10/26/24, 1:54 PM NHA BILLING AND CODING EXAM 2024 TEST BANK 200 QUESTIONS AND CORRECT ANSWERS(CBCS) VERIFIED ANSWE…
NHA BILLING AND CODING EXAM 2024 TEST
BANK 200 QUESTIONS AND CORRECT
ANSWERS(CBCS) VERIFIED ANSWERS|AGRADE
Terms in this set (101)
1. A billing and coding a. State Insurance Commissioner's office
specialist discovers that
one private payer has not
reimbursed the provider
for any claims submitted in
the past year. Clean claims
have been submitted to
the payer and have been
acknowledged. Which of
the following entities
should the specialist
contact to report the
payer's failure to submit
timely reimbursement?
1. Which of the following is a. I10
an example of a
diagnostic category
code?
1. The star symbol in the a. Telemedicine
CPT coding manual is
used to indicate which of
the following?
,10/26/24, 1:54 PM NHA BILLING AND CODING EXAM 2024 TEST BANK 200 QUESTIONS AND CORRECT ANSWERS(CBCS) VERIFIED ANSWE…
1. Which of the following is a. Claims are expedited
an advantage of
electronic claim
submission?
1. When should a billing a. When the patient contacts the provider's office and
and coding specialist schedules an appointment
initiate the collection of
the information needed to
process a patient's
insurance claim form?
1. A billing and coding a. Splinting of the fourth digit on the left foot
specialist is reviewing
modifier use with a new
employee. Which of the
following scenarios
warrants the use of a
modifier?
1. A billing and coding a. Wounds should be grouped by anatomic site and
specialist is reviewing a coded in order of complexity
provider's documentation
for a patient who
underwent repair of
multiple wounds to the
face and trunk. The
provider coded repair of
all wounds individually.
The specialist should
recognize that the
provider should have
applied which of the
following concepts to the
documentation of the
repair for this patient's
wounds?
, 10/26/24, 1:54 PM NHA BILLING AND CODING EXAM 2024 TEST BANK 200 QUESTIONS AND CORRECT ANSWERS(CBCS) VERIFIED ANSWE…
1. Which of the following a. Exenteration
terms describe the
removal of the eye,
adnexa, and bony
structure?
1. A billing and coding a. Suspended
specialist is reviewing
delinquent claims and
discovers that a third-
party payer paid a claim
but applied it to the
incorrect provider. The
third-party payer will
reimburse the payment
once the improperly paid
funds are recouped.
Which of the following
terms is used to describe
this claim?
1. For which of the a. The claim requires an attachment to support
following reasons should a medical necessity
claim be resubmitted?
1. A billing and coding a. Outstanding balances organized by date
specialist is preparing an
account receivable aging
report. The specialist
should expect the report
to include which of the
following?
1. Which of the following a. Phone number
pieces of guarantor
information is required
when establishing a
patient's financial record?
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