NHA Billing and Coding test bank (CBCS)verified 2023 100% CORRECT, SATISFACTIONS GUARANTEED 

NHA Billing And Coding Practice Test

(CBCS)

The attending physician - A nurse is reviewing a patients lab results prior to discharge and

discovers an elevated glucose level. Which of the following health care providers should be

altered before the nurse can proceed with discharge planning?

The patients condition and the providers information - On the CMS-1500 Claims for, blocks

14 through 33 contain information about which of the following?

Problem focused examination - A provider performs an examination of a patient's throat

during an office visit. Which of the following describes the level of the examination?

Reinstated or recycled code - The symbol "O" in the Current Procedural Terminology

reference is used to indicate which of the following?

Coinsurance - Which of the following is the portion of the account balance the patient must

pay after services are rendered and the annual deductible is met?

Place of service - The billing and coding specialist should divide the evaluation and

management code by which of the following?

Cardiovascular system - The standard medical abbreviation "ECG" refers to a test used to

access which of the following body systems?

add on codes - In the anesthesia section of the CPT manual, which of the following are

considered qualifying circumstances?

12 - As of April 1st 2014, what is the maximum number of diagnosis that can be reported

on the CMS-1500 claim form before a further claim is required?

Nephrolithiasis - When submitting a clean claim with a diagnosis of kidney stones, which of

the following procedure names is correct?

Verifying that the medical records and the billing record match - Which of the following is

one of the purposes of an internal auditing program in a physician's office?

The DOB is entered incorrectly - Patient: Jane Austin; Social Security # 555-22-1111;

Medicare ID: 555-33-2222A; DOB: 05/22/1945. Claim information entered: Austin, Jane;

Social Security #.: 555-22-1111; Medicare ID No.: 555-33-2222A; DOB: 052245. Which of

the following is a reason this claim was rejected?

Operative report - Which of the following options is considered proper supportive

documentation for reporting CPT and ICD codes for surgical procedures?

Verify the age of the account - Which of the following actions should be taken first when

reviewing delinquent claims?

Claim control number - Which of the following components of an explanation of benefits

expedites the process of a phone appeal?

Bloc 24D contains the diagnosis code - A claim can be denied or rejected for which of the

following reasons?

Privacy officer - To be compliant with HIPAA, which of the following positions should be

assigned in each office?

encrypted - All e-mail correspondence to a third party payer containing patients' protected

health information (PHI) should be

patient ledger account - A billing and coding specialist should understand that the financial

record source that is generated by a provider's office is called a

Coding compliance plan - Which of the following includes procedures and best practices for

correct coding?

Health care clearinghouses - HIPAA transaction standards apply to which of the following

entities?

Appeal the decision with a provider's report - Which of the following actions should be

taken if an insurance company denies a service as not medically necessary?

Accommodate the request and send the records - A patient with a past due balance

requests that his records be sent to another provider. Which of the following actions should

be taken?

$48 - A participating BlueCross/ BlueShield (BC/BS) provider receives an explanation of

benefits for a patient account. The charged amount was $100. BC/BS allowed $40 to the

patients annual deductible. BC/BS paid the balance at 80%. How much should the patient

expect to pay?