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?
a. Insurance card
b. Social security card
c. Credit card number
d. 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?
a. Notify OSHA
b. Notify CMS
c. Notify the provider
d. Notify law enforcement – ANSWER- Notify CMS
Which of the following symbols represents moderate conscious sedation?
a. Plus sign
b. Solid circle
c. Bullseye
d. 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?
a. Balance column
b. Charges column
c. Credit column
d. Debit column – ANSWER- Credit column
Which of the following is the lowest level of an Evaluation and Management code
for an established patient?
a. 99201
b. 99284
c. 99291
d. 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?
a. The patient does not have a primary care provider
b. THe patient has a pre-existing condition
c. The patient does not have a referral
d. 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?
a. Deductible
b. Ride
c. Capitation
d. 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?
a. Data elements
b. HIPAA standard transactions
c. Electronic data interchange
d. Batches – ANSWER- Batches
Which of the following audits is performed after a payment is sent to a third party
payer?
a. Retrospective
b. External
c. Prospective
d. Internal – ANSWER- Retrospective
Which of the following is an example of insurance abuse as defined by Medicare
a. Billing Medicare for home medical equipment after it has been returned
b. Billing Medicare using another subscribers information
c. Billing Medicare for services that were not delivered
d. Billing Medicare for unnecessary medical services – ANSWER- Billing
Medicare for services that were not delivered
A billing and coding specialist can include a maximum of how many diagnosis
codes on the CMS-1500 (02-12) claim form for submission?
a. 10
b. 12
c. 4
d. 6 – ANSWER- 12
Medicaid, Medicare, Tricare are examples of which of the following types of
health insurance?
a. Privately funded
b. Individual
c. Federally funded
d. 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?
a. Accounts receivable
b. Accounts payable
c. Credit
d. Cash flow – ANSWER- Accounts receivable
The Healthcare Common Procedure Coding System (HCPCS) manual includes
which of the following?
a. Current Procedural Terminology
b Diagnosis codes
c. Table of Drugs
d. 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?
a. Accepting assignment
b. Right of assignment
c. Assignment of provider
d. 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