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