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NHA Medical Coding and billing exam/128 Answered Questions A+ Graded
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NHA Medical Coding and billing exam/128Answered Questions A+ Graded
Place of Service - -Billing and coding specialists should first divide the E & M
Code by
-Privacy Officer - -Compliant with HIPPA the following position should be
assigned in each office
-Principal Diagnosis - -Coding on the UB-04 Form, must sequence the
diagnosis code. Which is the first listed diagnosis?
-Urethratresia - -Obstruction of the urethra is
-UB04 Forms - -Ambulatory surgery centers, home health center, and
hospice use what form?
-Encounter forms - -Form that contains of DOS, CPT, ICD codes, fees and
copay information is called
-Add on Codes - -Anesthesia section of CPT manual which are considered
qualifying circumstances
-Title 11 - -Patient 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 - -HIPPA compliance guideline
affecting EHR
-Red - -Color formats on CMS 1500 form acceptable
-Patient Ledger account - -Financial record generated by a provider office
-Coding Compliance Plan - -Which of the following includes procedures and
best practices for correct coding
-Sagittal - -Which 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) - -3rd Party payer validates a claim which
takes place next
, -NCCI ( National Correct Coding Initiative) - -Developed to reduced Medicare
Program expenditure by detecting in appropriate codes & eliminating
improper coding
-0% - -Beneficiary of Medicaid/ Medicare crossover claim is responsible for
the percentage
-Internal monitoring and auditing - -Which of the following steps would be
part of a physicians practice compliance program
-HIPPA - -Which of the following acts applies to the administrative
simplification guidelines?
-Accounts recievable - -Patient charges that have not been paid will appear
in which of the following
-adjudication - -Which of the following is considered the final determination
of the issues involving settlement of an insurance claim
-A billing worksheet from the patient account - -A prospective billing
account audit prevents fraud by reviewing & comparing a completed claim
for with which of the following documents
-Lymphatic system - -Which 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 - -Which of the following is allowed when
billing procedural codes
-Direct Data entry - -A biller will electronically submit a claim to the carrier
via which of the following?
-A Providers office with fewer than 10 fulltime employees - -Medicare
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 - -Which of the following organizations
identifies improper payments made on CMS claims
-Bone and bone marrow - -IF a patient has osteomyelitis he has problems
with which of the following areas?
-Preauthorization form - -Which of the following is a requirement of some
third-party payers before a procedure is performed?
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