NHA Exam Review Questions and
answers, graded A+
A billing and coding specialist should understand that the financial record source that is generated by a
providers office is called a - -Patient ledger account
A claim can be denied or rejected for which of the following reasons? - -Block 24D ...
A billing and coding specialist should understand that the financial record source that is generated by a
providers office is called a - ✅✅-Patient ledger account
A claim can be denied or rejected for which of the following reasons? - ✅✅-Block 24D contains the
diagnosis code
A claim is submitted with a transposed insurance member ID number and returned to the provider.
Which of the following describes the status that should be assigned to the claim by the carrier? - ✅✅-
invalid
A coroner's autopsy is comprised of which of the following examinations? - ✅✅-Gross examination
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
, A form that contains charges, DOS, CPT codes, ICD codes, fees, and copayment information is called
which of the following - ✅✅-Encounter form
A managed care organization that establishes a network of providers who care for their patients is called
- ✅✅-Preferred provider organization PPO
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 alerted before the nurse can proceed with
discharge planning? - ✅✅-attending physician
A patient presents to the provider with chest pain and shortness of breath. After an unexpected ECG
result, the provider calls a cardiologist and summarizes the patients symptoms. What portion of HIPAA
allows the provider to speak to the cardiologist prior to obtaining the patients consent? - ✅✅-Title II
A patient who is an active member of the military recently returned from overseas and is in need of
specialty care. The patient does not have anyone designated with power of attorney. Which of the
following is considered a HIPAA violation? - ✅✅-The billing and coding specialist sends the patients
records to the patients partner
A patients employer has not submitted a premium payment. Which of the following claim statuses
should the provider receive from the third party payer - ✅✅-Denied
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