NHA Billing and Coding practice test (CBCS) QUESTIONS & ANSWERS 2023 ( A+ GRADED 100% VERIFIED)

NHA
Billing
and
Coding
practice
test
(CBCS)
The
attending
physician
-
ANS
A
nurse
is
reviewing
a
patients
lab
results
prior
to
discharge
and
discovers
an
elevated
glucose
level.
Which
of
the
following
health
care
providers
should
be
altered
before
the
nurse
can
proceed
with
discharge
planning?
The
patients
condition
and
the
providers
information
-
ANS
On
the
CMS-1500
Claims
for,
blocks
14
through
33
contain
information
about
which
of
the
following?
Problem
focused
examination
-
ANS
A
provider
performs
an
examination
of
a
patient's
throat
during
an
office
visit.
Which
of
the
following
describes
the
level
of
the
examination?
Reinstated
or
recycled
code
-
ANS
The
symbol
"O"
in
the
Current
Procedural
Terminology
reference
is
used
to
indicate
which
of
the
following?
Coinsurance
-
ANS
Which
of
the
following
is
the
portion
of
the
account
balance
the
patient
must
pay
after
services
are
rendered
and
the
annual
deductible
is
met?
Place
of
service
-
ANS
The
billing
and
coding
specialist
should
divide
the
evaluation
and
management
code
by
which
of
the
following?
Cardiovascular
system
-
ANS
The
standard
medical
abbreviation
"ECG"
refers
to
a
test
used
to
access
which
of
the
following
body
systems?
add
on
codes
-
ANS
In
the
anesthesia
section
of
the
CPT
manual,
which
of
the
following
are
considered
qualifying
circumstances? 12
-
ANS
As
of
April
1st
2014,
what
is
the
maximum
number
of
diagnosis
that
can
be
reported
on
the
CMS-1500
claim
form
before
a
further
claim
is
required?
Nephrolithiasis
-
ANS
When
submitting
a
clean
claim
with
a
diagnosis
of
kidney
stones,
which
of
the
following
procedure
names
is
correct?
Verifying
that
the
medical
records
and
the
billing
record
match
-
ANS
Which
of
the
following
is
one
of
the
purposes
of
an
internal
auditing
program
in
a
physician's
office?
The
DOB
is
entered
incorrectly
-
ANS
Patient:
Jane
Austin;
Social
Security
#
555-22-1111;
Medicare
ID:
555-33-2222A;
DOB:
05/22/1945.
Claim
information
entered:
Austin,
Jane;
Social
Security
#.:
555-22-1111;
Medicare
ID
No.:
555-33-2222A;
DOB:
052245.
Which
of
the
following
is
a
reason
this
claim
was
rejected?
Operative
report
-
ANS
Which
of
the
following
options
is
considered
proper
supportive
documentation
for
reporting
CPT
and
ICD
codes
for
surgical
procedures?
Verify
the
age
of
the
account
-
ANS
Which
of
the
following
actions
should
be
taken
first
when
reviewing
delinquent
claims?
Claim
control
number
-
ANS
Which
of
the
following
components
of
an
explanation
of
benefits
expedites
the
process
of
a
phone
appeal?
Bloc
24D
contains
the
diagnosis
code
-
ANS
A
claim
can
be
denied
or
rejected
for
which
of
the
following
reasons?
Privacy
officer
-
ANS
To
be
compliant
with
HIPAA,
which
of
the
following
positions
should
be
assigned
in
each
office?
encrypted
-
ANS
All
e-mail
correspondence
to
a
third
party
payer
containing
patients'
protected
health
information
(PHI)
should
be patient
ledger
account
-
ANS
A
billing
and
coding
specialist
should
understand
that
the
financial
record
source
that
is
generated
by
a
provider's
office
is
called
a
Coding
compliance
plan
-
ANS
Which
of
the
following
includes
procedures
and
best
practices
for
correct
coding?
Health
care
clearinghouses
-
ANS
HIPAA
transaction
standards
apply
to
which
of
the
following
entities?
Appeal
the
decision
with
a
provider's
report
-
ANS
Which
of
the
following
actions
should
be
taken
if
an
insurance
company
denies
a
service
as
not
medically
necessary?
Accommodate
the
request
and
send
the
records
-
ANS
A
patient
with
a
past
due
balance
requests
that
his
records
be
sent
to
another
provider.
Which
of
the
following
actions
should
be
taken?
$48
-
ANS
A
participating
BlueCross/
BlueShield
(BC/BS)
provider
receives
an
explanation
of
benefits
for
a
patient
account.
The
charged
amount
was
$100.
BC/BS
allowed
$40
to
the
patients
annual
deductible.
BC/BS
paid
the
balance
at
80%.
How
much
should
the
patient
expect
to
pay?
Deductible
-
ANS
The
physician
bills
$500
to
a
patient.
After
submitting
the
claim
to
the
insurance
company,
the
claim
is
sent
back
with
no
payment.
The
patient
still
owes
$500
for
this
year.
International
Classification
of
Disease
(ICD)
-
ANS
Which
of
the
following
is
used
to
code
diseases,
injuries,
impairments,
and
other
health
related
problems?
Ureters
-
ANS
Urine
moves
from
the
kidneys
to
the
bladder
through
which
of
the
following
parts
of
the
body?