NHA Medical Coding and Billing Exam
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
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
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
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
