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NHA Practice Questions Billing and Coding 2022 updated solution €11,33
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NHA Practice Questions Billing and Coding 2022 updated solution
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What indicates a claim should be submitted on paper instead of electronically - The claim requires an attachment What steps wold be part of a physicians practice compliance program - Internal monitoring and auditing What is the third stage of the life cycle of a claim - Claims Adjudication ...

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  • 28 december 2022
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  • 2022/2023
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NHA Practice Questions Billing and
Coding 2022 updated solution
What indicates a claim should be submitted on paper instead of electronically - The
claim requires an attachment

What steps wold be part of a physicians practice compliance program - Internal
monitoring and auditing

What is the third stage of the life cycle of a claim - Claims Adjudication

What is the advantage of electronic claim submission - Claims are expedited

In an outpatient setting what forms are used as a financial report of all services provided
to patients - Patient account record

What document is required to disclose an adult patient information - A signed release
from the patient

What is a type of claim that will be denied by the third party payer - Incomplete claim

What is a billing practice action - Documenting the patients chief complaint, history,
exam assessment and plan

A billing and coding specialist needs to know how much Medicare paid on a claim
before billing secondary should refer to - Remittance advice

What is the medical term for the sac that encloses the heart - pericardium

What is a constitutes of consultation - Services rendered by a physician whose opinion
is required by another

What is the purpose of running an aging report each month - To indicate which claims
are outstanding

CMS-1500 which box do you mark for workers Comp - 10a

What is a verbal or written agreement that gives approval to release protected health
information (PHI) - Consent

What part of Medicare covers prescriptions - Part D

The star symbol on CPT code books is used to indicate - Telemedicine

, Two providers of the same practice visit a patient in the ED using the same CPT codes,
the claim maybe denied due to - Duplication services

CMS 1500 what block is used to bill ICD codes - Block 21

A participating BCBS provider receives an explanation of benefits, the change was $100
BCBS allowed $80 applied $40 to deductible BCBS paid 80% how much should the
patient pay - $48

What is an example of an electronic claim submission - Claims submitted via a secure
network

When a patient has a condition that is both acute and chronic how should it be reported
- Code both sequencing acute first

What is the function of the respiratory system - Oxygenating blood cells

A provider receives a reimbursement from a 3rd party accompanied by which of the
following - Explanation of benefits

What is the portion of the account that the patient must pay after services rendered and
deductible is meet - Co-Insurance

What is the term for an amount that is uncontrollable - Bad debit

What was developed to reduce Medicare program expenditures by detecting
inappropriate codes - NCCI

When posting a payment accrual which should hte billing and coding specialist include -
Patients responsibility

What organization identifies improper payments made by CMS claims - Recovery Audit
Contractor (RAC)

Z codes are used to identify - Immunizations

Add modifier -50 codes when reporting - Bilateral procedure

Who is allowed to submit a paper claim to Medicare - A providers office with fewer than
10 full time employees

What described the status of a claim that does not include required pre auth - Denied

Crossover claim submitted by a participating provider is responsible for what percent -
0%

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