NCCT STUDY GUIDE (MOA)
EXAM QUESTIONS AND
ANSWERS 100% PASS
The phrase __ was coined to indicate payment of services rendered by someone
other than the patient - ANSWER-Third-party reimbursement
Since 2005, providers have been urged to - ANSWER-Send claims electronically
The CMS-1500 form is accepted by - ANSWER-Medicare and Medicaid
When a third-party payer identifies an error on the claim form, the claim is -
ANSWER-Rejected with a request to resubmit the form with corrections
How many digits are in a National Provider Identifier (NPI) number - ANSWER-
10
What is the first step in completing a claim form - ANSWER-Check for a
photocopy of the patients insurance card
Electronically processing claim forms to insurance carriers - ANSWER-Reduces
the amount of preparation time for the claim processor
Which form is also known as the UB-04 form - ANSWER-CMS-1450
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 1
,Which of the following is not a fee usually charged by a clearinghouse - ANSWER-
customer service fee
Which of the following is not an advantage of using an Electronic Claims Tracking
(ECT) system - ANSWER-All claims are guaranteed to be paid if the forms are
filled out correctly.
Manual claims tracking - ANSWER-Frequently causes payment delays
When following up on a delinquent claim, if the carrier tells you that it is still in
process, you should - ANSWER-request an anticipated date of payment
When applying in insurance adjustment to a patient's account you are not typically
required to post the - ANSWER-Name of secondary insurance company that
might be billed later
Number that identifies or refers to the claim that either the patient or health
provider submitted to the insurance company - ANSWER-Claim number
Beginning and end dates of the health related service a patient received from a
provider - ANSWER-Date of service
Amount of money that a patient's insurance company did not pay the provider -
ANSWER-Not allowed amount
Amount of money a patient goes as a share of the bill - ANSWER-Coinsurance
copayment amount
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 2
, Amount of provider billed the patient's insurance company for a service -
ANSWER-Charge
Number assigned to a patient by the insurance company which should match the
number on the patient's insurance card - ANSWER-Insurance ID number
Code and brief description of the health related service a patient received from a
provider - ANSWER-Type of service
Name of the person who received the service - ANSWER-Patient
Bartered goods - ANSWER-Type of payment used for centuries in the past
claim form - ANSWER-Developed to report the health care provided to the
source of payment when third-party reimbursement was created
third party reimbursement - ANSWER-The most Common of these are federal
and state agencies, insurance companies, and workers compensation
CMS-1500 - ANSWER-Standard claim form use for billing in medical offices
CMS-1450 (UB-04) - ANSWER-Paper claim form that may be submitted by an
institutional provider that meet certain requirements
Explanation of Benefits (EOB) - ANSWER-Form or document that may be sent
to the patient by their insurance company after they have had a healthcare service
that was paid by the insurance company may take up to several months to receive
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 3
EXAM QUESTIONS AND
ANSWERS 100% PASS
The phrase __ was coined to indicate payment of services rendered by someone
other than the patient - ANSWER-Third-party reimbursement
Since 2005, providers have been urged to - ANSWER-Send claims electronically
The CMS-1500 form is accepted by - ANSWER-Medicare and Medicaid
When a third-party payer identifies an error on the claim form, the claim is -
ANSWER-Rejected with a request to resubmit the form with corrections
How many digits are in a National Provider Identifier (NPI) number - ANSWER-
10
What is the first step in completing a claim form - ANSWER-Check for a
photocopy of the patients insurance card
Electronically processing claim forms to insurance carriers - ANSWER-Reduces
the amount of preparation time for the claim processor
Which form is also known as the UB-04 form - ANSWER-CMS-1450
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 1
,Which of the following is not a fee usually charged by a clearinghouse - ANSWER-
customer service fee
Which of the following is not an advantage of using an Electronic Claims Tracking
(ECT) system - ANSWER-All claims are guaranteed to be paid if the forms are
filled out correctly.
Manual claims tracking - ANSWER-Frequently causes payment delays
When following up on a delinquent claim, if the carrier tells you that it is still in
process, you should - ANSWER-request an anticipated date of payment
When applying in insurance adjustment to a patient's account you are not typically
required to post the - ANSWER-Name of secondary insurance company that
might be billed later
Number that identifies or refers to the claim that either the patient or health
provider submitted to the insurance company - ANSWER-Claim number
Beginning and end dates of the health related service a patient received from a
provider - ANSWER-Date of service
Amount of money that a patient's insurance company did not pay the provider -
ANSWER-Not allowed amount
Amount of money a patient goes as a share of the bill - ANSWER-Coinsurance
copayment amount
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 2
, Amount of provider billed the patient's insurance company for a service -
ANSWER-Charge
Number assigned to a patient by the insurance company which should match the
number on the patient's insurance card - ANSWER-Insurance ID number
Code and brief description of the health related service a patient received from a
provider - ANSWER-Type of service
Name of the person who received the service - ANSWER-Patient
Bartered goods - ANSWER-Type of payment used for centuries in the past
claim form - ANSWER-Developed to report the health care provided to the
source of payment when third-party reimbursement was created
third party reimbursement - ANSWER-The most Common of these are federal
and state agencies, insurance companies, and workers compensation
CMS-1500 - ANSWER-Standard claim form use for billing in medical offices
CMS-1450 (UB-04) - ANSWER-Paper claim form that may be submitted by an
institutional provider that meet certain requirements
Explanation of Benefits (EOB) - ANSWER-Form or document that may be sent
to the patient by their insurance company after they have had a healthcare service
that was paid by the insurance company may take up to several months to receive
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 3
