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NHA Medical Coding and billing exam Questions with complete solution 2023
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NHA Medical Coding and billing exam Questions with complete solution 2023Place of Service - correct answer Billing and coding specialists should first divide the E & M Code by Privacy Officer - correct answer Compliant with HIPPA the following position should be assigned in each office ...

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  • 24 oktober 2023
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NHA Medical Coding and billing exam
Place of Service - correct answer Billing and coding specialists should first divide the
E & M Code by

Privacy Officer - correct answer Compliant with HIPPA the following position should
be assigned in each office

Principal Diagnosis - correct answer Coding on the UB-04 Form, must sequence the
diagnosis code. Which is the first listed diagnosis?

Urethratresia - correct answer Obstruction of the urethra is

UB04 Forms - correct answer Ambulatory surgery centers, home health center, and
hospice use what form?

Encounter forms - correct answer Form that contains of DOS, CPT, ICD codes, fees
and copay information is called

Add on Codes - correct answer Anesthesia section of CPT manual which are
considered qualifying circumstances

Title 11 - correct 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 - correct answer HIPPA compliance
guideline affecting EHR

Red - correct answer Color formats on CMS 1500 form acceptable

Patient Ledger account - correct answer Financial record generated by a provider
office

Coding Compliance Plan - correct answer Which of the following includes procedures
and best practices for correct coding

Sagittal - correct 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) - correct answer 3rd Party payer validates a claim which takes place
next

, NCCI ( National Correct Coding Initiative) - correct answer Developed to reduced
Medicare Program expenditure by detecting in appropriate codes & eliminating improper
coding

0% - correct answer Beneficiary of Medicaid/ Medicare crossover claim is responsible
for the percentage

Internal monitoring and auditing - correct answer Which of the following steps would
be part of a physicians practice compliance program

HIPPA - correct answer Which of the following acts applies to the administrative
simplification guidelines?

Accounts recievable - correct answer Patient charges that have not been paid will
appear in which of the following

adjudication - correct 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 - correct answer A prospective billing
account audit prevents fraud by reviewing & comparing a completed claim for with
which of the following documents

Lymphatic system - correct 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 - correct answer Which of the following is allowed when billing
procedural codes

Direct Data entry - correct 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 - correct 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 - correct answer Which of the following
organizations identifies improper payments made on CMS claims

Bone and bone marrow - correct answer IF a patient has osteomyelitis he has
problems with which of the following areas?

Preauthorization form - correct answer Which of the following is a requirement of
some third-party payers before a procedure is performed?

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