NCCT Insurance & Coding Practice Exam Questions with 100% Correct Answers | Updated & Verified

NCCT Insurance & Coding Practice Exam Questions with 100% Correct Answers | Updated & Verified The patient owes $25.00 for the visit. The amount collected for the office visit is called what? - answerCopayment The insurance carrier rate is 80% the remaining 20% is called what? - answerCoinsurance A third party payer made an error when adjudicating a claim which of the following should the specialist do? - answerresubmit 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? - answerA clean claim A medicare patient presents to an out patient hospital facility for a hysterectomy. To which medicare plan should be billed? - answerPart 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? - answerDeductible When there is a professional courtesy awarded to a patient's account the insurance specialist should post the amount under what column? - answerAdjustment 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. - answerpatient'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? - answerMonthly 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? - answerAsk the patient for another form of insurance coverage Which are the following are necessary to complete a CMS-1500 form (Choose 3) correct answers. - answerDiagnosis 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? - answerAging 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. - answerPatient's insurance ID number, Physician's NPI number, and Date of service Developing an insurance claim begins when? - answerWhen the patient calls to schedule an appointment Which of the following must be verified to process a credit card transaction? Choose (3) correct answers. - answerSecurity 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? - answerCollect 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? - answerRevise