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NHA Medical Coding and billing exam 2024/2025 graded A+ $13.49
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Exam (elaborations)

NHA Medical Coding and billing exam 2024/2025 graded A+

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  • Course
  • NHA - Certified Billing And Coding Specialist
  • Institution
  • NHA - Certified Billing And Coding Specialist

NHA Medical Coding and billing exam 2024/2025 graded A+

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  • March 8, 2024
  • 8
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • NHA - Certified Billing And Coding Specialist
  • NHA - Certified Billing And Coding Specialist
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Qualitydocs
NHA Medical Coding and billing exam

Place of Service - ANSBilling and coding specialists should first divide the E & M Code by

Privacy Officer - ANSCompliant with HIPPA the following position should be assigned in
each office

Principal Diagnosis - ANSCoding on the UB-04 Form, must sequence the diagnosis code.
Which is the first listed diagnosis?

Urethratresia - ANSObstruction of the urethra is

UB04 Forms - ANSAmbulatory surgery centers, home health center, and hospice use what
form?

Encounter forms - ANSForm that contains of DOS, CPT, ICD codes, fees and copay
information is called

Add on Codes - ANSAnesthesia section of CPT manual which are considered qualifying
circumstances

Title 11 - ANSPatient presents with chest pain & shortness of breath with abnormal ECG
provider call a cardiologist. What portion of the HIPPA allows this

Code set standards pertain to all providers - ANSHIPPA compliance guideline affecting EHR

Red - ANSColor formats on CMS 1500 form acceptable

Patient Ledger account - ANSFinancial record generated by a provider office

Coding Compliance Plan - ANSWhich of the following includes procedures and best
practices for correct coding

Sagittal - ANSWhich of the following planes divides the body into left and right

Claim adjudication:( The term used in the industry to refer to the process of paying claims
submitted on denying them after comparing claims to the benefit or coverage requirements) -
ANS3rd Party payer validates a claim which takes place next

NCCI ( National Correct Coding Initiative) - ANSDeveloped to reduced Medicare Program
expenditure by detecting in appropriate codes & eliminating improper coding

0% - ANSBeneficiary of Medicaid/ Medicare crossover claim is responsible for the
percentage

, Internal monitoring and auditing - ANSWhich of the following steps would be part of a
physicians practice compliance program

HIPPA - ANSWhich of the following acts applies to the administrative simplification
guidelines?

Accounts recievable - ANSPatient charges that have not been paid will appear in which of
the following

adjudication - ANSWhich of the following is considered the final determination of the issues
involving settlement of an insurance claim

A billing worksheet from the patient account - ANSA prospective billing account audit
prevents fraud by reviewing & comparing a completed claim for with which of the following
documents

Lymphatic system - ANSWhich of the following parts of the body system regulates immunity

Billing using 2- digit CPT Modifiers to indicate a procedure as preformed differs from its
usual 5 digit code - ANSWhich of the following is allowed when billing procedural codes

Direct Data entry - ANSA biller will electronically submit a claim to the carrier via which of the
following?

A Providers office with fewer than 10 fulltime employees - ANSMedicare enforces mandatory
submission of electronic claims for most providers. Which of the providers is allowed to
submit paper claims to Medicare?

(RAC) Recovery audit Contractor - ANSWhich of the following organizations identifies
improper payments made on CMS claims

Bone and bone marrow - ANSIF a patient has osteomyelitis he has problems with which of
the following areas?

Preauthorization form - ANSWhich of the following is a requirement of some third-party
payers before a procedure is performed?

Precertification - ANSEnsure appropriate insurance coverage for an outpatient procedure by
first using the following process

History - ANSKey component if an evaluation and management service

837 - ANSFormat used to submit electronic claims and 3rd Party payer

Office of the Inspector General (OIG) - ANSEntity that defines the essential element of a
comprehensive compliance program

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