NCCT PRACTICE QUESTIONS AND CORRECT ANSWERS

NCCT PRACTICE QUESTIONS AND CORREC




If cthe cinsurance cand ccoding cspecialist csuspects cMedicare cfraud, cshe cshould ccontact cthe

A. cDOJ.
B. cAMA.
C. cFDA.
D. cOIG. c- cCORRECT cANS✔✔D. cOIG

Collecting cstatistics con cthe cfrequency cof ccopay ccollection cat ctime cof cservice cis ca cstep cin cthe c
A. ca crecovery caudit.
B. cmanaging cA/R.
C. cclaims cmanagement.
D. cperformance creviews. c- cCORRECT cANS✔✔B. cmanaging cA/R

When cthe cpatient chas csigned cthe cassignment cof cbenefits cform, cthe cpayment cfor cservices csho
cunless cthe cprovider cis
A. cin-network.
B. cout cof cnetwork.
C. cthe cprimary ccare cprovider.
D. ca creferred cspecialist. c- cCORRECT cANS✔✔B. cout cof cnetwork.

When cspeaking cwith can cinsurance ccompany crepresentative cto cfollow cup con ca cdenied cclaim, ca
cspecialist cshould chave cwhich cof cthe cfollowing cinformation cavailable? c(Select cthe cthree c(3) ccor
A. cdate cof cservice
B. cphysician's cNPI
C. cpatient's cmailing caddress
D. cpatient's cinsurance cID cnumber

, An cinsurance cand ccoding cspecialist cis creviewing ca cpatient's cencounter cform cthat cis cdocumente
cto ccompleting ca cCMS-1500 cform. cShe cnotices cthat cthe cphysician cupcoded cthe cencounter cform
cethical cobligation cto cfirst
A. cquery cthe cphysician.
B. ccorrect cthe ccode.
C. cdown ccode.
D. creport cthe cphysician cto cthe cstate cboard. c- cCORRECT cANS✔✔A. cquery cthe cphysician.

In csituations cin cwhich cthe cprovider cis cpaid cthe csame crate cper cpatient cwhether cor cnot cthey cpro
cwhich cservices cwere cprovided, cthe cpayment cis cknown cas:


A. ccoinsurance.
B. ccapitation.
C. cfee cfor cservice.
D. ca cdeductible. c- cCORRECT cANS✔✔B. ccapitation.

When cposting ctransactions cfor celectronic cclaims csubmission, cit cis cnecessary cto center cwhich cof
cclaim?
A. cphysician's coffice cfee
B. cphysician's ccontractual cfee
C. cinsurance cplan's callowable cfee
D. cinsurance cplan's cUCR cfee c- cCORRECT cANS✔✔A. cphysician's coffice cfee

Which cof cthe cfollowing cis cthe cmost clikely ccause cof cthe cdeposits cnot cagreeing cwith cthe ccredits
cpatient cledgers?
A. cPayment cis cmisplaced.
B. cThe cbank cmade can cerror.
C. cCash cis cmissing. c
D. cThere care cduplicate ccards. c- cCORRECT cANS✔✔A. cPayment cis cmisplaced.

A cpatient cis cseen cin cthe coffice cfor ca ccandidal cparonychia cnail cabscess cwhich cwas cincised cand
cfollowing cis cthe ccorrect cCPT® ccode cassignment cfor cphysician cservices conly?
A. c10080
B. c10061
C. c10060
D. c11400 c- cCORRECT cANS✔✔C. c10060

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?
A. c-78
B. c-51
C. c-58
D. c-79 c- cCORRECT cANS✔✔D. c-79

Which cof cthe cfollowing cis cthe ccorrect cprocedure cfor ckeeping ca cWorkers' cCompensation cpatien
cwhen cthe csame cphysician cis calso cseeing cthe cpatient cas ca cprivate cpatient?
A. cSeparate cfinancial cand chealth crecords cmust cbe cused.
B. cThe csame cfinancial crecord cmay cbe cused, cbut ca cseparate chealth crecord cmust cbe cmaintaine
C. cThe csame cfinancial cand chealth crecords cmay cbe cused.
D. cThe csame chealth crecord cmay cbe cused, cbut ca cseparate cfinancial crecord cmust cbe cmaintaine
cSeparate cfinancial cand chealth crecords cmust cbe cused.


A cminor cchild chas ccome cto cthe cphysician coffice cfor ccare. cHer cparents care cdivorced. cBoth cpar
cchild cis clisted con cthe cmother's, cfather's, cand cboth cstep-parents' cpolicies. cThe cmother's cbirthda
cbirthday cMarch c19, cfather's cbirthday cis cFebruary c19, cth cand cthe cstepmother's cbirthday cis cJan