NHA BILLING AND CODING PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS 2025.

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NHA BILLING AND CODING PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS 2025.

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NHA BILLING AND CODING PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS 2025.

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NHA BILLING AND CODING
PRACTICE TEST QUESTIONS WITH
CORRECT ANSWERS 2025/2026
1.AAAbillingAandAcodingAspecialistAdiscoversAthatAoneAprivateApayerAhasAnotAreimbursedAtheApro
viderAforAanyAclaimsAsubmittedAinAtheApastAyear.ACleanAclaimsAhaveAbeenAsubmittedAtoAtheApay
erAandAhaveAbeenAacknowledged.AWhichAofAtheAfollowingAentitiesAshouldAtheAspecialistAconta
ctAtoAreportAtheApayer'sAfailureAtoAsubmitAtimelyAreimbursement?A-
AcorrectAanswersa.AStateAInsuranceACommissioner'sAoffice

1.AWhichAofAtheAfollowingAisAanAexampleAofAaAdiagnosticAcategoryAcode?A-
AcorrectAanswersa.AI10

1.ATheAstarAsymbolAinAtheACPTAcodingAmanualAisAusedAtoAindicateAwhichAofAtheAfollowing?A-
AcorrectAanswersa.ATelemedicine

1.AWhichAofAtheAfollowingAisAanAadvantageAofAelectronicAclaimAsubmission?A-
AcorrectAanswersa.AClaimsAareAexpedited

1.AWhenAshouldAaAbillingAandAcodingAspecialistAinitiateAtheAcollectionAofAtheAinformationAneed
edAtoAprocessAaApatient'sAinsuranceAclaimAform?A-
AcorrectAanswersa.AWhenAtheApatientAcontactsAtheAprovider'sAofficeAandAschedulesAanAappoint

ment

1.AAAbillingAandAcodingAspecialistAisAreviewingAmodifierAuseAwithAaAnewAemployee.AWhichAofAth
eAfollowingAscenariosAwarrantsAtheAuseAofAaAmodifier?A-
AcorrectAanswersa.ASplintingAofAtheAfourthAdigitAonAtheAleftAfoot

1.AAAbillingAandAcodingAspecialistAisAreviewingAaAprovider'sAdocumentationAforAaApatientAwhoAu
nderwentArepairAofAmultipleAwoundsAtoAtheAfaceAandAtrunk.ATheAproviderAcodedArepairAofAallA
woundsAindividually.ATheAspecialistAshouldArecognizeAthatAtheAproviderAshouldAhaveAappliedAw
hichAofAtheAfollowingAconceptsAtoAtheAdocumentationAofAtheArepairAforAthisApatient'sAwounds?
A-

AcorrectAanswersa.AWoundsAshouldAbeAgroupedAbyAanatomicAsiteAandAcodedAinAorderAofAcompl

exity

1.AWhichAofAtheAfollowingAtermsAdescribeAtheAremovalAofAtheAeye,Aadnexa,AandAbonyAstructur
e?A-AcorrectAanswersa.AExenteration

1.AAAbillingAandAcodingAspecialistAisAreviewingAdelinquentAclaimsAandAdiscoversAthatAaAthird-
partyApayerApaidAaAclaimAbutAappliedAitAtoAtheAincorrectAprovider.ATheAthird-
partyApayerAwillAreimburseAtheApaymentAonceAtheAimproperlyApaidAfundsAareArecouped.AWhic
hAofAtheAfollowingAtermsAisAusedAtoAdescribeAthisAclaim?A-AcorrectAanswersa.ASuspended

, 1.AForAwhichAofAtheAfollowingAreasonsAshouldAaAclaimAbeAresubmitted?A-
AcorrectAanswersa.ATheAclaimArequiresAanAattachmentAtoAsupportAmedicalAnecessity

1.AAAbillingAandAcodingAspecialistAisApreparingAanAaccountAreceivableAagingAreport.ATheAspeciali
stAshouldAexpectAtheAreportAtoAincludeAwhichAofAtheAfollowing?A-
AcorrectAanswersa.AOutstandingAbalancesAorganizedAbyAdate

1.AWhichAofAtheAfollowingApiecesAofAguarantorAinformationAisArequiredAwhenAestablishingAaApa
tient'sAfinancialArecord?A-AcorrectAanswersa.APhoneAnumber

1.AWhichAofAtheAfollowingAactionsAbyAaAbillingAandAcodingAspecialistAensuresAaApatient'sAhealth
AinformationAisAprotected?A-

AcorrectAanswersa.AUsingAdataAencryptionAsoftwareAonAofficeAworkstations

1.AAAbillingAandAcodingAspecialistAisApreparingAanAappealAletterAinAresponseAtoAaAdenialAbyAaAthi
rd-
partyApayerAforAlackAofAmedicalAnecessity.AWhichAofAtheAfollowingAshouldAtheAspecialistAinclud
eAwithAtheAletterAtoAindicateAmedicalAnecessity?A-
AcorrectAanswersa.AMedicalArecordAdocumentation

1.AAAchildAisAbroughtAintoAaAfacilityAbyAtheirAmother.ATheAchildAisAcoverAunderAbothAparents'Ains
uranceApolicies.ATheAchild'sAfatherAwasAbornAonA10/1/1980AandAtheirAmotherAwasAbornAonA10/
2/1921.AWhichAofAtheAfollowingAstatementsAisAtrueAregardingAtheAprimaryApolicyAholderAforAth
eAchild?A-
AcorrectAanswersa.ATheAfatherAisAtheAprimaryApolicyAholderAbecauseAhisAbirthdayAfallsAfirstAinAt

heAcalendarAyear

1.AAAbillingAandAcodingAspecialistAisAprocessingAaAclaimAforAaApatientAwhoAbrokeAtheirAarmAwhil
eArepairingAcarsAatAtheirAworkplace.AThereAisAnoAnerveAdamage,AtheAarmAisAplacedAinAaAcastAfor
A6Aweeks,AandAtheApatientAisAclearedAtoAreturnAtoAworkAinA6Aweeks.AWhichAofAtheAfollowingAtyp

esAofAworkers'AcompensationAappliesAtoAthisApatient?A-
AcorrectAanswersa.ATemporaryAdisability

1.AWhichAofAtheAfollowingAinformationAisArequiredAonAaApatientAaccountArequired?A-
AcorrectAanswersa.ANameAandAaddressAofAguarantor

1.AAAbillingAandAcodingAspecialistAisAreviewingAaAdelinquentAclaim.AWhichAofAtheAfollowingAacti
onsAshouldAtheAspecialistAtakeAfirst?A-AcorrectAanswersa.AVerifyAtheAageAofAtheAaccount

1.AAApatientApresentsAtoAaAprovider'sAofficeAwithAdifficultyAspeaking,AfacialAdrooping,AandAanAin
abilityAtoAcloseAtheirAleftAeye.ATheyAareAdiagnosedAwithABell'sApalsy.AAAbillingAandAcodingAspecia
listAshouldAreportAwhichAofAtheAfollowingAICD-10-CMAcodes?A-AcorrectAanswersa.AG51.0

1.AAApatientAhasAaAbreastAbiopsyAwithAtheAplacementAofAaAclip.AAfterAtheAbiopsyAisAdeterminedA
toAbeAmalignant,AtheApatientAelectsAforAaAmastectomyAduringAtheAglobalAperiodAofAtheAbiopsy.A

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