NHA Medical Coding and Billing Exam
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
Which HCPCS Level II code is used for chemotherapy drugs?
✔✔J9000 series
Which HCPCS Level II code is used for durable medical equipment?
✔✔E-codes
Which type of insurance claim form is used for professional services?
✔✔CMS-1500
Which type of insurance claim form is used for institutional services?
✔✔UB-04
What type of code is used for lab tests performed in an outpatient clinic?
✔✔CPT
1
,What type of code is used to document an initial preventive health exam?
✔✔CPT preventive codes
Which document provides the provider’s justification for billing a procedure?
✔✔Medical documentation or encounter note
Which term describes the amount a patient must pay before insurance begins covering services?
✔✔Deductible
Which term describes the percentage a patient pays after the deductible is met?
✔✔Coinsurance
Which term describes the maximum amount a patient pays out of pocket per year?
✔✔Out-of-pocket maximum
What type of claim submission ensures faster payment for services?
✔✔Electronic claim submission
2
, Which coding compliance practice ensures codes accurately reflect the provider’s
documentation?
✔✔Coding validation or auditing
Which federal law protects patient health information in coding and billing?
✔✔HIPAA
Which organization updates CPT codes annually?
✔✔American Medical Association (AMA)
Which organization updates ICD-10-CM codes annually?
✔✔Centers for Medicare & Medicaid Services (CMS)
What code set is used to report diagnoses in outpatient settings?
✔✔ICD-10-CM
Which code set is used to report procedures in physician offices?
✔✔CPT
3
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
Which HCPCS Level II code is used for chemotherapy drugs?
✔✔J9000 series
Which HCPCS Level II code is used for durable medical equipment?
✔✔E-codes
Which type of insurance claim form is used for professional services?
✔✔CMS-1500
Which type of insurance claim form is used for institutional services?
✔✔UB-04
What type of code is used for lab tests performed in an outpatient clinic?
✔✔CPT
1
,What type of code is used to document an initial preventive health exam?
✔✔CPT preventive codes
Which document provides the provider’s justification for billing a procedure?
✔✔Medical documentation or encounter note
Which term describes the amount a patient must pay before insurance begins covering services?
✔✔Deductible
Which term describes the percentage a patient pays after the deductible is met?
✔✔Coinsurance
Which term describes the maximum amount a patient pays out of pocket per year?
✔✔Out-of-pocket maximum
What type of claim submission ensures faster payment for services?
✔✔Electronic claim submission
2
, Which coding compliance practice ensures codes accurately reflect the provider’s
documentation?
✔✔Coding validation or auditing
Which federal law protects patient health information in coding and billing?
✔✔HIPAA
Which organization updates CPT codes annually?
✔✔American Medical Association (AMA)
Which organization updates ICD-10-CM codes annually?
✔✔Centers for Medicare & Medicaid Services (CMS)
What code set is used to report diagnoses in outpatient settings?
✔✔ICD-10-CM
Which code set is used to report procedures in physician offices?
✔✔CPT
3
