NHA CBCS FINAL EXAM
Tested Questions with Verified Answers
Grade A+ Guarantee
1. which of the following is a key protection standard of the HIPAA privacy rule
g g g g g g g g g g g g g
that requires entities and business associates to limit the use or release of protected health
g g g g g g g g g g g g g g g
formation phi)? g
Ans>> minimum necessary
g g
2. A billing and coding specialist is preparing a claim that includes code A9698.Which of t
g g g g g g g g g g g g g g g
he following actions should the specialist take to ensure the claim will be paid the first tim
g g g g g g g g g g g g g g g g
e it is submitted?
g g g
Ans>> append the appropriate physical status modifier to the code
g g g g g g g g g
1g/g10
,3. Which of the following describes the status of a claim that is in process and does not incl
g g g g g g g g g g g g g g g g g
ude required preauthorization for a service?
g g g g g
Ans>> suspended g
4. A third-
g
party payer requests a patients information related to a claim. A billing and coding speciali
g g g g g g g g g g g g g g
st should ensure that which of the following is included in the patients file before providi
g g g g g g g g g g g g g g g
ng the information?
g g
Ans>> signed release of information form
g g g g g
5. A lightning bolt symbol that precedes a code indicates which of the follow- ing?
g g g g g g g g g g g g g
Ans>> code indicates a service is pending FDA approval
g g g g g g g g
2g/g10
,6. A billing and coding specialist is using an accounts receivable aging report to det
g g g g g g g g g g g g g
ermine which accounts should be sent to collection. According to
g g g g g g g g g
best practice, which of the following accounts should the specialist send to collections?
g g g g g g g g g g g g
Ans>> An account that has a balance of $600 and 135 days old.
g g g g g g g g g g g g
7. Which of the following CPT codes should a billing and coding specialist use to in
g g g g g g g g g g g g g g
dicate a total prostate specific antigen (PSA) test?
g g g g g g g
Ans>> 84153 g
8. Which of the following is the purpose of a claims clearinghouse?
g g g g g g g g g g
Ans>> To identify errors that will prevent a claim from being paid
g g g g g g g g g g g
3g/g10
, 9. Which of the following describes a claim that is 120 days old?
g g g g g g g g g g g
Ans>> delinquent g
10. Which of the following plans requires providers to adhere to managed care pro
g g g g g g g g g g g g
visions?
Ans>> health maintenance organization (HMO) plan
g g g g g
11. According to the ICD-10-CM coding guidelines, the fourth character of an ICD- 10-
g g g g g g g g g g g g
CM diagnosis code indicates which of the following?
g g g g g g g
Ans>> anatomic site
g g
12. Which of the following codes are used to code diseases, injuries, impair-
g g g g g g g g g g g
g ments, and other health-related problems?
g g g g
4g/g10
Tested Questions with Verified Answers
Grade A+ Guarantee
1. which of the following is a key protection standard of the HIPAA privacy rule
g g g g g g g g g g g g g
that requires entities and business associates to limit the use or release of protected health
g g g g g g g g g g g g g g g
formation phi)? g
Ans>> minimum necessary
g g
2. A billing and coding specialist is preparing a claim that includes code A9698.Which of t
g g g g g g g g g g g g g g g
he following actions should the specialist take to ensure the claim will be paid the first tim
g g g g g g g g g g g g g g g g
e it is submitted?
g g g
Ans>> append the appropriate physical status modifier to the code
g g g g g g g g g
1g/g10
,3. Which of the following describes the status of a claim that is in process and does not incl
g g g g g g g g g g g g g g g g g
ude required preauthorization for a service?
g g g g g
Ans>> suspended g
4. A third-
g
party payer requests a patients information related to a claim. A billing and coding speciali
g g g g g g g g g g g g g g
st should ensure that which of the following is included in the patients file before providi
g g g g g g g g g g g g g g g
ng the information?
g g
Ans>> signed release of information form
g g g g g
5. A lightning bolt symbol that precedes a code indicates which of the follow- ing?
g g g g g g g g g g g g g
Ans>> code indicates a service is pending FDA approval
g g g g g g g g
2g/g10
,6. A billing and coding specialist is using an accounts receivable aging report to det
g g g g g g g g g g g g g
ermine which accounts should be sent to collection. According to
g g g g g g g g g
best practice, which of the following accounts should the specialist send to collections?
g g g g g g g g g g g g
Ans>> An account that has a balance of $600 and 135 days old.
g g g g g g g g g g g g
7. Which of the following CPT codes should a billing and coding specialist use to in
g g g g g g g g g g g g g g
dicate a total prostate specific antigen (PSA) test?
g g g g g g g
Ans>> 84153 g
8. Which of the following is the purpose of a claims clearinghouse?
g g g g g g g g g g
Ans>> To identify errors that will prevent a claim from being paid
g g g g g g g g g g g
3g/g10
, 9. Which of the following describes a claim that is 120 days old?
g g g g g g g g g g g
Ans>> delinquent g
10. Which of the following plans requires providers to adhere to managed care pro
g g g g g g g g g g g g
visions?
Ans>> health maintenance organization (HMO) plan
g g g g g
11. According to the ICD-10-CM coding guidelines, the fourth character of an ICD- 10-
g g g g g g g g g g g g
CM diagnosis code indicates which of the following?
g g g g g g g
Ans>> anatomic site
g g
12. Which of the following codes are used to code diseases, injuries, impair-
g g g g g g g g g g g
g ments, and other health-related problems?
g g g g
4g/g10
