NHA CBCS Practice Questions (Set 2): With Answers new updates

NHA 2024-2025 CBCS Practice Questions (Set 2): With Answers

1. Which of the following is considered Protected Health Patient's email address
Information (PHI) under the Health Insurance Porta-
bility and Accountability Act (HIPPA)?

2. Emily, a 45-year old patient, has recently been di- Submit the claim to the
agnosed with a chronic condition that requires on- primary insurance first,
going treatment. Her primary insurance is through then the secondary insur-
her employer, but she also has a secondary insur- ance
ance through her spouse's employer. When submit-
ting claims for Emily's treatment, what is the correct
order of billing to ensure proper coordination of ben-
efits?

3. Dr. Smith preformed a minor surgical procedure on 24- procedures per-

John Doe at an outpatient surgery center. Which place formed in an ambulatory
of service code should be used for this procedure? surgery center ASC)

4. Sarah, a medical billing specialist, is reviewing the ac- Obtain the neces-
count of a patient named John Doe. She notices that sary pre-authorization and

the insurance company has a lack of pre-authorization then resubmit the claim
for a specific procedure. What is the best course of
action for Sarah to take to resolve this issue?






, NHA 2024-2025 CBCS Practice Questions (Set 2): With Answers

5. Dr. Smith is submitting a CMS-1500 claim form for patient named John
Doe, who received outpatient services covered by medicare. Which
section of the CMS-1500 form should Dr. Smith complete to indicate the
type of insurance plan covering John Doe?
- Box 1a- insured's ID Number
- Box 11- Insured Policy Group or FECA number
- Box 1- Insurance Type
- Box 24- Service Line Information






, NHA 2024-2025 CBCS Practice Questions (Set 2): With Answers


6. Whichofthefollowingisaprimarypurposeofinternal Toidentifythecorrectcod-
u u u u u u u u u u u u u u




auditsinthecontextofmedicalbillingandcoding?
u u ingerrorsbefore claim u u u u u u u u u




submissions u




7. Dr. Smith's office received a request from John Does
u u u u u u u u Provideonlythemini- u u u




insurance company for his medical records to process mum necessary informa-
u u u u u u u u u u




aclaim.AccordingtoHIPPA regulations,whatisthe
u u tion required to process u u u u u u u u u




most appropriate action for Dr. Smith's office to take? theclaim
u u u u u u u u u u u




8. When coding for Obstetrics, which of the following
u u u u u u u Z34.00: Routine prenatal u u




codes is used to indicate a routine prenatal visit with no
u u u u u u u u u u u fornormalfirstpregnancy
u u u u




complications?
u no complications
u u




- Z34.00: Routine prenatal for normal first pregnancy u u u u u u




no complications
u u




- O09.89: Supervision of high risk pregnancy u u u u u




- Z33.1: Encounter for pregnancy test u u u u




- O10.11: Pre-existing hypertension complicating u u u




pregnancy
u




9. Sarah, a patient. has recently filled for bankruptcy. As
u u u u u u u u Ceaseallcollectionactiv-
u u u




amedicalbillingspecialist,whatistheappropriateac- itiesandnotifythebank-
u u u u u u u u u u u u u




tiontotakeregarding heroutstanding medicalbills?
u u u u u u u



12. Sarah, a u




10. When coding for telemedicine services, which modi-
u
medical u u u u u
u




fier should be appended to indicate the service was
u u
billing u u u u u u u
u




provided via Telehealth?
u u
specialist, is u
u u




verifying u




11. When a patient has multiple insurance plans, which
u u insur- ance u u u u u u u




insurance plan is typically considered the primary in-
u eligibility for
u u u u u u u u u




surance?
u a patient u u






, NHA 2024-2025 CBCS Practice Questions (Set 2): With Answers

u named John who has a
u u u u ruptcy court Modifier
u u




95
u




Theinsuranceplanpro-
u u u




vided by the patients em-
u u u u u




ployer
u