information is - CORRECT ANSWER=> Given to an outside
person or organization"
"What is authorization - CORRECT ANSWER=> It is permission granted by the patient to release
information for reasons other than treatment"
"What is consent - CORRECT ANSWER=> Used only when the permission is for treatment
payment and health care operations"
"True or false-physicians have the option to decide whether to explain privacy rules to their
patients - CORRECT ANSWER=> False"
"Auditing refers to which of the following - CORRECT ANSWER=> Reviewing claims for accuracy
and completeness"
Page | 2
, "True or false-Fraud is intentional misrepresentation of information for the purpose of receiving
higher payments while abuse happens unintentionally, often because of poor business practices
- CORRECT ANSWER=> True"
"What accurately defines upcoding - CORRECT ANSWER=> Assigning code that will deliberately
result in a higher payment"
"The stark law states that - CORRECT ANSWER=> Physicians can't refer a patient to practitioners
with whom they have a financial relationship with"
"The office of the inspector general is responsible for what - CORRECT ANSWER=> Fighting fraud"
"What is a claim - CORRECT ANSWER=> A complete record of all the services provided to a
patient"
"Identify two items of information that needs to be on a claim - CORRECT ANSWER=> Patients
name, health record number, account number, demographic information"
"What describes a clean claim - CORRECT ANSWER=> All the necessary data element are
completed"
"True or False- In 2012 the administration simplification compliance Act (ASCA) part of HIPAA
mandated that health care claims be submitted electronically with some exceptions - CORRECT
ANSWER=> True"
"The primary insurance plan does which of the following - CORRECT ANSWER=> Pays first"
"What is an NPI number - CORRECT ANSWER=> Authorized under the HIPAA simplification rule
the NPI is a unique identification number for all HIPAA covered entities including individual's
organizations home health agencies"
"Where does the NPI go on a CMS 1500 - CORRECT ANSWER=> 17b"
"True or false-You are allowed to use both six and eight digit for the date on a Claim - CORRECT
ANSWER=> False you need to pick one style"
Page | 3
FINAL PRACTICE TEST 2026
CURRENTLY TESTING COMPLETE
QUESTIONS WITH DETAILED
VERIFIED ANSWERS ALREADY
GRADED A+ BRAND NEW!
"What organization identifies improper payments made by CMS claims - CORRECT ANSWER=>
Recovery Audit Contractor (RAC)"
"Z codes are used to identify - CORRECT ANSWER=> Immunizations"
"Add modifier -50 codes when reporting - CORRECT ANSWER=> Bilateral procedure"
"Who is allowed to submit a paper claim to Medicare - CORRECT ANSWER=> A providers office
with fewer than 10 full time employees"
"What described the status of a claim that does not include required pre auth - CORRECT
ANSWER=> Denied"
"Crossover claim submitted by a participating provider is responsible for what percent -
CORRECT ANSWER=> 0%"
"What part of the body system regulates immunity - CORRECT ANSWER=> Lymphatic systems"
"What modifier should be used to indicate a professional service has been discounted prior to
completion - CORRECT ANSWER=> -53"
Page | 1
,"A prospective billing account audit prevents fraud by reviewing and comparing and completed
form with - CORRECT ANSWER=> A billing worksheet from the patients account"
"UB-04 form first listed diagnosis code - CORRECT ANSWER=> Principle diagnosis"
"What is one purpose of an internal audit - CORRECT ANSWER=> Verifying that all medical
records and billing match"
"Obstruction of the urethra - CORRECT ANSWER=> Urethratirsia"
"Edema means - CORRECT ANSWER=> Swelling"
"What is allowed when billing procedural codes - CORRECT ANSWER=> Billing using 2 digit CPT
modifiers to indicate a procedure as preformed"
"What is informed consent - CORRECT ANSWER=> is required in writing after explanation of a
procedure with time to ask questions"
"Implied consent - CORRECT ANSWER=> is aasumed"
"What is documentation - CORRECT ANSWER=> A complete accurate up to date record of the
care patient receives at a health care facility"
"Disclosure refers to the way health information is - CORRECT ANSWER=> Given to an outside
person or organization"
"What is authorization - CORRECT ANSWER=> It is permission granted by the patient to release
information for reasons other than treatment"
"What is consent - CORRECT ANSWER=> Used only when the permission is for treatment
payment and health care operations"
"True or false-physicians have the option to decide whether to explain privacy rules to their
patients - CORRECT ANSWER=> False"
"Auditing refers to which of the following - CORRECT ANSWER=> Reviewing claims for accuracy
and completeness"
Page | 2
, "True or false-Fraud is intentional misrepresentation of information for the purpose of receiving
higher payments while abuse happens unintentionally, often because of poor business practices
- CORRECT ANSWER=> True"
"What accurately defines upcoding - CORRECT ANSWER=> Assigning code that will deliberately
result in a higher payment"
"The stark law states that - CORRECT ANSWER=> Physicians can't refer a patient to practitioners
with whom they have a financial relationship with"
"The office of the inspector general is responsible for what - CORRECT ANSWER=> Fighting fraud"
"What is a claim - CORRECT ANSWER=> A complete record of all the services provided to a
patient"
"Identify two items of information that needs to be on a claim - CORRECT ANSWER=> Patients
name, health record number, account number, demographic information"
"What describes a clean claim - CORRECT ANSWER=> All the necessary data element are
completed"
"True or False- In 2012 the administration simplification compliance Act (ASCA) part of HIPAA
mandated that health care claims be submitted electronically with some exceptions - CORRECT
ANSWER=> True"
"The primary insurance plan does which of the following - CORRECT ANSWER=> Pays first"
"What is an NPI number - CORRECT ANSWER=> Authorized under the HIPAA simplification rule
the NPI is a unique identification number for all HIPAA covered entities including individual's
organizations home health agencies"
"Where does the NPI go on a CMS 1500 - CORRECT ANSWER=> 17b"
"True or false-You are allowed to use both six and eight digit for the date on a Claim - CORRECT
ANSWER=> False you need to pick one style"
Page | 3
