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NHA BILLING AND CODING EXAM 2024 TEST BANK 200 QUESTIONS AND CORRECT ANSWERS(CBCS) VERIFIED ANSWERS|AGRADE
NHA BILLING AND CODING EXAM 2024 TEST BANK 200 QUESTIONS AND CORRECT ANSWERS(CBCS) VERIFIED ANSWERS|AGRADE
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NHA BILLING AND CODING EXAM 2024 TEST BANK 200 QUESTIONS ACORRECT ANSWERS(CBCS) VERIFIED ANSWERS|AGRADE
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1. 1. A billing and coding specialist discovers that one a. State In-
private payer has not reimbursed the provider for surance Commis-
any claims submitted in the past year. Clean claims sioner's office
have been submitted to the payer and have been
acknowledged. Which of the following entities should
the specialist contact to report the payer's failure to
submit timely reimbursement?
2. 1. Which of the following is an example of a diagnostic a. I10
category code?
3. 1. The star symbol in the CPT coding manual is used a. Telemedicine
to indicate which of the following?
4. 1. Which of the following is an advantage of electronic a. Claims are ex-
claim submission? pedited
5. 1. When should a billing and coding specialist initiate a. When the pa-
the collection of the information needed to process a tient contacts the
patient's insurance claim form? provider's office
and schedules an
appointment
6. 1. A billing and coding specialist is reviewing modi- a. Splinting of the
fier use with a new employee. Which of the following fourth digit on the
scenarios warrants the use of a modifier? left foot
7. 1. A billing and coding specialist is reviewing a a. Wounds should
provider's documentation for a patient who under- be grouped by
went repair of multiple wounds to the face and trunk. anatomic site and
The provider coded repair of all wounds individual- coded in order of
ly. The specialist should recognize that the provider complexity
should have applied which of the following concepts
to the documentation of the repair for this patient's
wounds?
8. 1. Which of the following terms describe the removal a. Exenteration
of the eye, adnexa, and bony structure?
, NHA BILLING AND CODING EXAM 2024 TEST BANK 200 QUESTIONS A
CORRECT ANSWERS(CBCS) VERIFIED ANSWERS|AGRADE
Study online at https://quizlet.com/_fx636t
9. 1. A billing and coding specialist is reviewing delin- a. Suspended
quent claims and discovers that a third-party payer
paid a claim but applied it to the incorrect provider.
The third-party payer will reimburse the payment
once the improperly paid funds are recouped. Which
of the following terms is used to describe this claim?
10. 1. For which of the following reasons should a claim a. The claim re-
be resubmitted? quires an attach-
ment to support
medical necessity
11. 1. A billing and coding specialist is preparing an ac- a. Outstanding
count receivable aging report. The specialist should balances orga-
expect the report to include which of the following? nized by date
12. 1. Which of the following pieces of guarantor informa- a. Phone number
tion is required when establishing a patient's finan-
cial record?
13. 1. Which of the following actions by a billing and cod- a. Using data en-
ing specialist ensures a patient's health information cryption software
is protected? on office worksta-
tions
14. 1. A billing and coding specialist is preparing an a. Medical record
appeal letter in response to a denial by a third-party documentation
payer for lack of medical necessity. Which of the fol-
lowing should the specialist include with the letter to
indicate medical necessity?
15. 1. A child is brought into a facility by their mother. The a. The father is
child is cover under both parents' insurance policies. the primary poli-
The child's father was born on 10/1/1980 and their cy holder because
mother was born on 10/2/1921. Which of the following his birthday falls
statements is true regarding the primary policy hold- first in the calen-
er for the child? dar year
16.
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