NHA MEDICAL CODING AND BILLING EXAM
SCRIPT TEST BANK FULL SOLUTION 2026
VIEW AHEAD EXAM.
⫸ 1. Which of the following information is correct regarding code
symbols in the CPT manual? Answer: a. A product pending FDA
approval is indicated by a lightning bolt symbol
⫸ 1. A billing and coding specialist should add modifier -50 to a code
when reporting which of the following? Answer: a. A bilateral
procedure
⫸ 1. An explanation of benefits states the amount billed was $60, and
the patient is required to pay a $20 copayment. Which of the
following describes the insurance check amount to be posted?
Answer: $40
⫸ 1. A billing and coding specialist is reviewing a remittance advice
and encounters a denial of payment for a CPT code 44950
(appendectomy). The specialist discovers the ICD-10-CM code
assigned to the claim was J32.1 (chronic frontal sinusitis). Which of
the following is the reason for this claim denial? Answer: a.
Incorrectly linked codes were reported on the claim
⫸ 1. A billing and coding specialist receives a denial for payment
from TRICARE for services provided in the emergency department
while a provider was on call. The provider is not a participating
, TRICARE provider. Which of the following actions must the
specialist take to process an appeal for payment? Answer: a. Contact
the patient for assistance
⫸ 1. Which of the following is the third state of a claim's life cycle?
Answer: a. Adjudication
⫸ 1. For which of the following reasons should a billing and coding
specialist follow the guidelines in the CPT manual? Answer: a. The
guidelines define items that are necessary to accurately code
⫸ 1. A billing and coding specialist should identify that which of the
following is used to improve this effectively and effectiveness of the
health care system as mandated by HIPAA for providers? Answer: a.
CMS-1500 claim form
⫸ 1. Which of the following is the provisions of health insurance
policies that specifics which coverage is primary or secondary?
Answer: a. Coordination of benefits
⫸ 1. An employer's worker's compensation payer requires blood
work for an employee who experienced a work-related injury. Which
of the following modifiers should should a billing and coding
specialist take? Answer: -32
⫸ 1. Medigap coverage is offered to Medicare beneficiaries by which
of the following? Answer: a. Private third-party payers
SCRIPT TEST BANK FULL SOLUTION 2026
VIEW AHEAD EXAM.
⫸ 1. Which of the following information is correct regarding code
symbols in the CPT manual? Answer: a. A product pending FDA
approval is indicated by a lightning bolt symbol
⫸ 1. A billing and coding specialist should add modifier -50 to a code
when reporting which of the following? Answer: a. A bilateral
procedure
⫸ 1. An explanation of benefits states the amount billed was $60, and
the patient is required to pay a $20 copayment. Which of the
following describes the insurance check amount to be posted?
Answer: $40
⫸ 1. A billing and coding specialist is reviewing a remittance advice
and encounters a denial of payment for a CPT code 44950
(appendectomy). The specialist discovers the ICD-10-CM code
assigned to the claim was J32.1 (chronic frontal sinusitis). Which of
the following is the reason for this claim denial? Answer: a.
Incorrectly linked codes were reported on the claim
⫸ 1. A billing and coding specialist receives a denial for payment
from TRICARE for services provided in the emergency department
while a provider was on call. The provider is not a participating
, TRICARE provider. Which of the following actions must the
specialist take to process an appeal for payment? Answer: a. Contact
the patient for assistance
⫸ 1. Which of the following is the third state of a claim's life cycle?
Answer: a. Adjudication
⫸ 1. For which of the following reasons should a billing and coding
specialist follow the guidelines in the CPT manual? Answer: a. The
guidelines define items that are necessary to accurately code
⫸ 1. A billing and coding specialist should identify that which of the
following is used to improve this effectively and effectiveness of the
health care system as mandated by HIPAA for providers? Answer: a.
CMS-1500 claim form
⫸ 1. Which of the following is the provisions of health insurance
policies that specifics which coverage is primary or secondary?
Answer: a. Coordination of benefits
⫸ 1. An employer's worker's compensation payer requires blood
work for an employee who experienced a work-related injury. Which
of the following modifiers should should a billing and coding
specialist take? Answer: -32
⫸ 1. Medigap coverage is offered to Medicare beneficiaries by which
of the following? Answer: a. Private third-party payers
