NCCT Insurance and Coding Specialist
Certification Test 2023
When a capitation account is applied to the ledger it is also known as a -- -
... [Show More] Answermonthly prepayment amount
Which of the following reports is used to follow up on outstanding claims to third party
payers? - Answer-aging
Developing an insurance claim begins -- - Answer-When the patient calls to schedule an
appointment.
Which of the following patient information is needed to determine a Medicaid sliding fee
scale? - Answer-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. - Answer-99396, Z00.00, I10, E11.9
Which of the following information is necessary to post payments from the RA/EOB? -
Answer-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? - AnswerFederal False Claim Act
Co-Insurance is typically due - Answer-after the claim has been adjudicated
A patient presents to the ED with multiple stab wounds to the arms and chest. On
examination there are 3 deep lacerations to the arms measuring 1.2 cm, 1.4 cm, and
2.1 cm requring complex closure, and 2 superficial wounds measuring 1.3 cm and 2.4
cm requiring intermediate closure. Which of the following is the correct CPT code
assignment. - Answer-13121, 12032-59
Which of the following defines the maximum time that a debt can be collected from the
time it was incurred or became due? - Answer-statute of limitations
The patient presented with three lacerations, the physician performed the following a
simple repair of 2.5 cm laceration on the hand. Which of the following is the correct CPT
code assignment? - Answer-12002
Which of the following processes makes final determination for payment in an appeal
board? -...
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