Section Vi, Examination I, Cumulative 25 Questions

Section Vi, Examination I, Cumulative 25 Questions

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SECTION VI, EXAMINATION I, CUMULATIVE 25 QUESTIONS

SAMPLE NHA EXAMINATION

SECTION VI, EXAMINATION I, CUMULATIVE 25 QUESTIONS

SAMPLE NHA EXAMINATION

DIRECTIONS: Multiple Choice (Choose the best answer): Answer in letter only. Choose the answer that best describes the question.

  1. All of the following are correct regarding add-on codes except:
  1. They can be reported as stand alone codes.
  2. They are exempted from modifier-51 (multiple procedures).
  3. They are performed in addition to a primary procedure.
  4. The add-on procedure must be performed by the same physician.
  1. What is a pre-existing condition ?
  1. An illness or condition present before insurance coverage begins.
  2. A hereditary illness or condition.
  3. An illness or condition present after insurance coverage begins.
  4. A recurring condition.
  1. Which insurance policy is never primary when the insured has more than one policy ?

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  1. Blue Cross / Blue Shield
  2. Medicare
  3. Medicaid
  4. Any insurance can be considered as primary

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  1. A triangle in front of a code in the updated CPT Manual means:

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  1. It is a new procedure
  2. It is a minor procedure
  3. The description for the code has been changed
  4. The code has been deleted

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  1. The CPT coding system is:

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  1. Chief complaint based
  2. Cost based
  3. Diagnosis based
  4. Service & procedure based

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  1. A respirator used by a Medicare patient is an example of:

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  1. Expendable Medical Equipment
  2. Non-billable item
  3. Non-reusable medical equipment
  4. Durable medical equipment

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  1. Medical ethics are:

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  1. Laws which govern hospital protocol
  2. Standards of conduct
  3. For physicians only
  4. Traditions passed through generations

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8. The way to correct an error on a patient’s medical record is:

a. To use white-out and enter the correct data using a blue pen.

b. To erase the error and enter the correct data and write over the incorrect information.

c. To cross out the incorrect data with a single line and write in the correct information followed by initials and date.

d. To place self-adhesive paper over the incorrect data.

9 - A patient was diagnosed with cardiomegaly. This means the patient has:

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  1. Inflammation of the heart. c. A heart attack.
  2. Bacterial infection of the heart. d. Enlargement of the heart.

10- Which of the following is an ICD-9-CM subclasification ?

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a. 045

b. 255.0

c. 282.60

d. V15.4

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11 – Mrs. Ann Smith had a biopsy taken from a lump found in her left breast. Three

days after the procedure, she was informed that the biopsy is positive for

carcinoma. Five days later, Mrs. Smith undergoes a radical mastectomy. Which

of the following modifiers will be attached to the mastectomy procedure ?

a. - 24 (Unrelated Evaluation and Management Service by the same physician During a Postoperative period).

b. - 58 (Staged or Related Procedure or Service by the Same Physician During a Postoperative period).

c. - 78 (Return to the Operating Room for a related Procedure During a Postoperative period).

d. - 79 (Unrelated Procedure or Service by the same physician During a Postoperative period).

12 – A document that contains dates of service, list of detailed charges, co-

payments and deductibles paid, date insurance was filed, adjustments and

account balances is called:

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a. An inventory list.

b. An Encounter Form.

c. A Superbill

d. An itemized statement

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13 – Those who qualify for Medicaid include all of the following, except:

a. Low income families with children

b. Persons over 65 who are blind or have a permanent disability.

c. Persons who earn enough money to pay basic living expenses, but cannot afford high medical bills.

d. High income earners

14 – ICD – 9 – CM is the:

a. Hierarchal listing of codes describing psychological conditions.

b. International Classification of Diseases, 9th Revision, Clinical Modification.

c. Procedural Terminology

d. List of Fees for services

15 – An established patient is defined as one who has received professional

services from the physician or another physician of the same specialty in the

same group within the past how many years ?

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a. 1 year

b. 2 year

c. 3 year

d. 4 year

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16- Patient is diagnosed with metastatic bone neoplasm. The neoplasm will be

coded as ?

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a. Primary malignant

b. Secondary malignant

c. Carcinoma in situ

d. Benign

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17- Under the RBRVS method of reimbursement, “Conversion factor” is:

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a. A dollar amount

b. A way to find alternative codes.

c. Converts a consultation into an office visit.

d. Cost of living adjustment.

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18- An organization that initiated the development of ICD codes is ?

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  1. WHO
  2. HCFA
  3. NCHS
  4. AMA

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19- The patient’s birth date on the CMS-1500 form is entered in which of these

formats ?

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  1. MM/DD/YY
  2. DD/MM/YY
  3. MM/DD/CCYY
  4. DD/MM/YYYY

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20- A patient has contracture of the right hand due to a third degree burn

suffered a year ago. Code for the third degree burn suffered a year ago will

be referenced from the Alphabetic Index under which main term and subterm ?

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a. History, personal

b. History, family

c. Late, effects of burn

d. Burn, third degree

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21- The term used to describe the five long bones of the midfoot is:

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a. Maxillary bones

b. Metacarpal bones

c. Lacrimal bones

d. Metatarsal bones

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22- A service that is rarely provided, unusual, variable, or new may require a (n)

______in determining medical appropriateness of the service.

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a. Modifier

b. Add-on code

c. Special Report

d. Unlisted procedure

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23- A new patient is:

a. One who has not visited the physician in more than 6 months.

b. One who has not visited the physician in more than 3 years.

c. Determined by the physician and staff.

d. Determined by a third party payer.

24- Which statement sent by the payer to the covered individual contains

reimbursement amounts and an explanation in an easy-to-read format ?

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a. Remittance Advice

b. UB-04

c. CMS-1500

d. Explanation of Benefits

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25- What are the three key components of an E & M Code ?

a. Examination, coordination of care, medical decision making.

b. History, Examination, medical decision making.

c. History, nature of presenting problem, coordination of care.

d. nature of presenting problem, Examination, coordination of care

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