NHA BILLING AND CODING TEST 2025/2026 BANK CURRENTLY TESTING COMPLETE QUESTIONS WITH DETAILED VERIFIED ANSWERS ||ALREADY GRADED A+

NHA BILLING AND CODING TEST 2025/2026
BANK CURRENTLY TESTING COMPLETE
QUESTIONS WITH DETAILED VERIFIED
ANSWERS ||ALREADY GRADED A+
1.DADbillingDandDcodingDspecialistDdiscoversDthatDoneDprivateDpayerDhasD
notDreimbursedDtheDproviderDforDanyDclaimsDsubmittedDinDtheDpastDyear.D
CleanDclaimsDhaveDbeenDsubmittedDtoDtheDpayerDandDhaveDbeenDackno
wledged.DWhichDofDtheDfollowingDentitiesDshouldDtheDspecialistDcontactDto
DreportDtheDpayer'sDfailureDtoDsubmitDtimelyDreimbursement?D-
DCORRECTDANSWERS-a.DStateDInsuranceDCommissioner'sDoffice


1.DWhichDofDtheDfollowingDisDanDexampleDofDaDdiagnosticDcategoryDcode?
D-DCORRECTDANSWERS-a.DI10


1.DTheDstarDsymbolDinDtheDCPTDcodingDmanualDisDusedDtoDindicateDwhic
hDofDtheDfollowing?D-DCORRECTDANSWERS-a.DTelemedicine

1.DWhichDofDtheDfollowingDisDanDadvantageDofDelectronicDclaimDsubmissio
n?D-DCORRECTDANSWERS-a.DClaimsDareDexpedited

1.DWhenDshouldDaDbillingDandDcodingDspecialistDinitiateDtheDcollectionDofDt
heDinformationDneededDtoDprocessDaDpatient'sDinsuranceDclaimDform?D-
DCORRECTDANSWERS-
a.DWhenDtheDpatientDcontactsDtheDprovider'sDofficeDandDschedulesDanDap
pointment

1.DADbillingDandDcodingDspecialistDisDreviewingDmodifierDuseDwithDaDnewD
employee.DWhichDofDtheDfollowingDscenariosDwarrantsDtheDuseDofDaDmodi
fier?D-DCORRECTDANSWERS-
a.DSplintingDofDtheDfourthDdigitDonDtheDleftDfoot

1.DADbillingDandDcodingDspecialistDisDreviewingDaDprovider'sDdocumentatio
nDforDaDpatientDwhoDunderwentDrepairDofDmultipleDwoundsDtoDtheDfaceDan
dDtrunk.DTheDproviderDcodedDrepairDofDallDwoundsDindividually.DTheDspeci
alistDshouldDrecognizeDthatDtheDproviderDshouldDhaveDappliedDwhichDofDth

, eDfollowingDconceptsDtoDtheDdocumentationDofDtheDrepairDforDthisDpatient'
sDwounds?D-DCORRECTDANSWERS-
a.DWoundsDshouldDbeDgroupedDbyDanatomicDsiteDandDcodedDinDorderDofD
complexity

1.DWhichDofDtheDfollowingDtermsDdescribeDtheDremovalDofDtheDeye,Dadnex
a,DandDbonyDstructure?D-DCORRECTDANSWERS-a.DExenteration

1.DADbillingDandDcodingDspecialistDisDreviewingDdelinquentDclaimsDandDdis
coversDthatDaDthird-
partyDpayerDpaidDaDclaimDbutDappliedDitDtoDtheDincorrectDprovider.DTheDthi
rd-
partyDpayerDwillDreimburseDtheDpaymentDonceDtheDimproperlyDpaidDfunds
DareDrecouped.DWhichDofDtheDfollowingDtermsDisDusedDtoDdescribeDthisDcl
aim?D-DCORRECTDANSWERS-a.DSuspended

1.DForDwhichDofDtheDfollowingDreasonsDshouldDaDclaimDbeDresubmitted?D-
DCORRECTDANSWERS-
a.DTheDclaimDrequiresDanDattachmentDtoDsupportDmedicalDnecessity

1.DADbillingDandDcodingDspecialistDisDpreparingDanDaccountDreceivableDagi
ngDreport.DTheDspecialistDshouldDexpectDtheDreportDtoDincludeDwhichDofDt
heDfollowing?D-DCORRECTDANSWERS-
a.DOutstandingDbalancesDorganizedDbyDdate

1.DWhichDofDtheDfollowingDpiecesDofDguarantorDinformationDisDrequiredDw
henDestablishingDaDpatient'sDfinancialDrecord?D-DCORRECTDANSWERS-
a.DPhoneDnumber

1.DWhichDofDtheDfollowingDactionsDbyDaDbillingDandDcodingDspecialistDens
uresDaDpatient'sDhealthDinformationDisDprotected?D-
DCORRECTDANSWERS-
a.DUsingDdataDencryptionDsoftwareDonDofficeDworkstations

1.DADbillingDandDcodingDspecialistDisDpreparingDanDappealDletterDinDrespo
nseDtoDaDdenialDbyDaDthird-
partyDpayerDforDlackDofDmedicalDnecessity.DWhichDofDtheDfollowingDshould
DtheDspecialistDincludeDwithDtheDletterDtoDindicateDmedicalDnecessity?D-
DCORRECTDANSWERS-a.DMedicalDrecordDdocumentation