NCCT EXAM QUESTIONS AND CORRECT R
An cinsurance cand ccoding cspecialist cis creviewing ca cpatient's cencounter cform cthat cis cdocumente
cto ccompeting ca cCMS-1500 cform. cShe cnotices cthat cthe cphysician cupcoded cthe cencounter cform
cethical cobligation cto cfirst c- cCORRECT cANS✔✔query cthe cphysician
A cpatient chad csurgery ctwo cweeks cago cto crepair ca cdislocated cankle, cand creturns ctoday cto chav
crepaired. cWhich cof cthe cfollowing cmodifiers cshould cbe creported cfor ctoday's cservice? c- cCORRE
A cpatient chas ccalled cto cschedule can cappointment cfor can coffice cvisit cto csee cthe cdoctor ctomorro
cdiscovered cduring cthe cscheduling cprocess cthat cthe cinsurance cpolicy con cfile chas cbeen ccancell
cshould cthe cinsurance cand ccoding cspecialist cdo cnext? c- cCORRECT cANS✔✔Advise cthe cpatien
cinformation cto cthe cappointment.
An cestablished cpatient cis cbeing cseen cby cthe cphysician ctoday. cThe cpatient cowes c$25.00 cfor cth
cfor cthe coffice cvisit cis ccalled cthe c- cCORRECT cANS✔✔copayment
Applying cthe cbirthday crule, ca cminor cchild ccomes cin. cBoth cparents chave cremarried cand cthe cch
cfather's, cand cboth cstep-parents' cpolicies. cThe cmother's cbirthday cis cApril c16, cstepfather's cbirthd
cis cFebruary c19th, cand cthe cstepmother's cbirthday cis cJanuary c20th. cWhich cof cthe cfollowing cis cc
cANS✔✔Father's cplan cis cprimary, cmother's cplan cis csecondary.
A cprovider cperformed ca cright csided cfacet cjoint cinjection cusing cfluoroscopic cguidance. cThe cbille
c77003. cAn cEOB cwas creturned cdenying cthe ccharge cof c77003. cWhy cwas cthis ccharge cdenied? c
cguidance cis can cinclusive ccomponent cof c64493.
A cpatient cwas cseen cin cthe coffice. cCharges cwere crecorded cand csubmitted cto cthe cpatient's cinsu
creceived cby cthe coffice cwith ca cpayment cof c$70.89. cThese ctransactions cshould cbe crecorded cin
cANS✔✔patient cledger.
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.
A cclaim csubmitted cwith call cthe cnecessary cand caccurate cinformation cso cthat cit ccan cbe cprocess
cCORRECT cANS✔✔clean cclaim.
A cpatient chas ctwo chealth cinsurance cpolicies-a cgroup cinsurance cplan cthrough cher cfull-time cemp
, A c72-year-old cpatient cis cundergoing ca ccorneal ctransplant. cAn canesthesiologist cis cpersonally cpe
ccare. cWhich cof cthe cfollowing cmodifiers cshould cbe creported cfor cthe canesthesia? c- cCORRECT c
Based con cthe cCMS cmanual csystem, cwhen cupdating cor cmaintaining cthe cbilling ccode cdatabase,
cthe c"R" cdenote? c- cCORRECT cANS✔✔Revised
Collecting cstatistics con cthe cfrequency cof ccopay ccollection cat ctime cof cservice cis ca cstep cin cthe c
cANS✔✔managing cA/R.
Claims care coften crejected cbecause ca cprovider cneeds cto cobtain c- cCORRECT cANS✔✔pre-autho
Collection cagencies care cregulated cby cthe c- cCORRECT cANS✔✔Fair cDebt cCollections cPractice
Developing can cinsurance cclaim cbegins c- cCORRECT cANS✔✔when cthe cpatient ccalls cto cschedu
Encounter cforms cshould cbe caudited cto censure cthe c- cCORRECT cANS✔✔payer's caddress cand c
HIPAA callows ca chealth ccare cprovider cto ccommunicate cwith ca cpatient's cfamily, cfriends, cor cothe
cthe cpatient's ccare cregarding ctheir cmental chealth cstatus cproviding c- cCORRECT cANS✔✔the cpa
How coften cshould cthe cencounter cform cCPT ccodes cbe cupdated? c- cCORRECT cANS✔✔annually
If cthe cinsurance cand ccoding cspecialist csuspects cMedicare cfraud cshe cshould ccontact cthe c- cCO
In corder cto chave cclaims cpaid cas cquickly cas cpossible, cthe cinsurance cspecialist cmust cbe cfamilia
c- cCORRECT cANS✔✔payer's cclaim cprocessing cprocedures
If cthe cinsurance ccarrier's crate cof cbenefits cis c80%, cthe cremaining c20% cis cknown cas c- cCORREC
If ca cmarried ccouple cis ccovered cunder cboth cspouses' chealth cinsurance cand cthe chusband cwishe
cfor can cannual cexam, che cshould ccall chis cprimary ccare cprovider cand c- cCORRECT cANS✔✔sch
cboth chis cinsurance cbenefits cand chis cwife's cinsurance cbenefits.
If ca cprovider crefuses cto caccept cassignment, cwhen cmust cthe cpatient cpay cfor cservices? c- cCORR
The cStark cLaw cwas cenacted cto cgovern cthe cpractice cof c- cCORRECT cANS✔✔physician creferra
cfinancial cinterest cin.
The cpatient copted cto chave ca ctubal cligation cperformed. cWhich cof cthe cfollowing cis cneeded cin co
cto ccover cthe cprocedure? c- cCORRECT cANS✔✔pre-certification
The cmost ceffective cmethod cto cmanage cpatient cstatements cand cother cfinancial cinvoices cas cwe
cto c- cCORRECT cANS✔✔collect cfees cat cthe ctime cof cservice.
The cpatient cwas chospitalized cfor cdiabetes. cUpon crelease cthe cpatient cconsults cwith ca cregistere
cfollowing cLevel cII cHCPCS cmodifiers cshould cbe cassigned? c- cCORRECT cANS✔✔AE
The cpatient's ctotal ccharges care c$300. cThe callowed camount cis c$150. cBenefits cpay cat c60%. cWh
cpatient chave cto cpay? c- cCORRECT cANS✔✔$60
The cpatient cis csent ca cstatement cfor can coffice cvisit. cThe ctotal camount cof cthe cbill cis c$100.00 ca
cbefore cthe cinsurance ccompany cwill cpay con cthe cclaim. cWhich cof cthe cfollowing cis cthis ccalled? c
cANS✔✔deductible
An cinsurance cand ccoding cspecialist cis creviewing ca cpatient's cencounter cform cthat cis cdocumente
cto ccompeting ca cCMS-1500 cform. cShe cnotices cthat cthe cphysician cupcoded cthe cencounter cform
cethical cobligation cto cfirst c- cCORRECT cANS✔✔query cthe cphysician
A cpatient chad csurgery ctwo cweeks cago cto crepair ca cdislocated cankle, cand creturns ctoday cto chav
crepaired. cWhich cof cthe cfollowing cmodifiers cshould cbe creported cfor ctoday's cservice? c- cCORRE
A cpatient chas ccalled cto cschedule can cappointment cfor can coffice cvisit cto csee cthe cdoctor ctomorro
cdiscovered cduring cthe cscheduling cprocess cthat cthe cinsurance cpolicy con cfile chas cbeen ccancell
cshould cthe cinsurance cand ccoding cspecialist cdo cnext? c- cCORRECT cANS✔✔Advise cthe cpatien
cinformation cto cthe cappointment.
An cestablished cpatient cis cbeing cseen cby cthe cphysician ctoday. cThe cpatient cowes c$25.00 cfor cth
cfor cthe coffice cvisit cis ccalled cthe c- cCORRECT cANS✔✔copayment
Applying cthe cbirthday crule, ca cminor cchild ccomes cin. cBoth cparents chave cremarried cand cthe cch
cfather's, cand cboth cstep-parents' cpolicies. cThe cmother's cbirthday cis cApril c16, cstepfather's cbirthd
cis cFebruary c19th, cand cthe cstepmother's cbirthday cis cJanuary c20th. cWhich cof cthe cfollowing cis cc
cANS✔✔Father's cplan cis cprimary, cmother's cplan cis csecondary.
A cprovider cperformed ca cright csided cfacet cjoint cinjection cusing cfluoroscopic cguidance. cThe cbille
c77003. cAn cEOB cwas creturned cdenying cthe ccharge cof c77003. cWhy cwas cthis ccharge cdenied? c
cguidance cis can cinclusive ccomponent cof c64493.
A cpatient cwas cseen cin cthe coffice. cCharges cwere crecorded cand csubmitted cto cthe cpatient's cinsu
creceived cby cthe coffice cwith ca cpayment cof c$70.89. cThese ctransactions cshould cbe crecorded cin
cANS✔✔patient cledger.
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.
A cclaim csubmitted cwith call cthe cnecessary cand caccurate cinformation cso cthat cit ccan cbe cprocess
cCORRECT cANS✔✔clean cclaim.
A cpatient chas ctwo chealth cinsurance cpolicies-a cgroup cinsurance cplan cthrough cher cfull-time cemp
, A c72-year-old cpatient cis cundergoing ca ccorneal ctransplant. cAn canesthesiologist cis cpersonally cpe
ccare. cWhich cof cthe cfollowing cmodifiers cshould cbe creported cfor cthe canesthesia? c- cCORRECT c
Based con cthe cCMS cmanual csystem, cwhen cupdating cor cmaintaining cthe cbilling ccode cdatabase,
cthe c"R" cdenote? c- cCORRECT cANS✔✔Revised
Collecting cstatistics con cthe cfrequency cof ccopay ccollection cat ctime cof cservice cis ca cstep cin cthe c
cANS✔✔managing cA/R.
Claims care coften crejected cbecause ca cprovider cneeds cto cobtain c- cCORRECT cANS✔✔pre-autho
Collection cagencies care cregulated cby cthe c- cCORRECT cANS✔✔Fair cDebt cCollections cPractice
Developing can cinsurance cclaim cbegins c- cCORRECT cANS✔✔when cthe cpatient ccalls cto cschedu
Encounter cforms cshould cbe caudited cto censure cthe c- cCORRECT cANS✔✔payer's caddress cand c
HIPAA callows ca chealth ccare cprovider cto ccommunicate cwith ca cpatient's cfamily, cfriends, cor cothe
cthe cpatient's ccare cregarding ctheir cmental chealth cstatus cproviding c- cCORRECT cANS✔✔the cpa
How coften cshould cthe cencounter cform cCPT ccodes cbe cupdated? c- cCORRECT cANS✔✔annually
If cthe cinsurance cand ccoding cspecialist csuspects cMedicare cfraud cshe cshould ccontact cthe c- cCO
In corder cto chave cclaims cpaid cas cquickly cas cpossible, cthe cinsurance cspecialist cmust cbe cfamilia
c- cCORRECT cANS✔✔payer's cclaim cprocessing cprocedures
If cthe cinsurance ccarrier's crate cof cbenefits cis c80%, cthe cremaining c20% cis cknown cas c- cCORREC
If ca cmarried ccouple cis ccovered cunder cboth cspouses' chealth cinsurance cand cthe chusband cwishe
cfor can cannual cexam, che cshould ccall chis cprimary ccare cprovider cand c- cCORRECT cANS✔✔sch
cboth chis cinsurance cbenefits cand chis cwife's cinsurance cbenefits.
If ca cprovider crefuses cto caccept cassignment, cwhen cmust cthe cpatient cpay cfor cservices? c- cCORR
The cStark cLaw cwas cenacted cto cgovern cthe cpractice cof c- cCORRECT cANS✔✔physician creferra
cfinancial cinterest cin.
The cpatient copted cto chave ca ctubal cligation cperformed. cWhich cof cthe cfollowing cis cneeded cin co
cto ccover cthe cprocedure? c- cCORRECT cANS✔✔pre-certification
The cmost ceffective cmethod cto cmanage cpatient cstatements cand cother cfinancial cinvoices cas cwe
cto c- cCORRECT cANS✔✔collect cfees cat cthe ctime cof cservice.
The cpatient cwas chospitalized cfor cdiabetes. cUpon crelease cthe cpatient cconsults cwith ca cregistere
cfollowing cLevel cII cHCPCS cmodifiers cshould cbe cassigned? c- cCORRECT cANS✔✔AE
The cpatient's ctotal ccharges care c$300. cThe callowed camount cis c$150. cBenefits cpay cat c60%. cWh
cpatient chave cto cpay? c- cCORRECT cANS✔✔$60
The cpatient cis csent ca cstatement cfor can coffice cvisit. cThe ctotal camount cof cthe cbill cis c$100.00 ca
cbefore cthe cinsurance ccompany cwill cpay con cthe cclaim. cWhich cof cthe cfollowing cis cthis ccalled? c
cANS✔✔deductible
