FREE AND STUDY GAMES ABOUT NHA BILLING CODING T

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FREE AND STUDY GAMES ABOUT NHA BILLING CODING T

EXAM QUESTIONS

Qs and Ans Expert- Explanation

This Exam contains:

-Guarantee passing score -225 Questions and Answers -format set of multiple-choice -Expert- 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 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 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.