NHA BILLING AND CODING SPECIALIST CERTIFICATION
PRACTICE EXAM
(2025/2026)QUESTION WITH RATIONALIZED ANSWERS
GRADED A+
complaint with HIPAA the following position should be assigned in each office - CORRECT
ANSWER-Privacy officer
financial record generated by a provider office - CORRECT ANSWER-patient ledger account
which of the following includes procedures and best practices for correct coding - CORRECT
ANSWER-coding compliance plan
which of the following planes divide the body into left and right - CORRECT ANSWER-sagittal
3rd party payers validates a claim which takes place next - CORRECT ANSWER-claim adjudication
developed to reduced medicare program expenditure by detecting in appropriate codes &
eliminating improper coding - CORRECT ANSWER-NCCI
beneficiary of Medicaid/medicare crossover claim is responsible for percentage - CORRECT
ANSWER-0
, which of the following steps would be part of a physicians practice compliance program -
CORRECT ANSWER-internal monitoring & auditing
which of the following acts applies to the administrative simplification guidelines - CORRECT
ANSWER-HIPAA
patient charges that have not been paid will appear in which of the following - CORRECT
ANSWER-account receivable
which of the following is considered the final determination of the issues involving settlement of
an insurance claim - CORRECT ANSWER-adjudication
a prospective billing account audit prevents fraud by reviewing & comparing a completed claim
form with which of the following documents - CORRECT ANSWER-a billing worksheet from the
pt acct
which of the following parts of the body system regulates immunity - CORRECT ANSWER-
lymphatic system
which of the following is allowed when billing procedural codes - CORRECT ANSWER-billing
using 2 digit cpt modifiers to indicate a procedure as performed differs from its usual 5 digit
code
a biller will electronically submit a claim to the carrier via which of the following - CORRECT
ANSWER-direct data entry
key component of an evaluation & management service - CORRECT ANSWER-history
HIPAA compliance guideline affecting EHR - CORRECT ANSWER-Code sets standards pertain to
all providers
PRACTICE EXAM
(2025/2026)QUESTION WITH RATIONALIZED ANSWERS
GRADED A+
complaint with HIPAA the following position should be assigned in each office - CORRECT
ANSWER-Privacy officer
financial record generated by a provider office - CORRECT ANSWER-patient ledger account
which of the following includes procedures and best practices for correct coding - CORRECT
ANSWER-coding compliance plan
which of the following planes divide the body into left and right - CORRECT ANSWER-sagittal
3rd party payers validates a claim which takes place next - CORRECT ANSWER-claim adjudication
developed to reduced medicare program expenditure by detecting in appropriate codes &
eliminating improper coding - CORRECT ANSWER-NCCI
beneficiary of Medicaid/medicare crossover claim is responsible for percentage - CORRECT
ANSWER-0
, which of the following steps would be part of a physicians practice compliance program -
CORRECT ANSWER-internal monitoring & auditing
which of the following acts applies to the administrative simplification guidelines - CORRECT
ANSWER-HIPAA
patient charges that have not been paid will appear in which of the following - CORRECT
ANSWER-account receivable
which of the following is considered the final determination of the issues involving settlement of
an insurance claim - CORRECT ANSWER-adjudication
a prospective billing account audit prevents fraud by reviewing & comparing a completed claim
form with which of the following documents - CORRECT ANSWER-a billing worksheet from the
pt acct
which of the following parts of the body system regulates immunity - CORRECT ANSWER-
lymphatic system
which of the following is allowed when billing procedural codes - CORRECT ANSWER-billing
using 2 digit cpt modifiers to indicate a procedure as performed differs from its usual 5 digit
code
a biller will electronically submit a claim to the carrier via which of the following - CORRECT
ANSWER-direct data entry
key component of an evaluation & management service - CORRECT ANSWER-history
HIPAA compliance guideline affecting EHR - CORRECT ANSWER-Code sets standards pertain to
all providers
