NHA CBCS Final Practice Test Questions
With Correct Answers
Which of the following is an example of a consultation?
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When a provider requests the advice of another provider
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Which of the CPT codes should a billing and coding specialist use to
| | | | | | | | | | | | |
indicate total prosthetic specific antigen (PSA) test?
| | | | | |
84153 Prostate specific antigen (PSA); Total
| | | | |
Which of the following coding manuals is use to identify products,
| | | | | | | | | | |
supplies and services?
| |
HCPCS Level II
| |
In which of the following scenarios is it appropriate to release a patient's
| | | | | | | | | | | | |
psychiatric records without the patient's consent?
| | | | |
When the patient is being investigated by the police
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,A billing and coding specialist is reviewing a Medicare Part C denial for a
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patient who was injured on the job. The Specialist should expect which of
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the following to be the reason for the denial?
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Medicare is not the primary insurance| | | | |
Which of the following is the purpose of precertification?
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To verify coverage
| |
Which of the following is entities outlines the minimum essential
| | | | | | | | | |
elements of a comprehensive program? | | | |
Office of inspector General (OIG)
| | | |
Which of the following is the process of sending an insurance claim
| | | | | | | | | | | |
through a series of edits for final determination?
| | | | | | |
Adjudication
,Two providers are having a conversation about a patient's test results at
| | | | | | | | | | | |
the nursing station. A different patient overhears them talking. This type
| | | | | | | | | | |
of privacy exposure is known as which of the following?
| | | | | | | | |
Incidental disclosure |
Which of the following actions by a billing and coding specialist prevents
| | | | | | | | | | | |
fraud?
Performing periodic audits | |
A billing and coding specialist is preparing a claim for an esophagectomy.
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Which of the following types of service is being provided?
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Removal
Which of the following is the purpose of a claims clearinghouse?
| | | | | | | | | |
To identify errors that will prevent a claim from being paid
| | | | | | | | | |
A billing and coding specialist is preparing a claim
| | | | | | | |
, for a patient who had an Evaluation and Management (E/M) visit for
| | | | | | | | | | | |
abdominal pain that resulted in the decision to remove the appendix
| | | | | | | | | | |
immediately. Which of the following modifiers should the specialist use
| | | | | | | | | |
for this claim?
| |
-24: Unrelated evaluation and management service by the same
| | | | | | | | |
physician or other qualified health care
| | | | |
professional during a postoperative period. | | | |
-25: significant, separately identifiable evaluation and management
| | | | | | |
service by the same physician or other qualified health care professional
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on the same day of the procedure or other service.
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-51: Multiple procedures
| |
-57: Decision for surgery
| | |
-57: Decision for surgery
| | |
An internal retrospective billing account audit prevents fraud and abuse
| | | | | | | | | |
by reviewing and comparing completed claim forms with which of the
| | | | | | | | | | |
following?
Documentation from patient encounters | | |
A billing and coding specialist is preparing a claim for a procedure that
| | | | | | | | | | | | |
typically takes about 2 hr. Due to complications, it took 4.5 hr to complete
| | | | | | | | | | | | | |
With Correct Answers
Which of the following is an example of a consultation?
| | | | | | | | |
When a provider requests the advice of another provider
| | | | | | | |
Which of the CPT codes should a billing and coding specialist use to
| | | | | | | | | | | | |
indicate total prosthetic specific antigen (PSA) test?
| | | | | |
84153 Prostate specific antigen (PSA); Total
| | | | |
Which of the following coding manuals is use to identify products,
| | | | | | | | | | |
supplies and services?
| |
HCPCS Level II
| |
In which of the following scenarios is it appropriate to release a patient's
| | | | | | | | | | | | |
psychiatric records without the patient's consent?
| | | | |
When the patient is being investigated by the police
| | | | | | | |
,A billing and coding specialist is reviewing a Medicare Part C denial for a
| | | | | | | | | | | | | |
patient who was injured on the job. The Specialist should expect which of
| | | | | | | | | | | | |
the following to be the reason for the denial?
| | | | | | | |
Medicare is not the primary insurance| | | | |
Which of the following is the purpose of precertification?
| | | | | | | |
To verify coverage
| |
Which of the following is entities outlines the minimum essential
| | | | | | | | | |
elements of a comprehensive program? | | | |
Office of inspector General (OIG)
| | | |
Which of the following is the process of sending an insurance claim
| | | | | | | | | | | |
through a series of edits for final determination?
| | | | | | |
Adjudication
,Two providers are having a conversation about a patient's test results at
| | | | | | | | | | | |
the nursing station. A different patient overhears them talking. This type
| | | | | | | | | | |
of privacy exposure is known as which of the following?
| | | | | | | | |
Incidental disclosure |
Which of the following actions by a billing and coding specialist prevents
| | | | | | | | | | | |
fraud?
Performing periodic audits | |
A billing and coding specialist is preparing a claim for an esophagectomy.
| | | | | | | | | | | |
Which of the following types of service is being provided?
| | | | | | | | |
Removal
Which of the following is the purpose of a claims clearinghouse?
| | | | | | | | | |
To identify errors that will prevent a claim from being paid
| | | | | | | | | |
A billing and coding specialist is preparing a claim
| | | | | | | |
, for a patient who had an Evaluation and Management (E/M) visit for
| | | | | | | | | | | |
abdominal pain that resulted in the decision to remove the appendix
| | | | | | | | | | |
immediately. Which of the following modifiers should the specialist use
| | | | | | | | | |
for this claim?
| |
-24: Unrelated evaluation and management service by the same
| | | | | | | | |
physician or other qualified health care
| | | | |
professional during a postoperative period. | | | |
-25: significant, separately identifiable evaluation and management
| | | | | | |
service by the same physician or other qualified health care professional
| | | | | | | | | | |
on the same day of the procedure or other service.
| | | | | | | | |
-51: Multiple procedures
| |
-57: Decision for surgery
| | |
-57: Decision for surgery
| | |
An internal retrospective billing account audit prevents fraud and abuse
| | | | | | | | | |
by reviewing and comparing completed claim forms with which of the
| | | | | | | | | | |
following?
Documentation from patient encounters | | |
A billing and coding specialist is preparing a claim for a procedure that
| | | | | | | | | | | | |
typically takes about 2 hr. Due to complications, it took 4.5 hr to complete
| | | | | | | | | | | | | |
