NHA Billing and Coding practice test (CBCS), Accurate Answers with Questions. Graded A+
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The attending physician - CORRECT Ans=A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following healt...
NHA Billing and Coding practice test
(CBCS), Accurate Answers with
Questions. Graded A+
The attending physician - CORRECT Ans=A nurse is reviewing a patients lab results prior to discharge
and discovers an elevated glucose level. Which of the following health care providers should be
altered before the nurse can proceed with discharge planning?
The patients condition and the providers information - CORRECT Ans=On the CMS-1500 Claims for,
blocks 14 through 33 contain information about which of the following?
Problem focused examination - CORRECT Ans=A provider performs an examination of a patient's
throat during an office visit. Which of the following describes the level of the examination?
Reinstated or recycled code - CORRECT Ans=The symbol "O" in the Current Procedural Terminology
reference is used to indicate which of the following?
Coinsurance - CORRECT Ans=Which of the following is the portion of the account balance the patient
must pay after services are rendered and the annual deductible is met?
Place of service - CORRECT Ans=The billing and coding specialist should divide the evaluation and
management code by which of the following?
Cardiovascular system - CORRECT Ans=The standard medical abbreviation "ECG" refers to a test
used to access which of the following body systems?
add on codes - CORRECT Ans=In the anesthesia section of the CPT manual, which of the following
are considered qualifying circumstances?
12 - CORRECT Ans=As of April 1st 2014, what is the maximum number of diagnosis that can be
reported on the CMS-1500 claim form before a further claim is required?
,Nephrolithiasis - CORRECT Ans=When submitting a clean claim with a diagnosis of kidney stones,
which of the following procedure names is correct?
Verifying that the medical records and the billing record match - CORRECT Ans=Which of the
following is one of the purposes of an internal auditing program in a physician's office?
The DOB is entered incorrectly - CORRECT Ans=Patient: Jane Austin; Social Security # 555-22-1111;
Medicare ID: 555-33-2222A; DOB: 05/22/1945. Claim information entered: Austin, Jane; Social
Security #.: 555-22-1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of the following is a
reason this claim was rejected?
Operative report - CORRECT Ans=Which of the following options is considered proper supportive
documentation for reporting CPT and ICD codes for surgical procedures?
Verify the age of the account - CORRECT Ans=Which of the following actions should be taken first
when reviewing delinquent claims?
Claim control number - CORRECT Ans=Which of the following components of an explanation of
benefits expedites the process of a phone appeal?
Bloc 24D contains the diagnosis code - CORRECT Ans=A claim can be denied or rejected for which of
the following reasons?
Privacy officer - CORRECT Ans=To be compliant with HIPAA, which of the following positions should
be assigned in each office?
encrypted - CORRECT Ans=All e-mail correspondence to a third party payer containing patients'
protected health information (PHI) should be
patient ledger account - CORRECT Ans=A billing and coding specialist should understand that the
financial record source that is generated by a provider's office is called a
, Coding compliance plan - CORRECT Ans=Which of the following includes procedures and best
practices for correct coding?
Health care clearinghouses - CORRECT Ans=HIPAA transaction standards apply to which of the
following entities?
Appeal the decision with a provider's report - CORRECT Ans=Which of the following actions should
be taken if an insurance company denies a service as not medically necessary?
Accommodate the request and send the records - CORRECT Ans=A patient with a past due balance
requests that his records be sent to another provider. Which of the following actions should be
taken?
$48 - CORRECT Ans=A participating BlueCross/ BlueShield (BC/BS) provider receives an explanation
of benefits for a patient account. The charged amount was $100. BC/BS allowed $40 to the patients
annual deductible. BC/BS paid the balance at 80%. How much should the patient expect to pay?
Deductible - CORRECT Ans=The physician bills $500 to a patient. After submitting the claim to the
insurance company, the claim is sent back with no payment. The patient still owes $500 for this
year.
International Classification of Disease (ICD) - CORRECT Ans=Which of the following is used to code
diseases, injuries, impairments, and other health related problems?
Ureters - CORRECT Ans=Urine moves from the kidneys to the bladder through which of the following
parts of the body?
Angioplasty - CORRECT Ans=Threading a catheter with a balloon into a coronary artery and
expanding it to repair arteries describes which of the following procedures?
To ensure the patient understands his portion of the bill - CORRECT Ans=A patient's portion of the
bill should be discussed with the patient before a procedure is performed for which of the following
reasons?
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