NCCT Practice Exam: Questions

NCCT Practice Exam: Questions &

Answers

Which of the following must a patient sign prior to an insurance claim being processed?

• the HIPAA waiver form
• a referral form
• an Authorization to Release Information
• the actual insurance claim form

(Ans- c. an Authorization to Release Information

Which of the following patient information is needed to determine a Medicaid sliding fee scale. Select the three (3) correct answers.

• amount of the bill
• occupation
• number of dependents
• poverty level
• salary

(Ans-

• number of dependents
• poverty level
• salary

When a document is changed in an EHR, the original documentation is

• locked
• deleted
• printed
• hidden

(Ans- d. hidden

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When patients sign Block 13 of the CMS-1500 claim to instruct the payer to directly reimburse the provider, it is known as

• assignment of benefits
• notice of privacy practice
• code linkage
• coordination of benefits

(Ans- d. coordination of benefits

Which of the following forms provides information from the Managed Care Organization that paid on the claim?

• CMS-1500
• UB-92
• UB-04
• EOB

(Ans- d. EOB

A patient has called to schedule an appointment for an office visit to see the doctor tomorrow for an earache. It is discovered during the scheduling process that the insurance policy on file has been cancelled. Which of the following should the insurance and coding specialist do next?

• Advise the patient to bring current insurance information to the

appointment

• Ask the patient if he is currently employed and if the cancellation is an

error

• Advise the patient that he will not be able to schedule an appointment

with the doctor

• Ask the patient to pay the insurance premium to the office at the time of

the visit.(Ans- a. advise the patient to bring current insurance information to the appointment

Which of the following forms should be transmitted to obtain reimbursement following a physician's office visit for a patient with active Medicaid coverage?

• Private Pay Agreement 2 / 3

• UB-04
• CMS-1450
• CMS-1500

(Ans- d. CMS-1500

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? (Select the three (3) correct answers.)

• patient's claim number
• patient's name
• patient's insurance ID number
• patient's date of birth
• patient's social security number

(Ans-

• patient's name
• patient's insurance ID number
• patient's date of birth

The provider is paid the same rate per patient whether or not they provide services and no matter which services were provided. This payment is known as

• coinsurance
• capitation
• fee for service
• a deductible

(Ans- b. capitation

Which of the following defines the maximum time that a debt can be collected from the time it was incurred or became due?

• Stark Law
• practice management payment policy
• statute of limitations
• benchmark

(Ans- c. statute of limitations

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