FREE AND STUDY GAMES ABOUT NHA BILLING CODING T

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FREE AND STUDY GAMES ABOUT NHA BILLING CODING T

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -225 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: Which of the following editing systems should a billing and coding specialist reference to determine if a supplies and materials code should be assigned to report a surgical tray used during an ambulatory procedure?

Answer:

National Correct Coding Initiative (NCCI) Question 2: A patient had an x-ray for a fractured arm. The documentation does not indicate if the x-ray was performed on the right or left arm. Which of the following actions should a billing and coding specialist take?

Answer:

Query the provider.Question 3: A billing and coding specialist receives a denial for payment from TRICARE for services provided in the emergency department while a provider was on call. The provider is not a participating TRICARE provider. Which of the following actions must the specia

Answer:

Contact the patient for assistance.

Question 4: A billing and coding specialist is reviewing an operative report for a patient who had a graft. Which of the following is a tissue transplanted from one person to another?

Answer:

Allograft

Question 5: In ICD-10-CM, Z codes are used to identify which of the following?

Answer:

Immunizations Question 6: Which of the following actions by a billing and coding specialist ensures a patient's health information is protected?

Answer:

Using data encryption software on office workstations Question 7: A billing and coding specialist in an internal medicine practice is assisting a patient who is already collecting Social Security but will be turning 65 in the next year and has questions about what Medicare will cover. The specialist should know that whi

Answer:

Medicare Part A Question 8: A billing and coding specialist is preparing an accounts receivable aging report.The specialist should expect the report to include which of the following?

Answer:

Outstanding balances organized by date Question 9: Which of the following is a document about patient rights that is required to be signed by the patient to acknowledge receipt and can be provided to the patient upon request?

Answer:

Notice of Privacy Practices (NPP) Question 10: Chronic kidney disease is included in which of the following code sets?

Answer:

ICD-10-CM

Question 11: Which of the following should a billing and coding specialist complete to be reimbursed for a provider's outpatient services?

Answer:

CMS-1500 claim form

Question 12: Which of the following is the structure used for ICD-10-CM codes?

Answer:

• to 7 alpha-numeric characters

Question 13: A patient has met an in-network PPO deductible of $150. The patient's coinsurance is 20%, and the allowed amount is $600. Which of the following is the patient's out-of-pocket expense?

Answer:

$120 Question 14: In the ICD-10-CM code set, which of the following characters is the placeholder?

Answer:

X Question 15: A patient is preauthorized to receive vitamin B12 injections from January 1 to May

• On June 2, the provider prescribes an additional 6 months of injections. In order for the

patient to continue with coverage of care, which of the following should occur

Answer:

The provider should go ahead with the injections due to medical necessity.Question 16: When a patient has a condition that is both acute and chronic, how should it be coded?

Answer:

Code both the acute and chronic conditions, sequencing the acute condition first.Question 17: Which of the following physical status modifiers should a billing and coding specialist use for anesthesia services performed to reduce a traumatic fracture in an otherwise well 4-year-old patient?

Answer:

-P4

Question 18: A patient has a history of breast cancer that has metastasized to the liver and is undergoing chemotherapy today for the liver cancer. Which of the following ICD-10-CM codes should be sequenced first?

Answer:

C78.7 Secondary liver cancer Question 19: A billing and coding specialist is reviewing modifier use with a new employee.Which of the following scenarios warrants the use of a modifier?

Answer:

Splinting of the fourth digit on the left foot Question 20: Which of the following provisions ensures that an insured patient's benefits from third-party payers do not exceed 100% of allowable medical expenses?

Answer:

Coordination of benefits Question 21: A billing and coding specialist discovers suspicious billing activity that may be fraudulent in the workplace. Which of the following actions should the specialist take?

Answer:

Call the U.S. Department of Health and Human Services' (DHHS) anonymous hotline.Question 22: Which of the following is an advantage of electronic claim submission?

Answer:

Claims are expedited.Question 23: Which of the following is the purpose of running an insurance aging report each month?

Answer:

To determine which claims are outstanding from third-party payers Question 24: Which of the following is a HIPAA compliance guideline affecting electronic health records?

Answer:

The electronic transmission and code set standards require every provider to use the health care transactions, code sets, and identifiers.