NCCT Practice Exam Questions with Verified Solutions 2024, Exams of Advanced Education

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NCCT Practice Exam Questions

With Verified Solutions 100% 2024

Which of the following laws applies when making payment arrangements for a patient requiring four or more installments? - CORRECT ANSWERS-Truth in Lending Act The physician wants to see how much money is outstanding from XYZ Insurance, and what percentage is in bad debt (over 120 days since the patient received service). Which of the following is the best report to show these figures? - CORRECT ANSWERS-Accounts Receivable Aging Report Which of the following is a system of payment used by managed care plans in which physicians and hospitals are paid a fixed amount for each patient enrolled over a stated period, regardless of the type and number of services provided? - CORRECT ANSWERS-capitation Which of the following is the purpose of the encounter form? - CORRECT ANSWERS- patient tracking The primary reason for accounts receivable (A/R) management is to decrease - CORRECT ANSWERS-the number of unpaid accounts Which of the following is the first level of the Medicare appeals process? - CORRECT ANSWERS-a Medicare administrative contractor Which of the following regulations requires the medical office to conduct internal monitoring and auditing in order to stay within the guidelines? - CORRECT ANSWERS- OIG Compliance Program Which of the following scenarios is an example of unbundling codes? - CORRECT ANSWERS-A diagnostic procedure and a surgical procedure were both coded. Which of the following is the main reason to obtain a referral from a primary care provider? - CORRECT ANSWERS-The HMO payer requires the referral to specialists and surgical care which the payer uses for payment and utilization purposes. A claim was denied for a deleted CPT® code. Where should the specialist look to find the deleted code? - CORRECT ANSWERS-Appendix B Which of the following is the purpose of the HITECH Act? - CORRECT ANSWERS- reimburses physicians for the meaningful use of EHRs

Studying reports from the practice management system which describe the most frequently performed procedures, the billed amount, and the amount of the insurance payment are necessary to set: - CORRECT ANSWERS-physician fee schedules. Which of the following are the steps to finding the correct ICD-10-CM code? (Select the three (3) correct answers.) - CORRECT ANSWERS-Identify the main term., Look up the main term in the Alphabetic Index., Note all essential modifiers. A patient presents with her two insurance ID cards, Medicare and BCBS. She turned 65 six months ago, but plans to continue working until the end of the year. The copay for the visit is $20. Which of the following is the reason BCBS should be billed as the primary payer for this visit? - CORRECT ANSWERS-The patient has only been 65 for six months. Which of the following are special considerations for billing Workers' Compensation claims? (Select the two (2) correct answers.) - CORRECT ANSWERS-Benefits vary based on the state law., A Notice of Injury report must be filed for claim processing. Medicaid eligibility should be verified - CORRECT ANSWERS-monthly on active patients. Which of the following are violations of the Anti-Kickback Law? (Select the three (3) correct answers.) - CORRECT ANSWERS-routinely waiving copayments, referrals to physicians with a common financial interest, DME companies paying physicians for referrals Which of the following codes should be associated with an NDC number? - CORRECT ANSWERS-a HCPCS code The primary care provider hands the insurance and coding specialist a referral for a patient to get an MRI. Which of the following should the specialist do first? - CORRECT ANSWERS-Call the insurance company and process an authorization. Which of the following information is needed for a clean claim submission? (Select the three (3) correct answers.) - CORRECT ANSWERS-preauthorization is met and accurate, place of service is correct, services rendered The purpose of preparing a monthly aging report is to keep track of - CORRECT ANSWERS-how long each patient has owed money to the practice. A child is living with both parents and each has different insurance. Which of the following should be determined in order to decide which insurance is primary? - CORRECT ANSWERS-the month of birth for each parent; the earliest month becomes the primary payer