NCCT Practice Test Final Actual Exam Newest Actual Exam
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Which of the following is an appropriate way to open the discussion
when explaining practice fees to a patient?
a. "Do you have any questions about the cost of today's visit?"
b. We can accept your insurance as payment in full."
c. "Do you know what your out of pocket cost is today?"
d. "We will bill you for the visit in full." - ANSWERS--A. "Do you have
any questions about the cost of today's visit?"
Which of the following information should be used to capture
charges from an encounter form?
a. provider participation status
b. patient's insurance benefits
c. past procedures and scheduled future visits
d. services rendered and reason for visit - ANSWERS--d. services
rendered and reason for visit
When posting transactions for electronic claims submission, it is
necessary to enter which of the following items onto the claim?
a. insurance plan's allowable fee
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b. physician's office fee
c. insurance plan's UCR fee
d. physician's contractual fee - ANSWERS--b. physician's office fee
The patient is sent a statement for an office visit. The total amount
of the bill is $100.00 and this amount must be paid before the
insurance company will pay on the claim. Which of the following is
this called?
a. deductible
b. premium
c. copayment
d. coinsurance - ANSWERS--a. deductible
When posting an insurance payment via an EOB, the amount that is
considered contractual is the:
a. co-insurance
b. NON-PAR payment allowable
c. patient responsibility
d. insurance allowed amount - ANSWERS--d. insurance allowed
amount
Developing an insurance claim begins
a. when the patient calls to schedule an appointment
b. once the charges have been entered into the computer
c. when the patient arrives for the appointment
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d. after the medical encounter is completed - ANSWERS--a. when the
patient calls to schedule an appointment
When should a provider have a patient sign an ABN?
a. when a service is excluded from coverage under Medicare
b. when the items may be denied and prior to performing the service
c. when the service is covered under Part B fee schedule
d. prior to treating a patient who requires emergency services that
might not be covered - ANSWERS--b. when the items may be denied
and prior to performing the service
Which of the following regulations prohibits the submission of a
fraudulent claim or making a false statement or representation in
connection with a claim?
a. Stark Law
b. Federal Claims Collection Act
c. Federal False Claims Act
d. Anti-kickback Law - ANSWERS--c. Federal False Claims Act
The patient's total charges are $300. The allowed amount is $150.
Benefits pay 60%. Which of the following will the patient have to
pay?
a. $60
b. $90
c. $150
d. $180 - ANSWERS--a. $60