Questions and Answers (Latest Update
2026)
It is important to make the patient aware of the mailing address,
interest rates, and length of agreement when setting up a -
correct answer ✅payment arrangement.
What is the correct term for a doctor who enters into an agreement
with a third party payer on charges, discounts, and services
rendered to their policyholders within the network? -
correct answer ✅PAR (participating provider) a physician who
enters into an agreement with a payer to offer discounts on charges
rendered to their policy holders.
What should a practice's financial policy always explain? -
correct answer ✅what is required from the patient and when
payment is due
A patient had a procedure which was billed at $200.00. The allowed
amount was $150.00 and he has $50.00 left to meet of his
deductible. His co-insurance is 20%. How much does the patient
owe? -
correct answer ✅$80
,NCCT Billing and Coding Exam
Questions and Answers (Latest Update
2026)
The patient in this question is responsible for 20%. $150 allowed
amount. 20% of $150 allowed is $30. Patient still owes $50
deductible. Patient would owe $80 total.
The physician charges $100 for a visit. The insurer allowable
amount is $80. The patient has a $200 deductible, which has not
been met. Which of the following will happen? -
correct answer ✅The patient will be billed $80.
The allowed amount is now the cost of the service, so since the
deductible is not met, the patient will be responsible for the entire
$80.
Which of the following documents from the insurance carrier
should the payment poster read and post the payments or
contractual adjustments to the patient account? -
correct answer ✅remittance advice.
A remittance advice is used to post payments from insurance
carriers.
The insurance and coding specialist received an EOB and is posting
the payments to the patient accounts. According to the following
,NCCT Billing and Coding Exam
Questions and Answers (Latest Update
2026)
information below, how much does the patient still owe for this
service?
Non-participating provider
Copay: $20, paid at time of service
Deductible amount that patient paid: $100
Accepted fee for service: $250
Insurance payment: $75 -
correct answer ✅$55
Total charges are $250.00 of which the patient has paid $20.00 and
$100.00. This now leaves a balance of $130.00, of which the
insurance company paid $75.00. This now leaves a balance due
from the patient of $55.00.
Which of the following are the steps to posting a Medicare payment
to the patient's account? -
correct answer ✅Review the EOB., Adjust any contractual
agreements., Send the billing statement if there is a balance.
First the EOB should be reviewed to make sure all the information is
correct and the correct patient is credited. Any payments are
, NCCT Billing and Coding Exam
Questions and Answers (Latest Update
2026)
posted and all the adjustments are made. Once these tasks are
finished, the system will generate a statement of any balances due
to send to the patient. There is no need to check the copay since
the system will automatically have this information on the
statement to the patient.
Which of the following does a thorough understanding of the
Explanation of Benefits (EOB) supplied by the payer allow the
insurance and coding specialist to do? -
correct answer ✅Apply write-offs., Bill patients correctly., Resolve
payment issues.
Which of the following information will the insurance and coding
specialist need to apply the payment correctly when in receipt of an
insurance EOB and check for payment? -
correct answer ✅account number, date of service, patient name
The difference between the billed amount and the allowed amount
for services from a participating provider is -
correct answer ✅adjusted by the provider.
When a patient sees a participating provider, he receives a
discount. This discounted amount is called the allowed amount.