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NHA Practice Test 1 Questions and Answers Already Passed

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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...

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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.

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