NCCT Insurance and Coding Specialist Certification Test

NCCT Insurance and Coding Specialist Certification Test When a capitation account is applied to the ledger it is also known as a -- Correct Answer-monthly prepayment amount Which of the following reports is used to follow up on outstanding claims to third party payers? Correct Answer-aging Developing an insurance claim begins -- Correct Answer-When the patient calls to schedule an appointment. Which of the following patient information is needed to determine a Medicaid sliding fee scale? Correct Answer-Poverty level, number of dependents, salary A 43-year old established patient presented to office for his annual visit. The physician performed a comprehensive history and exam. The physician wrote a refill for chronic condition of Diabetes Mellitus II and Hypertension. Which of the following is the correct code assignment. Correct Answer-99396, Z00.00, I10, E11.9 Which of the following information is necessary to post payments from the RA/EOB? Correct Answer-billed CPT codes, patients name, date of 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? Correct Answer-Federal False Claim Act Co-Insurance is typically due Correct Answer-after the claim has been adjudicated A patient presents to the ED with multiple stab wounds to the arms and chest. On examination there are 3 deep lacerations to the arms measuring 1.2 cm, 1.4 cm, and 2.1 cm requring complex closure, and 2 superficial wounds measuring 1.3 cm and 2.4 cm requiring intermediate closure. Which of the following is the correct CPT code assignment. Correct Answer-13121, 12032-59