NCCT PRACTICE EXAM QUESTIONS AND CORREC
Which cof cthe cfollowing cis cthe ccorrect cprocedure cfor ckeeping ca cWorkers' cCompensation cpatien
cwhen cthe csame cphysician cis calso cseeing cthe cpatient cas ca cprivate cpatient? c- cCORRECT cANS
chealth crecords cmust cbe cused.
The cpatient creturned cto cthe coperative csuite c10 cdays cpostoperative cfor can cI&D cdue cto ca cposto
clab cresults cdiscover cthe corganism cis cpseudomonas cmallei. cWhich cof cthe cfollowing cis cthe capp
cCORRECT cANS✔✔T81.4XXA, cA24.0
When ca cdocument cis cchanged cin can cEHR, cthe coriginal cdocumentation cis c- cCORRECT cANS✔
A cpatient chas ctwo chealth cinsurance cpolicies c- ca cgroup cinsurance cplan cthrough cher cfull-time ce
cinsurance cplan cthrough cher chusband's cemployer. cWhich cof cthe cfollowing cpolicies cshould cbe cb
cANS✔✔her cpolicy
When cfiling can celectronic cinsurance cclaim, cthe cinsurance cand ccoding cspecialist cprocesses cwhi
cCORRECT cANS✔✔CMS-1500
A c57-year-old cpatient cwith csevere csystemic cdisease cis chaving csurgery cto cremove can cintegume
cWhich cof cthe cfollowing cis cthe ccorrect cCPT® ccode cassignment cfor cthe canesthesia cservice? c- c
The cprovider cis cpaid cthe csame crate cper cpatient cwhether cor cnot cthey cprovide cservices cand cno
cprovided. cThis cpayment cis cknown cas c- cCORRECT cANS✔✔capitation.
Which cof cthe cfollowing cinformation cshould cbe cused cto ccapture ccharges cfrom can cencounter cfor
cANS✔✔services crendered cand creason cfor cvisit
Which cof cthe cfollowing cforms cshould cbe ctransmitted cto cobtain creimbursement cfollowing ca cphys
cwith cactive cMedicaid ccoverage? c- cCORRECT cANS✔✔CMS-1500
The cinsurance cand ccoding cspecialist ccalls ca ccarrier cto cverify ca cpatient's cinsurance cand cthe cre
cpatient's cinsurance cwas ccanceled cthree cmonths cago. cWhich cof cthe cfollowing cshould cthe cinsur
cfirst? c- cCORRECT cANS✔✔Ask cthe cpatient cfor canother cform cof cinsurance ccoverage.
The cpatient's cdiagnosis cis cvesicoureteral creflux cwith cnephropathy c(without chydroureter) cand cch
cdue cto cE-coli cinfection. cWhich cof cthe cfollowing cICD-10-CM ccodes cshould cbe cassigned? c- cCO
cN11.1, cB96.2
Developing can cinsurance cclaim cbegins c- cCORRECT cANS✔✔when cthe cpatient ccalls cto cschedu
, A cpatient cis cseen cin cthe coffice cfor ca ccandidal cparonychia cnail cabscess cwas cincised cand cdrain
cthe ccorrect cCPT® ccode cassignment cfor cphysician cservices conly? c- cCORRECT cANS✔✔10060
Patient cpresents cto coffice cwith ccough, cchest ctightness, cand csore cthroat. cThe cphysician cassess
cfollowing cis cthe ccorrect cICD-10-CM ccode cassignment? c- cCORRECT cANS✔✔J06.9
How coften cshould cthe cencounter cform cCPT® ccodes cbe cupdated? c- cCORRECT cANS✔✔annua
Encounter cforms cshould cbe caudited cto censure cthe c- cCORRECT cANS✔✔diagnosis cis cin cprope
The cinsurance cand ccoding cspecialist cis cbilling cthe cinsurance ccompany cof ca c66-year-old cwoma
ccovered cunder cher chusband's cprivate cinsurance. cWhich cof cthe cfollowing cshould cbe cbilled cfirst
chusband's cinsurance
When cfollowing cup con ca cdenied cclaim, can cinsurance cand ccoding cspecialist cshould chave cwhich
cavailable cwhen cspeaking cwith cthe cinsurance ccompany? c(Select cthe cthree c(3) ccorrect canswers
cof cservice, cphysician's cNPI, cpatient's cinsurance cID cnumber
A cpatient chas ca chome chealth caide ccome cto chis chome cto cclean cand cdress ca cburn con chis clow
cspecial cabsorptive, cadhesive csterile cdressing cto ccover c20 csq. cin. carea. cShe calso ccovers c15 cs
adhesive csterile cgauze cpad. cWhich cof cthe cfollowing cis cthe ccorrect cHCPCS ccode cassignment?
cA6219
A c45-year-old cpatient cwith cdiabetic cproliferative cretinopathy cis cbeing cseen ctoday cfor cher cmacu
cfollowing cICD-10-CM ccodes cshould cbe cassigned? c- cCORRECT cANS✔✔E11.3519
Eighteen chours cfollowing cthe cdelivery cof cher cbaby, ca cfemale cpatient cwho chas cbeen cdischarge
cWhich cICD-10-CM ccode cshould cbe cassigned? c- cCORRECT cANS✔✔O72.1
Which cof cthe cfollowing cmodifiers cis crequired cfor ca creturn cto cthe coperating croom cfor can cunplan
cservice cby cthe csame cphysician cduring cthe cpostoperative cperiod? c- cCORRECT cANS✔✔-78
When cshould ca cprovider chave ca cpatient csign can cABN? c- cCORRECT cANS✔✔when cthe citems
cperforming cthe cservice.
A cnew cHIM cdirector cwas crecently chired cat ca chospital. cShe cwas cadvised cher chealth cinsurance
c90 cdays. cWhich cof cthe cfollowing cis ccorrect cregarding cher chealth cinsurance? c- cCORRECT cAN
cher ccurrent cmedical cinsurance cfrom cher cprevious cjob cthrough cCOBRA.
When cusing can cEHR csystem cto center cCPT® ccodes con ca cCMS c1500 cclaim cform cfor celectroni
cfollowing cshould cbe centered con cthe cclaim cform cfirst? c- cCORRECT cANS✔✔the cmost cresource
cservice
Which cof cthe cfollowing care cviolations cof cthe cStark cLaw? c(Select cthe ctwo c(2) ccorrect canswers.
cANS✔✔accepting cgifts cin cplace cof cpayment cfrom cpatients, creferring cpatients cto cfacilities cwher
cinterest
Which cof cthe cfollowing cMCOs calways crequires can cauthorization cbefore cseeing ca cspecialist? c- c
Which cof cthe cfollowing citems care cmandatory cin cpatient cfinancial cpolicies? c(Select cthe cthree c(3
cCORRECT cANS✔✔expectation cof cpayment cdue cat ctime cof cservice, ccollection cprocess, cstatem
cpayment clies cwith cpatient
A cpatient cwas cseen cin cthe coffice ctoday cfor ca cfollow cup cvisit cfor cneck cand cshoulder cpain. cAfte
ctime cwith cmore cthan c50% cof cthe ctime cspent ccounseling cthe cpatient, cit cwas cdecided cthe cpatie
Which cof cthe cfollowing cis cthe ccorrect cprocedure cfor ckeeping ca cWorkers' cCompensation cpatien
cwhen cthe csame cphysician cis calso cseeing cthe cpatient cas ca cprivate cpatient? c- cCORRECT cANS
chealth crecords cmust cbe cused.
The cpatient creturned cto cthe coperative csuite c10 cdays cpostoperative cfor can cI&D cdue cto ca cposto
clab cresults cdiscover cthe corganism cis cpseudomonas cmallei. cWhich cof cthe cfollowing cis cthe capp
cCORRECT cANS✔✔T81.4XXA, cA24.0
When ca cdocument cis cchanged cin can cEHR, cthe coriginal cdocumentation cis c- cCORRECT cANS✔
A cpatient chas ctwo chealth cinsurance cpolicies c- ca cgroup cinsurance cplan cthrough cher cfull-time ce
cinsurance cplan cthrough cher chusband's cemployer. cWhich cof cthe cfollowing cpolicies cshould cbe cb
cANS✔✔her cpolicy
When cfiling can celectronic cinsurance cclaim, cthe cinsurance cand ccoding cspecialist cprocesses cwhi
cCORRECT cANS✔✔CMS-1500
A c57-year-old cpatient cwith csevere csystemic cdisease cis chaving csurgery cto cremove can cintegume
cWhich cof cthe cfollowing cis cthe ccorrect cCPT® ccode cassignment cfor cthe canesthesia cservice? c- c
The cprovider cis cpaid cthe csame crate cper cpatient cwhether cor cnot cthey cprovide cservices cand cno
cprovided. cThis cpayment cis cknown cas c- cCORRECT cANS✔✔capitation.
Which cof cthe cfollowing cinformation cshould cbe cused cto ccapture ccharges cfrom can cencounter cfor
cANS✔✔services crendered cand creason cfor cvisit
Which cof cthe cfollowing cforms cshould cbe ctransmitted cto cobtain creimbursement cfollowing ca cphys
cwith cactive cMedicaid ccoverage? c- cCORRECT cANS✔✔CMS-1500
The cinsurance cand ccoding cspecialist ccalls ca ccarrier cto cverify ca cpatient's cinsurance cand cthe cre
cpatient's cinsurance cwas ccanceled cthree cmonths cago. cWhich cof cthe cfollowing cshould cthe cinsur
cfirst? c- cCORRECT cANS✔✔Ask cthe cpatient cfor canother cform cof cinsurance ccoverage.
The cpatient's cdiagnosis cis cvesicoureteral creflux cwith cnephropathy c(without chydroureter) cand cch
cdue cto cE-coli cinfection. cWhich cof cthe cfollowing cICD-10-CM ccodes cshould cbe cassigned? c- cCO
cN11.1, cB96.2
Developing can cinsurance cclaim cbegins c- cCORRECT cANS✔✔when cthe cpatient ccalls cto cschedu
, A cpatient cis cseen cin cthe coffice cfor ca ccandidal cparonychia cnail cabscess cwas cincised cand cdrain
cthe ccorrect cCPT® ccode cassignment cfor cphysician cservices conly? c- cCORRECT cANS✔✔10060
Patient cpresents cto coffice cwith ccough, cchest ctightness, cand csore cthroat. cThe cphysician cassess
cfollowing cis cthe ccorrect cICD-10-CM ccode cassignment? c- cCORRECT cANS✔✔J06.9
How coften cshould cthe cencounter cform cCPT® ccodes cbe cupdated? c- cCORRECT cANS✔✔annua
Encounter cforms cshould cbe caudited cto censure cthe c- cCORRECT cANS✔✔diagnosis cis cin cprope
The cinsurance cand ccoding cspecialist cis cbilling cthe cinsurance ccompany cof ca c66-year-old cwoma
ccovered cunder cher chusband's cprivate cinsurance. cWhich cof cthe cfollowing cshould cbe cbilled cfirst
chusband's cinsurance
When cfollowing cup con ca cdenied cclaim, can cinsurance cand ccoding cspecialist cshould chave cwhich
cavailable cwhen cspeaking cwith cthe cinsurance ccompany? c(Select cthe cthree c(3) ccorrect canswers
cof cservice, cphysician's cNPI, cpatient's cinsurance cID cnumber
A cpatient chas ca chome chealth caide ccome cto chis chome cto cclean cand cdress ca cburn con chis clow
cspecial cabsorptive, cadhesive csterile cdressing cto ccover c20 csq. cin. carea. cShe calso ccovers c15 cs
adhesive csterile cgauze cpad. cWhich cof cthe cfollowing cis cthe ccorrect cHCPCS ccode cassignment?
cA6219
A c45-year-old cpatient cwith cdiabetic cproliferative cretinopathy cis cbeing cseen ctoday cfor cher cmacu
cfollowing cICD-10-CM ccodes cshould cbe cassigned? c- cCORRECT cANS✔✔E11.3519
Eighteen chours cfollowing cthe cdelivery cof cher cbaby, ca cfemale cpatient cwho chas cbeen cdischarge
cWhich cICD-10-CM ccode cshould cbe cassigned? c- cCORRECT cANS✔✔O72.1
Which cof cthe cfollowing cmodifiers cis crequired cfor ca creturn cto cthe coperating croom cfor can cunplan
cservice cby cthe csame cphysician cduring cthe cpostoperative cperiod? c- cCORRECT cANS✔✔-78
When cshould ca cprovider chave ca cpatient csign can cABN? c- cCORRECT cANS✔✔when cthe citems
cperforming cthe cservice.
A cnew cHIM cdirector cwas crecently chired cat ca chospital. cShe cwas cadvised cher chealth cinsurance
c90 cdays. cWhich cof cthe cfollowing cis ccorrect cregarding cher chealth cinsurance? c- cCORRECT cAN
cher ccurrent cmedical cinsurance cfrom cher cprevious cjob cthrough cCOBRA.
When cusing can cEHR csystem cto center cCPT® ccodes con ca cCMS c1500 cclaim cform cfor celectroni
cfollowing cshould cbe centered con cthe cclaim cform cfirst? c- cCORRECT cANS✔✔the cmost cresource
cservice
Which cof cthe cfollowing care cviolations cof cthe cStark cLaw? c(Select cthe ctwo c(2) ccorrect canswers.
cANS✔✔accepting cgifts cin cplace cof cpayment cfrom cpatients, creferring cpatients cto cfacilities cwher
cinterest
Which cof cthe cfollowing cMCOs calways crequires can cauthorization cbefore cseeing ca cspecialist? c- c
Which cof cthe cfollowing citems care cmandatory cin cpatient cfinancial cpolicies? c(Select cthe cthree c(3
cCORRECT cANS✔✔expectation cof cpayment cdue cat ctime cof cservice, ccollection cprocess, cstatem
cpayment clies cwith cpatient
A cpatient cwas cseen cin cthe coffice ctoday cfor ca cfollow cup cvisit cfor cneck cand cshoulder cpain. cAfte
ctime cwith cmore cthan c50% cof cthe ctime cspent ccounseling cthe cpatient, cit cwas cdecided cthe cpatie
