NCCT Insurance and Coding Specialist Certification Test
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questions with verified detailed answers || || || ||
When a capitation account is applied to the ledger it is also known as a -- -
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✔✔monthly prepayment amount || ||
Which of the following reports is used to follow up on outstanding claims to third
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party payers? - ✔✔aging
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Developing an insurance claim begins -- - ✔✔When the patient calls to schedule an
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appointment.
Which of the following patient information is needed to determine a Medicaid sliding
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fee scale? - ✔✔Poverty level, number of dependents, salary
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A 43-year old established patient presented to office for his annual visit. The physician
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performed a comprehensive history and exam. The physician wrote a refill for chronic
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condition of Diabetes Mellitus II and Hypertension. Which of the following is the
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correct code assignment. - ✔✔99396, Z00.00, I10, E11.9
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Which of the following information is necessary to post payments from the RA/EOB? -
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✔✔billed CPT codes, patients name, date of service
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Which of the following regulations prohibits the submission of a fraudulent claim or
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making a false statement or representation in connection with a claim? - ✔✔Federal
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False Claim Act|| ||
Co-Insurance is typically due - ✔✔after the claim has been adjudicated || || || || || || || || || ||
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questions with verified detailed answers || || || ||
When a capitation account is applied to the ledger it is also known as a -- -
|| || || || || || || || || || || || || || || || ||
✔✔monthly prepayment amount || ||
Which of the following reports is used to follow up on outstanding claims to third
|| || || || || || || || || || || || || || ||
party payers? - ✔✔aging
|| || ||
Developing an insurance claim begins -- - ✔✔When the patient calls to schedule an
|| || || || || || || || || || || || || ||
appointment.
Which of the following patient information is needed to determine a Medicaid sliding
|| || || || || || || || || || || || ||
fee scale? - ✔✔Poverty level, number of dependents, salary
|| || || || || || || ||
A 43-year old established patient presented to office for his annual visit. The physician
|| || || || || || || || || || || || ||
performed a comprehensive history and exam. The physician wrote a refill for chronic
|| || || || || || || || || || || || ||
condition of Diabetes Mellitus II and Hypertension. Which of the following is the
|| || || || || || || || || || || || || ||
correct code assignment. - ✔✔99396, Z00.00, I10, E11.9
|| || || || || || ||
Which of the following information is necessary to post payments from the RA/EOB? -
|| || || || || || || || || || || || ||
✔✔billed CPT codes, patients name, date of service
|| || || || || || || ||
Which of the following regulations prohibits the submission of a fraudulent claim or
|| || || || || || || || || || || || ||
making a false statement or representation in connection with a claim? - ✔✔Federal
|| || || || || || || || || || || || ||
False Claim Act|| ||
Co-Insurance is typically due - ✔✔after the claim has been adjudicated || || || || || || || || || ||
