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NCCT Exam Questions With 100% Correct Answers 2024, Exams of Advanced Education

A comprehensive set of exam questions and their correct answers related to insurance coding and billing practices in the healthcare industry. It covers a wide range of topics, including proper icd-10-cm coding, understanding insurance benefits and patient responsibilities, managing denied claims, utilizing computer-assisted coding software, and adhering to federal regulations. Designed to help insurance and coding specialists prepare for the ncct (national center for competency testing) exam, which is a widely recognized certification for professionals in this field. The detailed explanations and step-by-step guidance offered in this document can serve as valuable study material and a reliable resource for students, professionals, and lifelong learners seeking to enhance their knowledge and skills in healthcare insurance and coding.

Typology: Exams

2023/2024

Available from 08/08/2024

professoraxel
professoraxel 🇺🇸

3.5

(34)

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NCCT Exam Questions With 100%

Correct Answers 2024

Encounter forms should be audited to ensure the - Correct Answer-Diagnosis is in the proper ICD-10-CM format In the insurance carrier's rate of benefits is 80%, the remaining 20% is known as - Correct Answer-Coinsurance If a provider refuses to accept assignment when must the patient pay for services - Correct Answer-Time of service When speaking with an insurance company representative to follow up on a denied claim, an insurance and coding specialist should have which of the following information available? - Correct Answer-Date of service, physician's NPI, patient's insurance ID number Which of the following fees posted to the patient's account is an example of "usual, customary, and reasonable?" - Correct Answer-Allowed amount The patient opted to a have a tubal ligation performed. Which of the following is needed in order for the third party payer to cover the procedure? - Correct Answer-Pre- certification When posting an insurance payment via an EOB, the amount that is considered contractual is the - Correct Answer-Insurance allowed amount Which of the following is the most likely cause of the deposits not agreeing with the credits in the day sheet or the patient ledgers? - Correct Answer-Payment is misplaced. When a document is changed in an EHR, the original documentation is - Correct Answer-Hidden When reviewing the charges for a patient procedure using computer assisted coding software (CAC), the insurance and coding specialist should first - Correct Answer- Review the chart for needed information. Which of the following patient information is needed to determine a Medicaid sliding fee scale - Correct Answer-Poverty level, number of dependents, salary Collecting statistics on the frequency of copay collection at a time of service is a step in the process of - Correct Answer-Managing A/R

When the patient calls to inquire about an account, which of the following does the insurance and coding specialist need to ask for before discussing the account? - Correct Answer-Patient's DOB, patient's name, patient's insurance ID number 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? - Correct Answer-She will be able to keep her current medical insurance from her previous job through COBRA An insurance and coding specialist is reviewing Appendix M in the CPT book. Which of the following tasks is she most likely performing? - Correct Answer-Checking for renumbered codes When should a provider have a patient sign an ABN? - Correct Answer-When the service(s) May be denied and prior to performing the service. The most effective method to manage patient statements and other financial invoices as well as avoid payment delays is to - Correct Answer-Collect fees at the time of service Which of the following federal regulations requires disclosure of finance charges, late fees, amount, and due dates for all payment plan? - Correct Answer-Truth in Lending Act When is a referral from a provider required? - Correct Answer-when contained in the individual policy Which of the following is the correct procedure for keeping a worker's compensation patient's financial and health records when the same physician is also seeing the patient as a private patient? - Correct Answer-Separate financial and health records must be used. When a capitation account is applied to the ledger it is also known as a - Correct Answer-monthly prepayment amount When the patient has signed the assignment of benefits form, the payment for services should be sent to the provider unless the provider is - Correct Answer-Out of network