NCCT Insurance & Coding Practice Test| 125
questions| with complete solutions|Latest
2026 Release|Sure To pass
Claims are often rejected because a provider needs to obtain what?
Preauthourizations
A patient was seen in the office today for a follow up visit for neck and
shoulder pain. After 20 minutes of face to face time with more than 50% of
the time spent counseling the patient, it was decided the patient would
benefit from a trigger point injection. After consent was taken, the
physician injected 4 muscles. Which of the following CPT codes should be
assigned?
99213-25, 20553
Eighteen hours following delivery of her baby, a female patient who has
been discharged suffers atonic hemorrhage. Which ICD-10-CM code
should be assigned?
O72.1
A 57-year-old patient with severe systemic disease is having surgery to
remove an integumentary mass from his neck. Which of the following is the
correct CPT code assignment for the anesthesia service?
00300-P3
A 73-year-old patient presents for an annual checkup with a history of
HTN and GERD. Today's vitals were normal, but he advised the nurse that
his medication, Medoxodil, gives him terrible headaches. According to
ICD-10 guidelines, which of the following codes should be primary?
G44.40
,The physician examines a patient for cervical radiculpathy. An
electromyography is also reported as 95861. Which of the following code
assignments represents the correct order the billing and coding specialist
should use to submit the services?
99214, 95861-25
The patient owes $25.00 for the visit. The amount collected for the office
visit is called what?
Copayment
The insurance carrier rate is 80% the remaining 20% is called what?
Coinsurance
A third party payer made an error when adjudicating a claim which of the
following should the specialist do?
resubmit the claim with an attachment explaining the error
A claim submitted with all the necessary and accurate information so that
it can be processed and paid is called?
A clean claim
A medicare patient presents to an out patient hospital facility for a
hysterectomy. To which medicare plan should be billed?
Part B
The amount of the bill is $100 and this amount must be paid before the
insurance company will pay on the claim. Which of the following is this
called?
Deductible
The insurance and coding specialist is billing the insurance company of a
66 year old woman who has medicare and is covered under her husband's
private insurance which of the following should be billed first?
,The husband's insurance
The Stark Law was enacted to govern the practice of physician referrals to
choose (2) correct answers
facilities where they have a financial interest in and accept gifts for
compensation of payment
When should a provider have a patient sign an Advanced Beneficiary
Notice (ABN)
when the items may be denied and prior to performing the service
When using an Electronic Health Record (EHR) system to enter cpt codes
on a CMS-1500 claim form for electronic submission which of the following
should be entered on the claim form first?
The most resource-intensive procedure or service
The Fair and Debt collection Act restricts debt collectors from engaging in
conduct that includes what?
Calling before 8:00am or after 9:00pm, unless given permission
Which of the following information is needed to determine a Medicaid
sliding fee scale? choose (3) correct answers
Poverty, salary, and number of depedents
The patient presents today for upper gastroinstestinal (GI) endoscopy and
a biopsy of the stomach. Which of the cpt codes should be assigned?
43239 Digestive Esophagogastroduodenoscopy with biopsy
When posting an insurance payment via EOB the amount that is covered
contractually is known as what type of payment?
Allowed Amount
Encounter forms should be audited to ensure what?
the diagnosis codes are in proper ICD-10 format
, A medicare patient has an 80/20 plan the charged amount was $300. The
allowed amount was $100. Which of the following is the patient's
coinsurance?
$20
Which of the following is the correct cpt code for Medialstinal and regional
lymphadenectomy with RT video assisted thoracic (VATS) lobectomy?
32663-RT, 32674 Surgery Respiratory Video Assisted Thoracic (right lung)
lobectomy
The patient opted to have a tubal ligation performed which of the following
is needed in order for the third party payer to cover the procedure?
Precertification
Which of following form provides information from the Managed Care
Organization( MCO) that paid on the claim?
Explanation of Benefits (EOB)
The patient presented with three lacerations, the physician performed the
following a simple repair of 2.5 cm lacerations of the scalp and simple
repair of a 2.5 cm laceration of the hand. What is the appropriate cpt
code?
12002 simple repair of superficial wounds of scalp, neck , axillae, external
genitalia, trunk and or extremities (including hands and feet)
A 45 year old patient with ESRD receives a unilateral cadaver kidney
transplant . The surgeon performs the bench-work in addition to the
transplant. Which of the following cpt codes should be assigned?
50300, 50323 Urinary, Renal transplantation cadaver donor unilateral, and back
bench-work of cadaver donor preparation
questions| with complete solutions|Latest
2026 Release|Sure To pass
Claims are often rejected because a provider needs to obtain what?
Preauthourizations
A patient was seen in the office today for a follow up visit for neck and
shoulder pain. After 20 minutes of face to face time with more than 50% of
the time spent counseling the patient, it was decided the patient would
benefit from a trigger point injection. After consent was taken, the
physician injected 4 muscles. Which of the following CPT codes should be
assigned?
99213-25, 20553
Eighteen hours following delivery of her baby, a female patient who has
been discharged suffers atonic hemorrhage. Which ICD-10-CM code
should be assigned?
O72.1
A 57-year-old patient with severe systemic disease is having surgery to
remove an integumentary mass from his neck. Which of the following is the
correct CPT code assignment for the anesthesia service?
00300-P3
A 73-year-old patient presents for an annual checkup with a history of
HTN and GERD. Today's vitals were normal, but he advised the nurse that
his medication, Medoxodil, gives him terrible headaches. According to
ICD-10 guidelines, which of the following codes should be primary?
G44.40
,The physician examines a patient for cervical radiculpathy. An
electromyography is also reported as 95861. Which of the following code
assignments represents the correct order the billing and coding specialist
should use to submit the services?
99214, 95861-25
The patient owes $25.00 for the visit. The amount collected for the office
visit is called what?
Copayment
The insurance carrier rate is 80% the remaining 20% is called what?
Coinsurance
A third party payer made an error when adjudicating a claim which of the
following should the specialist do?
resubmit the claim with an attachment explaining the error
A claim submitted with all the necessary and accurate information so that
it can be processed and paid is called?
A clean claim
A medicare patient presents to an out patient hospital facility for a
hysterectomy. To which medicare plan should be billed?
Part B
The amount of the bill is $100 and this amount must be paid before the
insurance company will pay on the claim. Which of the following is this
called?
Deductible
The insurance and coding specialist is billing the insurance company of a
66 year old woman who has medicare and is covered under her husband's
private insurance which of the following should be billed first?
,The husband's insurance
The Stark Law was enacted to govern the practice of physician referrals to
choose (2) correct answers
facilities where they have a financial interest in and accept gifts for
compensation of payment
When should a provider have a patient sign an Advanced Beneficiary
Notice (ABN)
when the items may be denied and prior to performing the service
When using an Electronic Health Record (EHR) system to enter cpt codes
on a CMS-1500 claim form for electronic submission which of the following
should be entered on the claim form first?
The most resource-intensive procedure or service
The Fair and Debt collection Act restricts debt collectors from engaging in
conduct that includes what?
Calling before 8:00am or after 9:00pm, unless given permission
Which of the following information is needed to determine a Medicaid
sliding fee scale? choose (3) correct answers
Poverty, salary, and number of depedents
The patient presents today for upper gastroinstestinal (GI) endoscopy and
a biopsy of the stomach. Which of the cpt codes should be assigned?
43239 Digestive Esophagogastroduodenoscopy with biopsy
When posting an insurance payment via EOB the amount that is covered
contractually is known as what type of payment?
Allowed Amount
Encounter forms should be audited to ensure what?
the diagnosis codes are in proper ICD-10 format
, A medicare patient has an 80/20 plan the charged amount was $300. The
allowed amount was $100. Which of the following is the patient's
coinsurance?
$20
Which of the following is the correct cpt code for Medialstinal and regional
lymphadenectomy with RT video assisted thoracic (VATS) lobectomy?
32663-RT, 32674 Surgery Respiratory Video Assisted Thoracic (right lung)
lobectomy
The patient opted to have a tubal ligation performed which of the following
is needed in order for the third party payer to cover the procedure?
Precertification
Which of following form provides information from the Managed Care
Organization( MCO) that paid on the claim?
Explanation of Benefits (EOB)
The patient presented with three lacerations, the physician performed the
following a simple repair of 2.5 cm lacerations of the scalp and simple
repair of a 2.5 cm laceration of the hand. What is the appropriate cpt
code?
12002 simple repair of superficial wounds of scalp, neck , axillae, external
genitalia, trunk and or extremities (including hands and feet)
A 45 year old patient with ESRD receives a unilateral cadaver kidney
transplant . The surgeon performs the bench-work in addition to the
transplant. Which of the following cpt codes should be assigned?
50300, 50323 Urinary, Renal transplantation cadaver donor unilateral, and back
bench-work of cadaver donor preparation
