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NHA MEDICAL BILLING & CODING FINAL EXAM | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH
SOLUTIONS | 100% RATED CORRECT | 100% VERFIED
SOLTIONS | ALREADY GRADED A+
When coding for outpatient and professional services and procedures, a billing and
coding specialist must sequence the diagnosis codes according to ICD-10-CM
guidelines. Which of the following describes the first listed diagnosis code on a
claim? - (answer)
When coding for outpatient and professional services and procedures, a billing and
coding specialist must sequence the diagnosis codes according to ICD-10-CM
guidelines. Which of the following describes the first listed diagnosis code on a
claim? - (answer)Primary diagnosis
Which of the following terms describes the amount the patient must pay for a
service when they have an insurance plan benefit that pays 70% of the allowed
amount and the patient is responsible for 30% of the allowed amount? -
(answer)Coinsurance
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A billing and coding specialist is contacted by a patient who requests a copy of the
remittance advice for a recently adjudicated claim. Which of the following actions
should the specialist take? - (answer)Remove all information other than what
pertains to the patient.
A billing and coding specialist is billing or services provided by an assistant
surgeon. Which of the following modifiers should the specialist use? - (answer)-80
(the specialist should use modifier -80 to indicate services provided by an assistant
surgeon)
A billing and coding specialist is reviewing a claim edit report and identifies a
rejection for missing patient demographic information. Which of the following
missing pieces of patient demographic information would cause a rejection from
the clearinghouse? - (answer)Date of birth
HCPCS codes are used in which of the following health care settings? -
(answer)Physician clinics
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Which of the following statements is true when determining patient financial
responsibility by reviewing the remittance advice? - (answer)Any coinsurance,
copayments, or deductible should be collected from the patient.
Which of the following should be included on a claim form that is sent from a
specialist to a managed healthcare organization? - (answer)The referring provider's
national provider identifier (NPI)
A billing and coding specialist is analyzing the health of a practice's revenue cycle
using an aging report. Which of the following categories of the report should
contain the lowest percentage of accounts receivable? - (answer)Greater than 120
days
Which of the following is an electronic form that is used to post reimbursements? -
(answer)Electronic remittance advice (ERA)
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A billing and coding specialist is collecting demographic information for a patient
who lives in Hawaii and is an active duty service member. The specialist should
identify that the insured has which of the following types of insurance? -
(answer)TRICARE
Which of the following positions is required in a provider's office to comply with
HIPAA regulations? - (answer)Privacy officer
A patients portion of the bill should be discussed with the patient before a
procedure is performed for which of the following reasons? - (answer)To ensure
the patient understands how much they are responsible to pay
A patient is covered by Medicare through managed care. Which of the following
parts of Medicare includes this coverage? - (answer)part C
A billing and coding specialist is posting payments from an explanation of benefits
(EOB). Which of the following equations determines how patient responsibility is
NHA MEDICAL BILLING & CODING FINAL EXAM | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH
SOLUTIONS | 100% RATED CORRECT | 100% VERFIED
SOLTIONS | ALREADY GRADED A+
When coding for outpatient and professional services and procedures, a billing and
coding specialist must sequence the diagnosis codes according to ICD-10-CM
guidelines. Which of the following describes the first listed diagnosis code on a
claim? - (answer)
When coding for outpatient and professional services and procedures, a billing and
coding specialist must sequence the diagnosis codes according to ICD-10-CM
guidelines. Which of the following describes the first listed diagnosis code on a
claim? - (answer)Primary diagnosis
Which of the following terms describes the amount the patient must pay for a
service when they have an insurance plan benefit that pays 70% of the allowed
amount and the patient is responsible for 30% of the allowed amount? -
(answer)Coinsurance
,2|Page
A billing and coding specialist is contacted by a patient who requests a copy of the
remittance advice for a recently adjudicated claim. Which of the following actions
should the specialist take? - (answer)Remove all information other than what
pertains to the patient.
A billing and coding specialist is billing or services provided by an assistant
surgeon. Which of the following modifiers should the specialist use? - (answer)-80
(the specialist should use modifier -80 to indicate services provided by an assistant
surgeon)
A billing and coding specialist is reviewing a claim edit report and identifies a
rejection for missing patient demographic information. Which of the following
missing pieces of patient demographic information would cause a rejection from
the clearinghouse? - (answer)Date of birth
HCPCS codes are used in which of the following health care settings? -
(answer)Physician clinics
,3|Page
Which of the following statements is true when determining patient financial
responsibility by reviewing the remittance advice? - (answer)Any coinsurance,
copayments, or deductible should be collected from the patient.
Which of the following should be included on a claim form that is sent from a
specialist to a managed healthcare organization? - (answer)The referring provider's
national provider identifier (NPI)
A billing and coding specialist is analyzing the health of a practice's revenue cycle
using an aging report. Which of the following categories of the report should
contain the lowest percentage of accounts receivable? - (answer)Greater than 120
days
Which of the following is an electronic form that is used to post reimbursements? -
(answer)Electronic remittance advice (ERA)
, 4|Page
A billing and coding specialist is collecting demographic information for a patient
who lives in Hawaii and is an active duty service member. The specialist should
identify that the insured has which of the following types of insurance? -
(answer)TRICARE
Which of the following positions is required in a provider's office to comply with
HIPAA regulations? - (answer)Privacy officer
A patients portion of the bill should be discussed with the patient before a
procedure is performed for which of the following reasons? - (answer)To ensure
the patient understands how much they are responsible to pay
A patient is covered by Medicare through managed care. Which of the following
parts of Medicare includes this coverage? - (answer)part C
A billing and coding specialist is posting payments from an explanation of benefits
(EOB). Which of the following equations determines how patient responsibility is
