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Exam (elaborations)

NCCT Insurance & Coding Practice Test-Graded A

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NCCT Insurance & Coding Practice Test-Graded A

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NCCT Insurance & Coding Practice Test-
Graded A

Advise the patient to bring current insurance information to the appointment. - ANS-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?

copayment - ANS-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

patient ledger. - ANS-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

deductible - ANS-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?

capitation. - ANS-The provider is paid the same rate per patient whether or not they
provide services and no matter which services were provided. This payment is known
as

patient search - ANS-When using the EHR to schedule a patient visit, which of the
following screens should be used to complete the scheduling process?

an Authorization to Release Information - ANS-Which of the following must a patient
sign prior to an insurance claim being processed?

adjustment column. - ANS-When there is a professional courtesy awarded to a patient's
account the insurance and coding specialist should post the amount under the

monthly prepayment amount. - ANS-When a capitation account is applied to the ledger
it is also known as a

EOB - ANS-Which of the following forms provides information from the Managed Care
Organization that paid on the claim?

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