NCCT Insurance & Coding Practice Test| 125 questions|
with complete solutions 2025/2026
1. 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? - ANS>>Advise the patient to bring current insurance
information to the appointment.
2. 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 - ANS>>copayment
3. 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 - ANS>>patient ledger.
4. A new HIM director was recently hired at a hospital. She was advised her health
insurance benefits become available in 90 days. Which of the following is correct
regarding her health insurance? - ANS>>She will be able to keep her current medical
insurance from her previous job through COBRA.
5. A claim submitted with all the necessary and accurate information so that it can be
processed and paid is called a - ANS>>clean claim.
6. A patient has two health insurance policies-a group insurance plan through her full-time
employer and another group insurance plan through her husband's employer. Which of
the following policies should be billed as primary? - ANS>>her policy.
7. A Medicare patient has an 80/20 plan. The charged amount was $300.00. The amount
allowed was $100.00. Which is the patient's coinsurance? - ANS>>20%
8. A Medicare patient presents to an outpatient hospital facility for a scheduled
hysterectomy. To which Medicare plan should the facility submit the claim? - ANS>>Part
B
with complete solutions 2025/2026
1. 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? - ANS>>Advise the patient to bring current insurance
information to the appointment.
2. 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 - ANS>>copayment
3. 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 - ANS>>patient ledger.
4. A new HIM director was recently hired at a hospital. She was advised her health
insurance benefits become available in 90 days. Which of the following is correct
regarding her health insurance? - ANS>>She will be able to keep her current medical
insurance from her previous job through COBRA.
5. A claim submitted with all the necessary and accurate information so that it can be
processed and paid is called a - ANS>>clean claim.
6. A patient has two health insurance policies-a group insurance plan through her full-time
employer and another group insurance plan through her husband's employer. Which of
the following policies should be billed as primary? - ANS>>her policy.
7. A Medicare patient has an 80/20 plan. The charged amount was $300.00. The amount
allowed was $100.00. Which is the patient's coinsurance? - ANS>>20%
8. A Medicare patient presents to an outpatient hospital facility for a scheduled
hysterectomy. To which Medicare plan should the facility submit the claim? - ANS>>Part
B
