NCCT Insurance & Coding Practice Test

NCCT Insurance & Coding Practice Test 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? -Correct Answer-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 -Correct Answer-copayment 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 payment of $70.89. These transactions should be recorded in the -Correct 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? -Correct 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 -Correct 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? -Correct Answer-her policy. A Medicare patient has an 80/20 plan. The charged amount was $300.00. The amount allowed was $100.00. Which is the patient's coinsurance? -Correct Answer-20% A Medicare patient presents to an outpatient hospital facility for a scheduled hysterectomy. To which Medicare plan should the facility submit the claim? -Correct Answer-Part B Claims are often rejected because a provider needs to obtain -Correct Answer-pre-authorizations. How often should the encounter form/superbill CPT codes be updated? -Correct Answer-annually If the insurance carrier's rate of benefits is 80%, the remaining 20% is known as -Correct Answer-coinsurance. The most effective method to manage patient statements and other financial invoices as well as avoid payment delays is to -Correct Answer-collect fees at the time of service. The patient is sent a statement for an office visit. The total amount of the bill is $100.00 and this amount must be paid before the insurance company will pay on the claim. Which of the following is this called? -Correct Answer-deductible The provider is paid the same rate per patient whether or not they provide services and no matter which se