NHA CBCS 2024-2025 Questions Section 3:
Medical Billing and Coding Certification Test
1. Subjective Patient reports felling better
2. Objective Documented lab values
3. Assesment Impression or diagnosis
4. Plan Patient education
5. Which of the fol- Operative
lowing reports con-
tains documentation
for coding an appen-
dectomy?
- Consultation
- Progress
- Operative
- Radiology
6. NDC Identify individual drug products
7. ICD-10-PCS Reporting of inpatient procedures
8. HCPCS Level II Identify products, supplies and services
9. SNOMED-CT Sets of clinical phrases grouped together by like terms
10. CPT Report professional services and procedures
11. ICD-10-CM Classification of conditions, illness, and injury
12. What does medical Translates the narrative documentation from the provider into standardized
coding do? code sets that are billed to third party payers
13. The claims are then reimbursed based on the patient's policy
, NHA CBCS 2024-2025 Questions Section 3:
Medical Billing and Coding Certification Test
When it comes
to medical coding
claims, the claims are
then what?
14. Which code sets are ICD-10-CM codes that identify diagnosis as well as CPT and HCPCS codes
primarily used med- that report procedures, services, and supplies
ical billing and report-
ing?
15. The primary code sets Many clinical concepts that are captured when codes are assigned to the
include what? highest level of specificity according to the encounter documentation
16. What do clinical con- Medical terms and anatomy and physiology.
cepts include?
17. Each code set con- Guidelines and conventions that assign the coder to the appropriate
tains what? code(s) and any required sequencing
18. Modifiers are ap- CPT and HCPCS codes to add details and information about the service that
pended to what? is not included in the code description
19. What do modifiers Codes to reflect the unique circumstances often presented in the treatment
being appended to of patients
CPT and HCPCS codes
allow for?
20. Modifiers can do Increase or decrease the value of a code, or it can support the circum-
what? stances of the service rendered
21. Providers can do Proactively identify and prevent billing and coding errors by correctly ab-
what? stracting from documentation, reviewing claims, and by following coding
and payer-specific guidelines
, NHA CBCS 2024-2025 Questions Section 3:
Medical Billing and Coding Certification Test
22. Because codes are as- Reimbursement value, coding to the highest level of specificity
sociated with what
makes it important to
all health care organi-
zations?
23. Patient data is used Both clinical and administrative purposes and is exchanged with other
for what? health care providers and organizations
24. Patient data is used Reporting quality measures for the QPP and other similar programs used
for what? by State Medicaid programs and managed care plans
25. Which of the follow- Surgery
ing sections of the
CPT manual is the
largest?
- Evaluation and man-
agement
- Integumentary
- Surgery
- Radiology
26. Which of the follow- 6
ing is the number of
sections in the CPT
manual?
-3
-6
-5
-2
Medical Billing and Coding Certification Test
1. Subjective Patient reports felling better
2. Objective Documented lab values
3. Assesment Impression or diagnosis
4. Plan Patient education
5. Which of the fol- Operative
lowing reports con-
tains documentation
for coding an appen-
dectomy?
- Consultation
- Progress
- Operative
- Radiology
6. NDC Identify individual drug products
7. ICD-10-PCS Reporting of inpatient procedures
8. HCPCS Level II Identify products, supplies and services
9. SNOMED-CT Sets of clinical phrases grouped together by like terms
10. CPT Report professional services and procedures
11. ICD-10-CM Classification of conditions, illness, and injury
12. What does medical Translates the narrative documentation from the provider into standardized
coding do? code sets that are billed to third party payers
13. The claims are then reimbursed based on the patient's policy
, NHA CBCS 2024-2025 Questions Section 3:
Medical Billing and Coding Certification Test
When it comes
to medical coding
claims, the claims are
then what?
14. Which code sets are ICD-10-CM codes that identify diagnosis as well as CPT and HCPCS codes
primarily used med- that report procedures, services, and supplies
ical billing and report-
ing?
15. The primary code sets Many clinical concepts that are captured when codes are assigned to the
include what? highest level of specificity according to the encounter documentation
16. What do clinical con- Medical terms and anatomy and physiology.
cepts include?
17. Each code set con- Guidelines and conventions that assign the coder to the appropriate
tains what? code(s) and any required sequencing
18. Modifiers are ap- CPT and HCPCS codes to add details and information about the service that
pended to what? is not included in the code description
19. What do modifiers Codes to reflect the unique circumstances often presented in the treatment
being appended to of patients
CPT and HCPCS codes
allow for?
20. Modifiers can do Increase or decrease the value of a code, or it can support the circum-
what? stances of the service rendered
21. Providers can do Proactively identify and prevent billing and coding errors by correctly ab-
what? stracting from documentation, reviewing claims, and by following coding
and payer-specific guidelines
, NHA CBCS 2024-2025 Questions Section 3:
Medical Billing and Coding Certification Test
22. Because codes are as- Reimbursement value, coding to the highest level of specificity
sociated with what
makes it important to
all health care organi-
zations?
23. Patient data is used Both clinical and administrative purposes and is exchanged with other
for what? health care providers and organizations
24. Patient data is used Reporting quality measures for the QPP and other similar programs used
for what? by State Medicaid programs and managed care plans
25. Which of the follow- Surgery
ing sections of the
CPT manual is the
largest?
- Evaluation and man-
agement
- Integumentary
- Surgery
- Radiology
26. Which of the follow- 6
ing is the number of
sections in the CPT
manual?
-3
-6
-5
-2
