NHA BILLING AND CODING EXAM 2023

NHA BILLING AND CODING EXAM 2023

TEST BANK 200 QUESTIONS AND CORRECT

ANSWERS(CBCS) VERIFIED

ANSWERS|AGRADE

Which of the following should a billing and coding specialist collect from a patient during an initial visit?

• Insurance card
• Social security card
• Credit card number
• Medical record number - ANSWER- Insurance card

A billing and coding specialist in an office witnesses an employee committing abuse. Which of the following actions should the specialist take?

• Notify OSHA
• Notify CMS
• Notify the provider
• Notify law enforcement - ANSWER- Notify CMS

Which of the following symbols represents moderate conscious sedation?

• Plus sign
• Solid circle
• Bullseye
• Circle with a line through it - ANSWER- Bullseye

When posting a payment to an account, in which of the following columns should a billing and coding specialist record an insurance payment?

• Balance column
• Charges column
• Credit column
• Debit column - ANSWER- Credit column

Which of the following is the lowest level of an Evaluation and Management code for an established patient?

• 99201 1 / 3

• 99284
• 99291
• 99211 - ANSWER- 99211

A new patient who has a preferred provider organization (PPO) presents to the office reporting stomach pains. For which of the following reasons does the patient have to pay out of pocket for the office visit?

• The patient does not have a primary care provider
• THe patient has a pre-existing condition
• The patient does not have a referral
• The patient has not met the deductble - ANSWER- The patient has not met the

deductible

Which of the following is withheld from coverage by some third party payers?

• Deductible
• Ride
• Capitation
• Exclusions - ANSWER- Exclusions

When a billing and coding specialist sends a group of claims to a clearing house to scan for errors, what are these claims called?

• Data elements
• HIPAA standard transactions
• Electronic data interchange
• Batches - ANSWER- Batches

Which of the following audits is performed after a payment is sent to a third party payer?

• Retrospective
• External
• Prospective
• Internal - ANSWER- Retrospective

Which of the following is an example of insurance abuse as defined by Medicare

• Billing Medicare for home medical equipment after it has been returned
• Billing Medicare using another subscribers information
• Billing Medicare for services that were not delivered
• Billing Medicare for unnecessary medical services - ANSWER- Billing

Medicare for services that were not delivered

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A billing and coding specialist can include a maximum of how many diagnosis codes on the CMS-1500 (02-12) claim form for submission?

• 10
• 12
• 4
• 6 - ANSWER- 12

Medicaid, Medicare, Tricare are examples of which of the following types of health insurance?

• Privately funded
• Individual
• Federally funded
• Group - ANSWER- Federally funded

Which of the following terms refers to the amount of unpaid balances owed by patients and third party payers to a facility?

• Accounts receivable
• Accounts payable
• Credit
• Cash flow - ANSWER- Accounts receivable

The Healthcare Common Procedure Coding System (HCPCS) manual includes which of the following?

• Current Procedural Terminology

b Diagnosis codes

• Table of Drugs
• F codes - ANSWER- Current Procedural Terminology

In Block 13 on the CMS-1500 claim form, the patient signs and authorizes the provider to receive payment directly from the insurance payer. What is this type of authentication called?

• Accepting assignment
• Right of assignment
• Assignment of provider
• Assignment of benefits - ANSWER- Assignment of benefits

Which of the following actions should the billing and coding specialist take after receiving an explanation of benefits (EOB)? - ANSWER- Apply the payment

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