NHA Practice Test 1 Questions and Answers Already Passed
Which of the following should the billing and coding specialist include in an authorization to release information? The entity to whom the information is to be released.
Which of the following actions should the billing and coding specialis...
NHA Practice Test 1 Questions and
Answers Already Passed
Which of the following should the billing and coding specialist include in an authorization to
release information? ✔✔The entity to whom the information is to be released.
Which of the following actions should the billing and coding specialist take if they observes a
colleague in an unethical situation? ✔✔Report the incident to a supervisor, whom will then
report to the company compliance officer if need be.
When posting payment accurately, which of the following items should the billing and coding
specialist include? ✔✔The patient's responsibility (copay, deductible, or coinsurance)
A dependent child whose parents both have insurance coverage comes to the clinic. The billing
and coding specialist uses the birthday rule to determine which insurance policy is primary.
Which of the following describes the birthday rule? ✔✔The parent whose birthdate comes first
in the calendar year.
Which of the following statements is true regarding the release of patient records? ✔✔Patient
access to psychotherapy notes may be restricted.
,A patient's employer has not submitted a premium payment. Which of the following claim
statuses should the provider receive from the third-party payer? ✔✔Denied; the patient
technically does not have insurance coverage since their plan is not active due to non-payment of
premium.
Which of the following do physicians use to electronically submit claims? ✔✔Clearinghouse; an
independent organization that receives insurance claims from physicians' offices, performs
software edits, and distributes those claims electronically to third-party payers.
When coding on the UB-04 form, the billing and coding specialist must sequence the diagnosis
codes according to ICD guidelines. Which of the following is the first listed diagnosis code?
✔✔Principal Diagnosis
A patient has AARP as secondary insurance. In which of the following blocks on the CMS-1500
claim form should this information be entered? ✔✔Block 9
According to HIPAA standards, which of the following identifies the rendering provider on the
CMS-1500 claim form in Block 24j? ✔✔NPI
, Which of the following provisions ensures that an insured's benefits from all insurance
companies does not exceed 100% of allowable medical expenses? ✔✔Coordination of benefits
Which of the following is the verbal or written agreement that gives approval to some action,
situation, or statement, and allows the release of patient information? ✔✔Consent agreement
A deductible of $100 is applied to a patient's remittance advice. The provider requests the
account personnel write it off. Which of the following terms describes this scenario? ✔✔Fraud
What is considered abuse in the medical field? ✔✔
What is considered waste in the medical field? ✔✔
A coroner's autopsy is comprised of which of the following examinations? ✔✔Gross
examination
Which of the following is the advantage of electronic claim submission? ✔✔Claims are
expedited.
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper BrilliantScores. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €9,76. Je zit daarna nergens aan vast.
