NHA Practice Test 1 Questions and Answers with Certified Solutions | Verified | Latest Update 2024
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 acti...
NHA Practice Test 1 Questions and Answers with
Certified Solutions | Verified | Latest Update 2024
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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