NCCT Medical office billing and coding
Exam Questions and Answers (Latest
Update 2026)
The main purpose for verifying a patient's insurance coverage at
every visit is to -
correct answer ✅prevent claim rejection due to ineligibility or
non-active status.
Rationale
This also ensures the correct insurer is billed and facilitates timely
reimbursement for the provider. The medical assistant should scan
into the EHR or make a copy of both sides of the patient's current
insurance card.
Which of the following must be filled out by the patient in order to
forward payment to the physician's office? -
correct answer ✅assignment of benefits
Rationale
If a patient's health insurance contract allows for assignment of
benefits, the patient first fills out a form giving permission that any
allowable benefit payment be sent to the medical provider. Without
the AOB, any reimbursement would then be issued to the patient,
then they would have to be billed by the medical office for
payment. The AOB process cuts out the extra step.
,NCCT Medical office billing and coding
Exam Questions and Answers (Latest
Update 2026)
Which of the following documents does the provider or facility
need to submit in order to receive reimbursement from an
insurance company? -
correct answer ✅CMS-1500
Rationale
The CMS-1500 is the form to be used to enable the provider or
medical facility to receive reimbursement directly from a patient's
insurance company.
Which of the following forms is used by the medical office to ensure
that insurance payments are made directly to the physician? -
correct answer ✅assignment of benefits
Rationale
If a patient's health insurance contract allows for assignment of
benefits, the patient first fills out a form giving permission that any
allowable benefit payment be sent to the medical provider. The
CMS-1500 is the basic form for the Medicare and Medicaid
programs for claims from physicians and suppliers. A UB-04 form is
,NCCT Medical office billing and coding
Exam Questions and Answers (Latest
Update 2026)
the electronic format of the CMS-1450 claim form. A consent form
does not allow for payments from an insurance carrier, only for the
patient to consent to accept medical treatment.
Which of the following is the most likely cause of the deposits not
agreeing with the credits on the day sheet or the patient ledgers? -
correct answer ✅Payment is misplaced.
Rationale
The first step of reconciliation is to first determine if a payment is
misplaced. Then issues of duplication or misplaced monies can be
addressed. Transactions involving a possible bank error would be
the last thing to check before checking the medical office records.
When posting an insurance payment via an EOB, the amount that is
considered contractual is the -
correct answer ✅Insurance allowed amount.
Rationale
An Explanation of Benefits (EOB) is a document from the insurance
company to the patient that includes detailed information
, NCCT Medical office billing and coding
Exam Questions and Answers (Latest
Update 2026)
regarding a claim that was paid to the health care provider. Once a
provider accepts the allowed charges (fee schedule) for a particular
procedure, it is accepting assignment. The provider agrees to
accept the contractual amount (insurance adjustment) as payment
in full from the insurance company. An adjustment is basically a
billing discount in accordance with a contract between the health
care provider and insurance company. Participating (PAR) and Non-
Participating (NON-PAR) providers choose whether to participate in
the Medicare program and either accept or not accept assignment
on Medicare claims.
A list of all account balances and the amounts owed to the medical
practice at the end of the day is called an -
correct answer ✅accounts receivable report.
Rationale
A record of account balances and amounts owed the medical
practice is call an accounts receivable report. Accounts payable is
that which is owed to vendors or suppliers of the medical practice.
An aging report will only list of outstanding balances due. An
insurance aging report provided an aged summary of the medical
offices outstanding charges broken down by insurance provider.
Exam Questions and Answers (Latest
Update 2026)
The main purpose for verifying a patient's insurance coverage at
every visit is to -
correct answer ✅prevent claim rejection due to ineligibility or
non-active status.
Rationale
This also ensures the correct insurer is billed and facilitates timely
reimbursement for the provider. The medical assistant should scan
into the EHR or make a copy of both sides of the patient's current
insurance card.
Which of the following must be filled out by the patient in order to
forward payment to the physician's office? -
correct answer ✅assignment of benefits
Rationale
If a patient's health insurance contract allows for assignment of
benefits, the patient first fills out a form giving permission that any
allowable benefit payment be sent to the medical provider. Without
the AOB, any reimbursement would then be issued to the patient,
then they would have to be billed by the medical office for
payment. The AOB process cuts out the extra step.
,NCCT Medical office billing and coding
Exam Questions and Answers (Latest
Update 2026)
Which of the following documents does the provider or facility
need to submit in order to receive reimbursement from an
insurance company? -
correct answer ✅CMS-1500
Rationale
The CMS-1500 is the form to be used to enable the provider or
medical facility to receive reimbursement directly from a patient's
insurance company.
Which of the following forms is used by the medical office to ensure
that insurance payments are made directly to the physician? -
correct answer ✅assignment of benefits
Rationale
If a patient's health insurance contract allows for assignment of
benefits, the patient first fills out a form giving permission that any
allowable benefit payment be sent to the medical provider. The
CMS-1500 is the basic form for the Medicare and Medicaid
programs for claims from physicians and suppliers. A UB-04 form is
,NCCT Medical office billing and coding
Exam Questions and Answers (Latest
Update 2026)
the electronic format of the CMS-1450 claim form. A consent form
does not allow for payments from an insurance carrier, only for the
patient to consent to accept medical treatment.
Which of the following is the most likely cause of the deposits not
agreeing with the credits on the day sheet or the patient ledgers? -
correct answer ✅Payment is misplaced.
Rationale
The first step of reconciliation is to first determine if a payment is
misplaced. Then issues of duplication or misplaced monies can be
addressed. Transactions involving a possible bank error would be
the last thing to check before checking the medical office records.
When posting an insurance payment via an EOB, the amount that is
considered contractual is the -
correct answer ✅Insurance allowed amount.
Rationale
An Explanation of Benefits (EOB) is a document from the insurance
company to the patient that includes detailed information
, NCCT Medical office billing and coding
Exam Questions and Answers (Latest
Update 2026)
regarding a claim that was paid to the health care provider. Once a
provider accepts the allowed charges (fee schedule) for a particular
procedure, it is accepting assignment. The provider agrees to
accept the contractual amount (insurance adjustment) as payment
in full from the insurance company. An adjustment is basically a
billing discount in accordance with a contract between the health
care provider and insurance company. Participating (PAR) and Non-
Participating (NON-PAR) providers choose whether to participate in
the Medicare program and either accept or not accept assignment
on Medicare claims.
A list of all account balances and the amounts owed to the medical
practice at the end of the day is called an -
correct answer ✅accounts receivable report.
Rationale
A record of account balances and amounts owed the medical
practice is call an accounts receivable report. Accounts payable is
that which is owed to vendors or suppliers of the medical practice.
An aging report will only list of outstanding balances due. An
insurance aging report provided an aged summary of the medical
offices outstanding charges broken down by insurance provider.
