NHA Practice Test 1 Questions and Answers Already Passed

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NHA Practice Test 1 Questions and Answers Already Passed Which of the following should the billing and coding specialist include in an authorization to release information? ✔✔The entity to whom... the information is to be released. Which of the following actions should the billing and coding specialist take if they observes a colleague in an unethical situation? ✔✔Report the incident to a supervisor, whom will then report to the company compliance officer if need be. When posting payment accurately, which of the following items should the billing and coding specialist include? ✔✔The patient's responsibility (copay, deductible, or coinsurance) A dependent child whose parents both have insurance coverage comes to the clinic. The billing and coding specialist uses the birthday rule to determine which insurance policy is primary. Which of the following describes the birthday rule? ✔✔The parent whose birthdate comes first in the calendar year. Which of the following statements is true regarding the release of patient records? ✔✔Patient access to psychotherapy notes may be restricted. A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? ✔✔Denied; the patient technically does not have insurance coverage since their plan is not active due to non-payment of premium. Which of the following do physicians use to electronically submit claims? ✔✔Clearinghouse; an independent organization that receives insurance claims from physicians' offices, performs software edits, and distributes those claims electronically to third-party payers. When coding on the UB-04 form, the billing and coding specialist must sequence the diagnosis codes according to ICD guidelines. Which of the following is the first listed diagnosis code? ✔✔Principal Diagnosis A patient has AARP as secondary insurance. In which of the following blocks on the CMS-1500 claim form should this information be entered? ✔✔Block 9 According to HIPAA standards, which of the following identifies the rendering provider on the CMS-1500 claim form in Block 24j? ✔✔NPI Which of the following provisions ensures that an insured's benefits from all insurance companies does not exceed 100% of allowable medical expenses? ✔✔Coordination of benefits Which of the following is the verbal or written agreement that gives approval to some action, situation, or statement, and allows the release of patient information? ✔✔Consent agreement A deductible of $100 is applied to a patient's remittance advice. The provider requests the account personnel write it off. Which of the following terms describes this scenario? ✔✔Fraud What is considered abuse in the medical field? ✔✔ What is considered waste in the medical field? ✔✔ A coroner's autopsy is comprised of which of the following examinations? ✔✔Gross examination Which of the following is the advantage of electronic claim submission? ✔✔Claims are expedited. A patient presents to the provider with chest pain and shortness of breath. After an unexpected ECG result, the provider calls a cardiologist and summarizes the patient's symptoms. What portion of HIPAA allows the provider to speak to the cardiologist prior to obtaining the patient's consent? ✔✔Title 2; This deals with the administrative simplifications, which include communication with parties involved with the patient's care. The patient signs an agreement and is given a copy of the HIPAA standards upon becoming a patient. A physician ordered a comprehensive metabolic panel for a 70-year-old patient who has Medicare as her primary insurance. Which of the following forms is required so the patient knows she may be responsible for payment? ✔✔Advanced Beneficiary Notice. Which of the following does a patient sign to allow payment of claims directly to the provider? ✔✔Assignment of benefits All dependents 10 years of age or older are required to have which of the following for TRICARE? ✔✔Military identification [Show More]

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