NCCT Practice Exam Questions 2022

NCCT Practice Exam Questions 2022 The patient owes $25.00 for the visit. The amount collected for the office visit is called what? - ✔✔Copayment The insurance carrier rate is 80% the remaining 20% is called what? - ✔✔ ...

NCCT Practice Exam Questions 2022 The patient owes $25.00 for the visit. The amount collected for the office visit is called what? - ✔✔Copayment The insurance carrier rate is 80% the remaining 20% is called what? - ✔✔Coinsurance A third party payer made an error when adjudicating a claim which of the following should the specialist do? - ✔✔resubmit the claim with an attachment explaining the error A claim submitted with all the necessary and accurate information so that it can be processed and paid is called? - ✔✔A clean claim A medicare patient presents to an out patient hospital facility for a hysterectomy. To which medicare plan should be billed? - ✔✔Part B The amount of the bill is $100 and this amount must be paid before the insurance company will pay on the claim. Which of the following is this called? - ✔✔Deductible When there is a professional courtesy awarded to a patient's account the insurance specialist should post the amount under what column? - ✔✔Adjustment column When the patient calls to inquire about an account which of the following does the insurance and coding specialist need to ask for before discussing the account? Choose 3 correct answers. - ✔✔patient's insurance Id number, patient's date of birth, patient's name When a capitation account is applied to a ledger it is also know as what? - ✔✔Monthly Prepayment amount The insurance and coding specialist calls a carrier to verify a patient's insurance an the representative states that the patient's insurance was cancelled three months ago. Which of the following should the insurance specialist do first? - ✔✔Ask the patient for another form of insurance coverage Which are the following are necessary to complete a CMS-1500 form (Choose 3) correct answers. - ✔✔Diagnosis CPT and ICD-10 codes, Physician information, Demographic information Which of the following reports is used to follow up on an outstanding claims to third party payers? - ✔✔Aging When following upon a denied claim an insurance specialist should have which of the following information available when speaking with the insurance company? Select 3 correct answers. - ✔✔Patient's insurance ID number, Physician's NPI number, and Date of service Developing an insurance claim begins when? - ✔✔When the patient calls to schedule an appointment Which of the following must be verified to process a credit card transaction? Choose (3) correct answers. - ✔✔Security code, credit card number, and account number The most effective method to manage statements and other financial invoices as well as avoid payment delays is to do what? - ✔✔Collect fees at the time of service Based on the CMS 1500 manual system, when updating or maintaining the billing code database which of the following does the R denote? - ✔✔Revised An insurance and coding specialist is reviewing a patient's encounter form that is documented in the medical record prior to completing a CMS-1500 form she notices the physician up-coded the encounter form. The specialist has an ethical obligation to first? - ✔✔Query the physician HIPPA allows a healthcare provider to communicate with a patient's family, friend, or other person's who are involved in the patient's care regarding their mental health status providing the patient does what? - ✔✔Does not object Claims are often rejected because a provider needs to obtain what? - ✔✔Preauthourizations When using an Electronic Health Record (EHR) system to enter cpt codes on a CMS-1500 claim form for electronic submission which of the following should be entered on the claim form first? - ✔✔The most resource-intensive procedure or service The Fair and Debt collection Act restricts debt collectors from engaging in conduct that includes what? - ✔✔Calling before 8:00am or after 9:00pm, unless given permission Which of the following information is needed to determine a Medicaid sliding fee scale? choose (3) correct answers - ✔✔Poverty, salary, and number of depedents The patient presents today for upper gastroinstestinal (GI) endoscopy and a biopsy of the stomach. Which of the cpt codes should be assigned? - ✔✔43239 Digestive Esophagogastroduodenoscopy with biopsy When posting an insurance payment via EOB the amount that is covered contractually is known as what type of payment? - ✔✔Allowed Amount Encounter forms should be audited to ensure what? - ✔✔the diagnosis codes are in proper ICD-10 format A medicare patient has an 80/20 plan the charged amount was $300. The allowed amount was $100. Which of the following is the patient's coinsurance? - ✔✔$20 Which of the following is the correct cpt code for Medialstinal and regional lymphadenectomy with RT video assisted thoracic (VATS) lobectomy? - ✔✔32663-RT, 32674 Surgery Respiratory Video Assisted Thoracic (right lung) lobectomy The patient opted to have a tubal ligation performed which of the following is needed in order for the third party payer to cover the procedure? - ✔✔Precertification Which of following form provides information from the Managed Care Organization( MCO) that paid on the claim? - ✔✔Explanation of Benefits (EOB) The patient presented with three lacerations, the physician performed the following a simple repair of 2.5 cm lacerations of the scalp and simple repair of a 2.5 cm laceration of the hand. What is the appropriate cpt code? - ✔✔12002 simple repair of superficial wounds of scalp, neck , axillae, external genitalia, trunk and or extremities (including hands and feet) A 45 year old patient with ESRD receives a unilateral cadaver kidney transplant . The surgeon performs the bench-work in addition to the transplant. Which of the following cpt codes should be assigned? - ✔✔50300, 50323 Urinary, Renal transplantation cadaver donor unilateral, and back bench-work of cadaver donor preparation The patient's diagnosis is vesicouretal reflux with nephropathy (without hydroureter and chronic obstruction pyelonephritis due to e-coli infection. Which of the following ICD-10 codes should be assigned? - ✔✔N13.729, N11.1, and B96.2 The provider is paid the same rate per patient whether or not they provide services and no matter which service were provided. This payment is known as what? - ✔✔Capitation The patient presents to the ED with Right Lower Quadrant Pain (RLQ) and fever. The physician lists appendicitis as a possible diagnosis. Which of the following ICD-10 code should be assigned? - ✔✔R10.31, R50.9 Pain-right quadrant (1) Fever-(inanition) (of unknown origin) 2 The physician is performing a complicated urethrectomy on a female patient. The patient was tolerating the procedure fairly well until the patient's blood pressure began to drop dangerously low. After having trouble stabilizing the patient the physician discontinued the procedure. What is the assigned cpt code? - ✔✔53210-53 Patient has returned to the operating room to aspirate a seroma that has developed from a surgical procedure that was performed two days ago. A 16 in gauze needle was used to aspirate 600cc's of a non-cloudy fluid. What is the correct cpt code? - ✔✔1