NCCT Insurance & Coding Practice Test
2025/2026 Exam Questions and
Corresponding Answers with Surety of
100% Pass Mark
An insurance and coding specialist is reviewing a patient's encounter form
that is documented in the medical record prior to competing a CMS-1500
form. She notices that the physician upcoded the encounter form. The
specialist has the ethical obligation to first - 🧠 ANSWER ✔✔query the
physician
A patient had surgery two weeks ago to repair a dislocated ankle, and
returns today to have a flexor tendon in the hand repaired. Which of the
following modifiers should be reported for today's service? - 🧠 ANSWER
✔✔-79
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? - 🧠 ANSWER
1
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,✔✔Advise the patient to bring current insurance information to the
appointment.
An established patient is being seen by the physician today. The patient
owes $25.00 for the visit. The amount collected for the office visit is called
the - 🧠 ANSWER ✔✔copayment
Applying the birthday rule, a minor child comes in. Both parents have
remarried and the child is listed on the mother's, father's, and both step-
parents' policies. The mother's birthday is April 16, stepfather's birthday
March 19, father's birthday is February 19th, and the stepmother's birthday
is January 20th. Which of the following is correct? - 🧠 ANSWER
✔✔Father's plan is primary, mother's plan is secondary.
A provider performed a right sided facet joint injection using fluoroscopic
guidance. The billed codes were 64493 and 77003. An EOB was returned
denying the charge of 77003. Why was this charge denied? - 🧠 ANSWER
✔✔Imaging guidance is an inclusive component of 64493.
A patient was seen in the office. Charges were recorded and submitted to
the patient's insurance, and an EOB was received by the office with a
2
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, payment of $70.89. These transactions should be recorded in the - 🧠
ANSWER ✔✔patient ledger.
A new HIM director was recently hired at a hospital. She was advised her
health insurance benefits become available in 90 days. Which of the
following is correct regarding her health insurance? - 🧠 ANSWER ✔✔She
will be able to keep her current medical insurance from her previous job
through COBRA.
A claim submitted with all the necessary and accurate information so that it
can be processed and paid is called a - 🧠 ANSWER ✔✔clean claim.
A patient has two health insurance policies-a group insurance plan through
her full-time employer and another group insurance plan through her
husband's employer. Which of the following policies should be billed as
primary? - 🧠 ANSWER ✔✔her policy.
An insurance and coding specialist is reviewing Appendix M in the CPT
book. Which of the following is she most likely performing? - 🧠 ANSWER
✔✔checking for renumbered codes
3
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
2025/2026 Exam Questions and
Corresponding Answers with Surety of
100% Pass Mark
An insurance and coding specialist is reviewing a patient's encounter form
that is documented in the medical record prior to competing a CMS-1500
form. She notices that the physician upcoded the encounter form. The
specialist has the ethical obligation to first - 🧠 ANSWER ✔✔query the
physician
A patient had surgery two weeks ago to repair a dislocated ankle, and
returns today to have a flexor tendon in the hand repaired. Which of the
following modifiers should be reported for today's service? - 🧠 ANSWER
✔✔-79
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? - 🧠 ANSWER
1
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,✔✔Advise the patient to bring current insurance information to the
appointment.
An established patient is being seen by the physician today. The patient
owes $25.00 for the visit. The amount collected for the office visit is called
the - 🧠 ANSWER ✔✔copayment
Applying the birthday rule, a minor child comes in. Both parents have
remarried and the child is listed on the mother's, father's, and both step-
parents' policies. The mother's birthday is April 16, stepfather's birthday
March 19, father's birthday is February 19th, and the stepmother's birthday
is January 20th. Which of the following is correct? - 🧠 ANSWER
✔✔Father's plan is primary, mother's plan is secondary.
A provider performed a right sided facet joint injection using fluoroscopic
guidance. The billed codes were 64493 and 77003. An EOB was returned
denying the charge of 77003. Why was this charge denied? - 🧠 ANSWER
✔✔Imaging guidance is an inclusive component of 64493.
A patient was seen in the office. Charges were recorded and submitted to
the patient's insurance, and an EOB was received by the office with a
2
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, payment of $70.89. These transactions should be recorded in the - 🧠
ANSWER ✔✔patient ledger.
A new HIM director was recently hired at a hospital. She was advised her
health insurance benefits become available in 90 days. Which of the
following is correct regarding her health insurance? - 🧠 ANSWER ✔✔She
will be able to keep her current medical insurance from her previous job
through COBRA.
A claim submitted with all the necessary and accurate information so that it
can be processed and paid is called a - 🧠 ANSWER ✔✔clean claim.
A patient has two health insurance policies-a group insurance plan through
her full-time employer and another group insurance plan through her
husband's employer. Which of the following policies should be billed as
primary? - 🧠 ANSWER ✔✔her policy.
An insurance and coding specialist is reviewing Appendix M in the CPT
book. Which of the following is she most likely performing? - 🧠 ANSWER
✔✔checking for renumbered codes
3
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
