NCCT PRACTICE TEST, EXAM QUESTIONS
& ANSWERS
Which cof cthe cfollowing cis can cappropriate cway cto copen cthe cdiscussion cwhen
,cexplaining cpractice cfees cto ca cpatient?
a. "Do cyou chave cany cquestions cabout cthe ccost cof ctoday's cvisit?"
b. We ccan caccept cyour cinsurance cas cpayment cin cfull."
c. "Do cyou cknow cwhat cyour cout cof cpocket ccost cis ctoday?"
d. "We cwill cbill cyou cfor cthe cvisit cin cfull." c- cA. c"Do cyou chave cany cquestions
cabout cthe ccost cof ctoday's cvisit?"
Which cof cthe cfollowing cinformation cshould cbe cused cto ccapture ccharges cfrom can
cencounter cform?
a. provider cparticipation cstatus
b. patient's cinsurance cbenefits
c. past cprocedures cand cscheduled cfuture cvisits
d. services crendered cand creason cfor cvisit c- cd. cservices crendered cand creason cfor
cvisit
When cposting ctransactions cfor celectronic cclaims csubmission, cit cis cnecessary cto
center cwhich cof cthe cfollowing citems conto cthe cclaim?
a. insurance cplan's callowable cfee
b. physician's coffice cfee
c. insurance cplan's cUCR cfee
d. physician's ccontractual cfee c- cb. cphysician's coffice cfee
The cpatient cis csent ca cstatement cfor can coffice cvisit. cThe ctotal camount cof cthe cbill
cis
$100.00 cand cthis camount cmust cbe cpaid cbefore cthe cinsurance ccompany cwill cpay
con cthe cclaim. cWhich cof cthe cfollowing cis cthis ccalled?
a. deductible
b. premium
c. copayment
d. coinsurance c- ca. cdeductible
When cposting can cinsurance cpayment cvia can cEOB, cthe camount cthat cis cconsidered
ccontractual cis cthe:
a. co-insurance
, b. NON-PAR cpayment callowable
c. patient cresponsibility
d. insurance callowed camount c- cd. cinsurance callowed camount
Developing can cinsurance cclaim cbegins
a. when cthe cpatient ccalls cto cschedule can cappointment
b. once cthe ccharges chave cbeen centered cinto cthe ccomputer
c. when cthe cpatient carrives cfor cthe cappointment
d. after cthe cmedical cencounter cis ccompleted c- ca. cwhen cthe cpatient ccalls cto
cschedule can cappointment
When cshould ca cprovider chave ca cpatient csign can cABN?
a. when ca cservice cis cexcluded cfrom ccoverage cunder cMedicare
b. when cthe citems cmay cbe cdenied cand cprior cto cperforming cthe cservice
c. when cthe cservice cis ccovered cunder cPart cB cfee cschedule
d. prior cto ctreating ca cpatient cwho crequires cemergency cservices cthat cmight
cnot cbe ccovered c- cb. cwhen cthe citems cmay cbe cdenied cand cprior cto
cperforming cthe cservice
Which cof cthe cfollowing cregulations cprohibits cthe csubmission cof ca cfraudulent
cclaim cor cmaking ca cfalse cstatement cor crepresentation cin cconnection cwith ca
cclaim?
a. Stark cLaw
b. Federal cClaims cCollection cAct
c. Federal cFalse cClaims cAct
d. Anti-kickback cLaw c- cc. cFederal cFalse cClaims cAct
The cpatient's ctotal ccharges care c$300. cThe callowed camount cis c$150. cBenefits
cpay c60%. cWhich cof cthe cfollowing cwill cthe cpatient chave cto cpay?
a. $60
b. $90
c. $150
d. $180 c- ca. c$60
Which cof cthe cfollowing cprocess cmakes ca cfinal cdetermination cfor cpayment cin can
cappeal cboard?
a. deposition
& ANSWERS
Which cof cthe cfollowing cis can cappropriate cway cto copen cthe cdiscussion cwhen
,cexplaining cpractice cfees cto ca cpatient?
a. "Do cyou chave cany cquestions cabout cthe ccost cof ctoday's cvisit?"
b. We ccan caccept cyour cinsurance cas cpayment cin cfull."
c. "Do cyou cknow cwhat cyour cout cof cpocket ccost cis ctoday?"
d. "We cwill cbill cyou cfor cthe cvisit cin cfull." c- cA. c"Do cyou chave cany cquestions
cabout cthe ccost cof ctoday's cvisit?"
Which cof cthe cfollowing cinformation cshould cbe cused cto ccapture ccharges cfrom can
cencounter cform?
a. provider cparticipation cstatus
b. patient's cinsurance cbenefits
c. past cprocedures cand cscheduled cfuture cvisits
d. services crendered cand creason cfor cvisit c- cd. cservices crendered cand creason cfor
cvisit
When cposting ctransactions cfor celectronic cclaims csubmission, cit cis cnecessary cto
center cwhich cof cthe cfollowing citems conto cthe cclaim?
a. insurance cplan's callowable cfee
b. physician's coffice cfee
c. insurance cplan's cUCR cfee
d. physician's ccontractual cfee c- cb. cphysician's coffice cfee
The cpatient cis csent ca cstatement cfor can coffice cvisit. cThe ctotal camount cof cthe cbill
cis
$100.00 cand cthis camount cmust cbe cpaid cbefore cthe cinsurance ccompany cwill cpay
con cthe cclaim. cWhich cof cthe cfollowing cis cthis ccalled?
a. deductible
b. premium
c. copayment
d. coinsurance c- ca. cdeductible
When cposting can cinsurance cpayment cvia can cEOB, cthe camount cthat cis cconsidered
ccontractual cis cthe:
a. co-insurance
, b. NON-PAR cpayment callowable
c. patient cresponsibility
d. insurance callowed camount c- cd. cinsurance callowed camount
Developing can cinsurance cclaim cbegins
a. when cthe cpatient ccalls cto cschedule can cappointment
b. once cthe ccharges chave cbeen centered cinto cthe ccomputer
c. when cthe cpatient carrives cfor cthe cappointment
d. after cthe cmedical cencounter cis ccompleted c- ca. cwhen cthe cpatient ccalls cto
cschedule can cappointment
When cshould ca cprovider chave ca cpatient csign can cABN?
a. when ca cservice cis cexcluded cfrom ccoverage cunder cMedicare
b. when cthe citems cmay cbe cdenied cand cprior cto cperforming cthe cservice
c. when cthe cservice cis ccovered cunder cPart cB cfee cschedule
d. prior cto ctreating ca cpatient cwho crequires cemergency cservices cthat cmight
cnot cbe ccovered c- cb. cwhen cthe citems cmay cbe cdenied cand cprior cto
cperforming cthe cservice
Which cof cthe cfollowing cregulations cprohibits cthe csubmission cof ca cfraudulent
cclaim cor cmaking ca cfalse cstatement cor crepresentation cin cconnection cwith ca
cclaim?
a. Stark cLaw
b. Federal cClaims cCollection cAct
c. Federal cFalse cClaims cAct
d. Anti-kickback cLaw c- cc. cFederal cFalse cClaims cAct
The cpatient's ctotal ccharges care c$300. cThe callowed camount cis c$150. cBenefits
cpay c60%. cWhich cof cthe cfollowing cwill cthe cpatient chave cto cpay?
a. $60
b. $90
c. $150
d. $180 c- ca. c$60
Which cof cthe cfollowing cprocess cmakes ca cfinal cdetermination cfor cpayment cin can
cappeal cboard?
a. deposition
