NHA Billing and Coding practice test
(CBCS) 100% Correct
The attending physician - Correct Answer ✔️✔️-A nurse is reviewing a patients lab
results prior to discharge and discovers an elevated glucose level. Which of the
following health care providers should be altered before the nurse can proceed with
discharge planning?
The patients condition and the providers information - Correct Answer ✔️✔️-On the CMS-
1500 Claims for, blocks 14 through 33 contain information about which of the following?
Problem focused examination - Correct Answer ✔️✔️-A provider performs an
examination of a patient's throat during an office visit. Which of the following describes
the level of the examination?
Reinstated or recycled code - Correct Answer ✔️✔️-The symbol "O" in the Current
Procedural Terminology reference is used to indicate which of the following?
Coinsurance - Correct Answer ✔️✔️-Which of the following is the portion of the account
balance the patient must pay after services are rendered and the annual deductible is
met?
Place of service - Correct Answer ✔️✔️-The billing and coding specialist should divide the
evaluation and management code by which of the following?
Cardiovascular system - Correct Answer ✔️✔️-The standard medical abbreviation "ECG"
refers to a test used to access which of the following body systems?
,add on codes - Correct Answer ✔️✔️-In the anesthesia section of the CPT manual, which
of the following are considered qualifying circumstances?
12 - Correct Answer ✔️✔️-As of April 1st 2014, what is the maximum number of
diagnosis that can be reported on the CMS-1500 claim form before a further claim is
required?
Nephrolithiasis - Correct Answer ✔️✔️-When submitting a clean claim with a diagnosis of
kidney stones, which of the following procedure names is correct?
Verifying that the medical records and the billing record match - Correct Answer ✔️✔️-
Which of the following is one of the purposes of an internal auditing program in a
physician's office?
The DOB is entered incorrectly - Correct Answer ✔️✔️-Patient: Jane Austin; Social
Security # 555-22-1111; Medicare ID: 555-33-2222A; DOB: 05/22/1945. Claim
information entered: Austin, Jane; Social Security #.: 555-22-1111; Medicare ID No.:
555-33-2222A; DOB: 052245. Which of the following is a reason this claim was
rejected?
Operative report - Correct Answer ✔️✔️-Which of the following options is considered
proper supportive documentation for reporting CPT and ICD codes for surgical
procedures?
Verify the age of the account - Correct Answer ✔️✔️-Which of the following actions
should be taken first when reviewing delinquent claims?
Claim control number - Correct Answer ✔️✔️-Which of the following components of an
explanation of benefits expedites the process of a phone appeal?
, Bloc 24D contains the diagnosis code - Correct Answer ✔️✔️-A claim can be denied or
rejected for which of the following reasons?
Privacy officer - Correct Answer ✔️✔️-To be compliant with HIPAA, which of the following
positions should be assigned in each office?
encrypted - Correct Answer ✔️✔️-All e-mail correspondence to a third party payer
containing patients' protected health information (PHI) should be
patient ledger account - Correct Answer ✔️✔️-A billing and coding specialist should
understand that the financial record source that is generated by a provider's office is
called a
Coding compliance plan - Correct Answer ✔️✔️-Which of the following includes
procedures and best practices for correct coding?
Health care clearinghouses - Correct Answer ✔️✔️-HIPAA transaction standards apply to
which of the following entities?
Appeal the decision with a provider's report - Correct Answer ✔️✔️-Which of the following
actions should be taken if an insurance company denies a service as not medically
necessary?
Accommodate the request and send the records - Correct Answer ✔️✔️-A patient with a
past due balance requests that his records be sent to another provider. Which of the
following actions should be taken?
$48 - Correct Answer ✔️✔️-A participating BlueCross/ BlueShield (BC/BS) provider
receives an explanation of benefits for a patient account. The charged amount was
(CBCS) 100% Correct
The attending physician - Correct Answer ✔️✔️-A nurse is reviewing a patients lab
results prior to discharge and discovers an elevated glucose level. Which of the
following health care providers should be altered before the nurse can proceed with
discharge planning?
The patients condition and the providers information - Correct Answer ✔️✔️-On the CMS-
1500 Claims for, blocks 14 through 33 contain information about which of the following?
Problem focused examination - Correct Answer ✔️✔️-A provider performs an
examination of a patient's throat during an office visit. Which of the following describes
the level of the examination?
Reinstated or recycled code - Correct Answer ✔️✔️-The symbol "O" in the Current
Procedural Terminology reference is used to indicate which of the following?
Coinsurance - Correct Answer ✔️✔️-Which of the following is the portion of the account
balance the patient must pay after services are rendered and the annual deductible is
met?
Place of service - Correct Answer ✔️✔️-The billing and coding specialist should divide the
evaluation and management code by which of the following?
Cardiovascular system - Correct Answer ✔️✔️-The standard medical abbreviation "ECG"
refers to a test used to access which of the following body systems?
,add on codes - Correct Answer ✔️✔️-In the anesthesia section of the CPT manual, which
of the following are considered qualifying circumstances?
12 - Correct Answer ✔️✔️-As of April 1st 2014, what is the maximum number of
diagnosis that can be reported on the CMS-1500 claim form before a further claim is
required?
Nephrolithiasis - Correct Answer ✔️✔️-When submitting a clean claim with a diagnosis of
kidney stones, which of the following procedure names is correct?
Verifying that the medical records and the billing record match - Correct Answer ✔️✔️-
Which of the following is one of the purposes of an internal auditing program in a
physician's office?
The DOB is entered incorrectly - Correct Answer ✔️✔️-Patient: Jane Austin; Social
Security # 555-22-1111; Medicare ID: 555-33-2222A; DOB: 05/22/1945. Claim
information entered: Austin, Jane; Social Security #.: 555-22-1111; Medicare ID No.:
555-33-2222A; DOB: 052245. Which of the following is a reason this claim was
rejected?
Operative report - Correct Answer ✔️✔️-Which of the following options is considered
proper supportive documentation for reporting CPT and ICD codes for surgical
procedures?
Verify the age of the account - Correct Answer ✔️✔️-Which of the following actions
should be taken first when reviewing delinquent claims?
Claim control number - Correct Answer ✔️✔️-Which of the following components of an
explanation of benefits expedites the process of a phone appeal?
, Bloc 24D contains the diagnosis code - Correct Answer ✔️✔️-A claim can be denied or
rejected for which of the following reasons?
Privacy officer - Correct Answer ✔️✔️-To be compliant with HIPAA, which of the following
positions should be assigned in each office?
encrypted - Correct Answer ✔️✔️-All e-mail correspondence to a third party payer
containing patients' protected health information (PHI) should be
patient ledger account - Correct Answer ✔️✔️-A billing and coding specialist should
understand that the financial record source that is generated by a provider's office is
called a
Coding compliance plan - Correct Answer ✔️✔️-Which of the following includes
procedures and best practices for correct coding?
Health care clearinghouses - Correct Answer ✔️✔️-HIPAA transaction standards apply to
which of the following entities?
Appeal the decision with a provider's report - Correct Answer ✔️✔️-Which of the following
actions should be taken if an insurance company denies a service as not medically
necessary?
Accommodate the request and send the records - Correct Answer ✔️✔️-A patient with a
past due balance requests that his records be sent to another provider. Which of the
following actions should be taken?
$48 - Correct Answer ✔️✔️-A participating BlueCross/ BlueShield (BC/BS) provider
receives an explanation of benefits for a patient account. The charged amount was
