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Exam (elaborations)

NCCT Billing and Coding Final Exam Questions and Answers 2025 | Verified Solutions

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This comprehensive document contains 100+ verified questions and answers for the NCCT Billing and Coding Final Exam. Covering key topics such as medical terminology, ICD-10-CM, CPT coding, HIPAA regulations, Medicare, Medicaid, TRICARE, and insurance billing procedures, this resource is essential for students and professionals preparing for certification. Includes detailed explanations and correct codes to ensure mastery of medical billing and coding concepts.

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NCCT Billing And Coding
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Institution
NCCT Billing and Coding
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NCCT Billing and Coding

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Uploaded on
August 21, 2025
Number of pages
214
Written in
2025/2026
Type
Exam (elaborations)
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NCCT BILLING AND CODING FINAL EXAM
QUESTIONS WITH CORRECT AND VERIFIED
ANSWERS 2025

Thelmedicalltermlforlwaterlonlthelbrainlisl______.
a.lCephalocele
b.lCephalohydrosis
c.lHydrocephalus
d.lHydrocele
l- CORRECT ANSWER >>>-c.lHydrocephalus

WhichloflthelfollowinglislNOTlassociatedlwithlcomputers?
a.lEPO
b.lROM
c.lRAM
d.lCPUl-l
CORRECT ANSWER >>>-a.lEPO

StatelinsurancelcommissionerslorldepartmentlwillldolALLlBUTlWHICHlONElofl
thelfollowing?
a.lHandlelillegallcancellationsloflpolicies
b.lAssurelthatlagentslcomplylwithlinsurancellaws
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot
d.lAssurelthatlbrokerslcomplylwithlinsurancellaws
l-lCORRECT ANSWER >>>-
c.lFilelinsurancelformslonlbehalfloflpeoplelwholcannot

UnderltheloriginallMedicarelPlan,lalpatientlwholwantsltolprotestlpaymentlthatl
waslnotlmadelshouldlbeltoldltol_____.
a.lfilelanlappeal
b.lhirelallawyer
c.lasklforlanlAdministrativelLawlJudgelhearing
d.lfilelalclaimlwithlthelCMSlregionalloffice
l-lCORRECT ANSWER >>>-a.lfilelanlappeal

Militarylpersonnellandltheirldependentslreceivelmedicallcoveragelthroughl_____.
a.lCHAMPVA

1

,b.lMedicarel
c.lprivatelHMOs
d.lTRICARE
l-lCORRECT ANSWER >>>-d.lTRICARE

ThelHealthlInsurancelPortabilitylandlAccountabilitylActl(HIPAA)ldealslwithl___
____.
a.lprivacylruleslforlprotectedlhealthlinformation
b.lstandardslforlelectronicltransactions
c.lstandardslforlcodelsets
d.lAlllanswerslarelcorrectl-l
CORRECT ANSWER >>>-d.lAlllanswerslarelcorrect

WhichloflthelfollowinglgroupsloflpeoplelareleligiblelforlMedicaid?
a.lRetired,loverlthelagelofl65,lvisionlimpaired,lorldisabled
b.lPeoplelwholarelinjuredlonltheljob
c.lRetiredlmilitarylpersonnellandltheirldependents
d.lNeedylandllow-incomelpeoplel-
lCORRECT ANSWER >>>-d.lNeedylandllow-incomelpeople

WhichloflthelfollowinglwouldlnotlbelcoveredlbylMedicare?
a.lCosmeticlsurgery
d.lHomelhealthlcare
c.lHospitalization
d.lBloodltransfusionsl-l
CORRECT ANSWER >>>-a.lCosmeticlsurgery

MedicarelenrolleeslhavelthelrightltolassignltheirlbenefitsltolHMOs.
a.lTrue
b.lFalse
c.lOnlylinlCalifornialandlFlorida
d.lOnlylinlNewlJerseylandlUtah
l-lCORRECT ANSWER >>>-a.lTrue

Thelmodifierl-22lattachedltolalCPTlcodelwillloftenl_______.
a.lfacilitatelelectroniclsubmissions
b.ldelayedlpayment
c.lguaranteelpaymentl
d.lrequiredlcallinglaltoll-freelnumber
l-lCORRECT ANSWER >>>-c.lguaranteelpayment
2

,Workers'lCompensationllawslserveslwhatlpurpose?
a.lTolprovidelallonglconvalescencelforlsicklemployees
b.lTolensurelpaymentloflfeesltolattorneys
c.lTolreceivelcompensationlfromlthelpubliclandlprivatelcharities
d.lTolencouragelemploymentlinterestlinlsafetyl
-lCORRECT ANSWER >>>-d.lTolencouragelemploymentlinterestlinlsafety

ALLlBUTlWHICHlONEloflthelfollowinglwilllhelplthelinsurancelspecialistlinlbuil
dinglandltrackinglworkers'lcompensationlclaims?
a.lKeepinglalphonellogloflconversationlwithltheladjuster
b.lObtaininglalworkers'lcompensationlfeelschedule
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule
d.lDiscussinglthelcaselwithlthelclaimslrepresentativel
-lCORRECT ANSWER >>>-
c.lVerifyinglcodeslagainstlthelMedicarelfeelschedule

ThelSociallSecuritylDisabilitylInsurancel(SSDI)lprovideslbenefitslforl_________.
a.ltheldisabledloverlthelagelofl65
b.lworkerslwithlshortltermldisability
c.lworkers'lwithllongltermldisability
d.lcoveredlworkerslinjuredlonltheljob
l-lCORRECT ANSWER >>>-c.lworkers'lwithllongltermldisability

WhichloflthelfollowinglislNOTlpartloflalmedicallcoderlandlbillinglspecialist'sljobl
description?
a.lCodinglinformationlfromlmedicallrecords
b.lConsultinglwithlphysicianslforlclarificationlofldata
c.lMaintaininglofficelstafflpersonnellfileslandldata
d.lVerifyingldatalonlencounterlformsl
-lCORRECT ANSWER >>>-c.lMaintaininglofficelstafflpersonnellfileslandldata

Self-
employedlinsurancelbillinglspecialistslcanlbelexpectedltoldolALLlBUTlWHICHl
ONEloflthelfollowing?
a.lObtainlalbusinessllicense
b.lObtainlemployeelbenefits
c.lFollowllegallstandards
d.lFilelquarterlyltaxesl
-lCORRECT ANSWER >>>-b.lObtainlemployeelbenefits
3

, Dorland'slandlStedman'slarelcommonlylusedl_______.
a.lmedicalldictionaries
b.lcodelbook
c.lcertificationlprograms
d.linsurancelnewsletters
l-lCORRECT ANSWER >>>-a.lmedicalldictionaries

AlmedicallconditionlNOTlcoveredlbylanlinsurancelbylanlinsurancelcarrierlislcalle
dlanl_______.
a.lincision
b.loption
c.lexception
d.lexclusionl-lCORRECT ANSWER >>>-d.lexclusion

Thelconditionlestablishedlafterlstudylthatlislchieflylresponsiblelforlalpatient'sladm
issionltolalhospitallislknownlaslthel______.
a.ladministratinglsymptoms
b.lprincipalldiagnosis
c.lprimaryldiagnosis
d.ladmittingldiagnosisl-lCORRECT ANSWER >>>-b.lprincipalldiagnosis

WhichlgrouplislNOTlentitledltolmedicallbenefitslunderlTRICARElStandard?
a.lMilitarylretireeslandltheirleligiblelfamilylmembers
b.lWardslandlpre-adoptivelchildrenloflmilitarylservicelmembers
c.lEligiblelfamilylmembersloflactiveldutylservicelmembers
d.lDependentsloflactivelmilitarylwithltotal,lpermanentlservice-
connectedldisabilityl-lCORRECT ANSWER >>>-
d.lDependentsloflactivelmilitarylwithltotal,lpermanentlservice-connectedldisability

ThelCPTlcodelforlcomputedltomographyloflthelheadlandlbrainlwithoutlcontrastlis
l_______.
a.l70490
b.l70480
c.l70470
d.l70450l-lCORRECT ANSWER >>>-d.l70450

WhichlofltheselsituationldoeslNOTlrequirelinformedlconsentlbylthelpatient?
a.lSurgery
b.lPrescriptionloflalcontrolledlsubstancesl
4

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