NCCT Insurance & Coding Practice
Exam 2025/2026 Exam Questions and
Detailed Answers | Get it 100% Correct
Answers
The patient owes $25.00 for the visit. The amount collected for the office
visit is called what? - 🧠 ANSWER ✔✔Copayment
The insurance carrier rate is 80% the remaining 20% is called what? - 🧠
ANSWER ✔✔Coinsurance
A third party payer made an error when adjudicating a claim which of the
following should the specialist do? - 🧠 ANSWER ✔✔resubmit 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? - 🧠 ANSWER ✔✔A clean claim
A medicare patient presents to an out patient hospital facility for a
hysterectomy. To which medicare plan should be billed? - 🧠 ANSWER
✔✔Part B
1
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,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? - 🧠 ANSWER ✔✔Deductible
When there is a professional courtesy awarded to a patient's account the
insurance specialist should post the amount under what column? - 🧠
ANSWER ✔✔Adjustment 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. - 🧠 ANSWER ✔✔patient'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? -
🧠 ANSWER ✔✔Monthly 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? - 🧠 ANSWER ✔✔Ask the patient for another form of
insurance coverage
2
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Which are the following are necessary to complete a CMS-1500 form
(Choose 3) correct answers. - 🧠 ANSWER ✔✔Diagnosis 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? - 🧠 ANSWER ✔✔Aging
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. - 🧠 ANSWER ✔✔Patient's
insurance ID number, Physician's NPI number, and Date of service
Developing an insurance claim begins when? - 🧠 ANSWER ✔✔When the
patient calls to schedule an appointment
Which of the following must be verified to process a credit card
transaction? Choose (3) correct answers. - 🧠 ANSWER ✔✔Security 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? - 🧠 ANSWER
✔✔Collect fees at the time of service
3
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Exam 2025/2026 Exam Questions and
Detailed Answers | Get it 100% Correct
Answers
The patient owes $25.00 for the visit. The amount collected for the office
visit is called what? - 🧠 ANSWER ✔✔Copayment
The insurance carrier rate is 80% the remaining 20% is called what? - 🧠
ANSWER ✔✔Coinsurance
A third party payer made an error when adjudicating a claim which of the
following should the specialist do? - 🧠 ANSWER ✔✔resubmit 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? - 🧠 ANSWER ✔✔A clean claim
A medicare patient presents to an out patient hospital facility for a
hysterectomy. To which medicare plan should be billed? - 🧠 ANSWER
✔✔Part B
1
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,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? - 🧠 ANSWER ✔✔Deductible
When there is a professional courtesy awarded to a patient's account the
insurance specialist should post the amount under what column? - 🧠
ANSWER ✔✔Adjustment 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. - 🧠 ANSWER ✔✔patient'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? -
🧠 ANSWER ✔✔Monthly 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? - 🧠 ANSWER ✔✔Ask the patient for another form of
insurance coverage
2
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Which are the following are necessary to complete a CMS-1500 form
(Choose 3) correct answers. - 🧠 ANSWER ✔✔Diagnosis 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? - 🧠 ANSWER ✔✔Aging
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. - 🧠 ANSWER ✔✔Patient's
insurance ID number, Physician's NPI number, and Date of service
Developing an insurance claim begins when? - 🧠 ANSWER ✔✔When the
patient calls to schedule an appointment
Which of the following must be verified to process a credit card
transaction? Choose (3) correct answers. - 🧠 ANSWER ✔✔Security 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? - 🧠 ANSWER
✔✔Collect fees at the time of service
3
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
