Exam (elaborations)
NHA Billing and Coding practice test (CBCS)
- Module
- TEAS Practice.
- Institution
- TEAS Practice.
NHA Billing and Coding practice test (CBCS)
[Show more]
Seller
Follow
Content preview
NHA Billing and Coding practice test(CBCS)
- ANS-A provider's office requests a subpoena requesting medical documentation from
a patient's medical record. After confirming the correct authorization, which of the
following actions should the billing & coding specialist take?
-53 - ANS-Which of the following modifiers should be used to indicate a professional
service has been discontinued prior to completion?
$120 - ANS-A patient has met a Medicare deductible of $150. The patient's coinsurance
is 20% and the allowed amount is $600. Which of the following is the patient's out of
pocket expense?
$230 - ANS-A medicare non-participating provider's approved payment for $200 for a
lobectomy and the deductible was met. Which amounts is the limiting charge for this?
$40 - ANS-A physician is contracted with an insurance company to accept the allowed
amount. The insurance company allows $80 of a $120 billed amount, and $50 of the
deductible has been met. How much should the physician write off the patient's
account?
$40 - ANS-A physician is contracted with an insurance company to accept the allowed
amount. The insurance company allows $80 of a $120 billed amount, and $50 of the
deductible has not been met. How much should the physician write off the patient's
account?
$48 - ANS-A participating BlueCross/ BlueShield (BC/BS) provider receives an
explanation of benefits for a patient account. The charged amount was $100. BC/BS
allowed $40 to the patients annual deductible. BC/BS paid the balance at 80%. How
much should the patient expect to pay?
0% - ANS-A bene
0% - ANS-A beneficiary of a Medicare/Medicaid crossover claim submitted by a
participating provider is responsible for which of the following percentages?
,12 - ANS-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?
12 - ANS-What is the maximum number of ICD codes that can be entered on a
CMS-1500 claim form as of February 2012?
12 months from the date of service - ANS-Which of the following is the deadline for a
Medicare for claims submission?
150 00 - ANS-Which of the following is a correct entry of a charge of $140 in Block 24F
of the CMS-1500 claim form?
17b - ANS-National provider #
18% - ANS-When coding a front torso burn, which of the following percentages should
be coded?
30 days - ANS-For which of the following time periods should the billing and coding
specialist track unpaid claims before taking follow up action
3rd party payer - ANS-Which of the following describes an insurance carrier that pays
the provider who rendered services to a patient?
4 - ANS-Which of the following is the maximum # of modifiers that the billing & coding
specialists can use on a CMS-1500 claim form in Block 24D?
837 - ANS-Which of the following formats are used to submit electronic claims to a 3rd
party payer?
9a - ANS-When billing a secondary insurance company, which block should the billing
and coding specialist fill out on the CMS-1500 claim form?
A bilateral procedure - ANS-A billing and coding specialist should add modifier -50 to
codes when reporting which of the following?
A billing worksheet from the patient account - ANS-A prospective billing account audit
prevents fraud by reviewing and comparing a completed claim form with which of the
following documents?
, A claim that is delinquent for 60 days - ANS-Which of the following claims would appear
on an aging report?
A product pending FDA approval is indicated as a lightning bolt symbol - ANS-Which of
the following accurately describes code symbols found in the CPT manual?
A provider's office with fewer than 10 full-time employees - ANS-Medicare enforces
mandatory submission of electronic claims for most providers. Which of the following
providers is allowed to submit paper claims to medicare?
A signed release from the patient - ANS-Which of the following documents is required to
disclose an adult patient's information?
Accommodate the request and send the records - ANS-A patient with a past due
balance requests that his records be sent to another provider. Which of the following
actions should be taken?
accounts receivable - ANS-Patient charges that have not been paid will appear in which
of the following?
add on codes - ANS-In the anesthesia section of the CPT manual, which of the
following are considered qualifying circumstances?
add-on codes - ANS-In the anesthesia section of the CPT manual, which are
considered qualifying circumstances?
Adjudication - ANS-Which of the following is considered the final determination of the
issues involving settlement of an insurance claim?
Adjustment - ANS-Which of the following terms refers to the difference between the
billed and allowed amounts?
Adjustment column of the credits - ANS-A provider charged $500 to a claim that had an
allowable amount of $400. In which of the following columns should the billing and
coding specialist apply the non-allowed charge?
Admitting clerk - ANS-A patient comes to the hospital for an inpatient procedure. Which
of the following hospital staff members is responsible for the initial patient interview,
obtaining demographic and insurance information, and documenting the chief
complaint?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.19. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73243 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now