NHA CBCS practice test #3 questions with
correct answers
On a remittance advice form, which of the following is responsible for
| | | | | | | | | | | |
writing off the difference between the amount billed and the amount
| | | | | | | | | | |
allowed by the agreement?| | |
Provider
Which of the following codes are included in the ICD-10-CM code set?
| | | | | | | | | | |
Aquired access of limbs | | |
A patient has a resection of the intestines with anastomosis through the
| | | | | | | | | | | |
abdominal walls. Which of the following is a type of anastomosis?
| | | | | | | | | |
Colostomy
(A surgical procedure that involves creating an opening through the
| | | | | | | | | |
abdominal wall). |
,Which of the following is the purpose of an internal review in a provider's
| | | | | | | | | | | | | |
office?
To verify that the medical records and the billing record match
| | | | | | | | | |
Which of the following is a valid ICD-10-CM principal?
| | | | | | | |
Code signs and symptoms in the absence of definitive diagnosis
| | | | | | | | |
Which of the following editing systems should a billing and coding
| | | | | | | | | | |
specialist reference to determine if a supplies and materials code should
| | | | | | | | | | |
be assigned to report a surgical tray used during an ambulatory
| | | | | | | | | | |
procedure?
National Correct Coding Initiative (NCCI)
| | | |
- (The NCCI is also used to to promote national correct coding
| | | | | | | | | | | |
methodologies and control improper coding leading to inappropriate
| | | | | | | |
payment of claims). | |
When should a billing and coding specialist initiate the collection of the
| | | | | | | | | | | |
information needed to process a patient's insurance claim form?
| | | | | | | |
, When the patient contacts the providers office and schedules an
| | | | | | | | | |
appointment
A patient wants to see an endocrinologist for a consultation about their
| | | | | | | | | | | |
diabetes mellitus, but they must see their primary care provider (PCP) for
| | | | | | | | | | | |
a referral to an in-network specialist first. Which of the following types of
| | | | | | | | | | | | |
insurance does the patient have? | | | |
Health Maintenance Organization (HMO)
| | |
A billing and coding specialist is reviewing the procedure notes from a
| | | | | | | | | | | |
provider who selected a code indicating an incisional biopsy when the
| | | | | | | | | | |
entirety of the patient's lesion was removed. The specialist should verify
| | | | | | | | | | |
with the provider that which of the following types of procedures was
| | | | | | | | | | | |
performed?
Excisional procedure |
A billing and coding specialist is reviewing a report from the
| | | | | | | | | | |
clearinghouse after submitting electronic claims and notices that one
| | | | | | | | |
claim was rejected due to missing demographic information. Which of
| | | | | | | | | |
the following actions should the specialist take?
| | | | | |
Resubmit and updated claim | | |
correct answers
On a remittance advice form, which of the following is responsible for
| | | | | | | | | | | |
writing off the difference between the amount billed and the amount
| | | | | | | | | | |
allowed by the agreement?| | |
Provider
Which of the following codes are included in the ICD-10-CM code set?
| | | | | | | | | | |
Aquired access of limbs | | |
A patient has a resection of the intestines with anastomosis through the
| | | | | | | | | | | |
abdominal walls. Which of the following is a type of anastomosis?
| | | | | | | | | |
Colostomy
(A surgical procedure that involves creating an opening through the
| | | | | | | | | |
abdominal wall). |
,Which of the following is the purpose of an internal review in a provider's
| | | | | | | | | | | | | |
office?
To verify that the medical records and the billing record match
| | | | | | | | | |
Which of the following is a valid ICD-10-CM principal?
| | | | | | | |
Code signs and symptoms in the absence of definitive diagnosis
| | | | | | | | |
Which of the following editing systems should a billing and coding
| | | | | | | | | | |
specialist reference to determine if a supplies and materials code should
| | | | | | | | | | |
be assigned to report a surgical tray used during an ambulatory
| | | | | | | | | | |
procedure?
National Correct Coding Initiative (NCCI)
| | | |
- (The NCCI is also used to to promote national correct coding
| | | | | | | | | | | |
methodologies and control improper coding leading to inappropriate
| | | | | | | |
payment of claims). | |
When should a billing and coding specialist initiate the collection of the
| | | | | | | | | | | |
information needed to process a patient's insurance claim form?
| | | | | | | |
, When the patient contacts the providers office and schedules an
| | | | | | | | | |
appointment
A patient wants to see an endocrinologist for a consultation about their
| | | | | | | | | | | |
diabetes mellitus, but they must see their primary care provider (PCP) for
| | | | | | | | | | | |
a referral to an in-network specialist first. Which of the following types of
| | | | | | | | | | | | |
insurance does the patient have? | | | |
Health Maintenance Organization (HMO)
| | |
A billing and coding specialist is reviewing the procedure notes from a
| | | | | | | | | | | |
provider who selected a code indicating an incisional biopsy when the
| | | | | | | | | | |
entirety of the patient's lesion was removed. The specialist should verify
| | | | | | | | | | |
with the provider that which of the following types of procedures was
| | | | | | | | | | | |
performed?
Excisional procedure |
A billing and coding specialist is reviewing a report from the
| | | | | | | | | | |
clearinghouse after submitting electronic claims and notices that one
| | | | | | | | |
claim was rejected due to missing demographic information. Which of
| | | | | | | | | |
the following actions should the specialist take?
| | | | | |
Resubmit and updated claim | | |
