NCCT PRACTICE EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS LATEST UPDATE (2024/2025) GUARANTEED PASS

NCCT PRACTICE EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS LATEST UPDATE (2024/2025) GUARANTEED PASS Which of the following items are mandatory in patient financial policies? (Select the three (3) correct answers.) a. participating insurance companies b. provider fee schedule c. statement that responsibility for payment lies with patient d. collection process e. expectation of payment due at time of service - ANS c. statement that responsibility for payment lies with patient d. collection process e. expectation of payment due at time of service Collections agencies are regulated by the a. Outpatient Prospective Payment System b. Health Care Finance Administration c. Uniform Bill of 2004 d. Fair Debt Collections Practices Act - ANS d. Fair Debt Collections Practices Act In order to have claims paid as quickly as possible, the insurance specialist must be familiar with which of the following? a. Automated claims status requests b. clearinghouse processing procedures c. prompt pay laws d. payer's claim processing procedures - ANS d. payer's claim processing procedures Which of the following are violations of the Stark Law? (Select the two (2) correct answers) a. accepting gifts in place of payment from patients b. referring patients to facilities where the provider has a financial interest c. upcoding d. negligent handling of protected health information (PHI) e. billing for services not rendered - ANS a. accepting gifts in place of payment from patients b. referring patients to facilities where the provider has a financial interest HIPAA allows a health care provider to communicate with a patient's family, friends, or other persons who are involved in the patient's care regarding their mental health status providing a. the patient is not incapacitated b. a second physician signs off on the disclosure c. the patient does not object d. psychotherapy notes are used for further treatment - ANS c. the patient does not object The insurance and coding specialist calls a carrier to verify a patient's insurance and the representative states that the patient insurance was canceled three months ago. Which of the following should the insurance and coding specialist do first? a. ask the patient for another form of insurance coverage b. discuss self-pay options with the insurance policy holder. c. ask the patient to reschedule the appointment d. record the information and refer the patient to another provider - ANS a. ask the patient for another form of insurance coverage When using an EHR system to enter CPT codes on a CMS 1500 claim form for electronic submission, which of the following should be entered on the claim form first? a. the most resource-intensive procedure or service b. the first code selected on the electronic superbill c. any HCPCS code d. the least expensive procedure or service - ANS a. the most resource-intensive procedure or service Which of the following is the correct procedure for keeping a Workers' Compensation patient's financial and health records when the same physician is also seeing the patient as a private patient? a. Separate financial and health records must be used. b. the same health record may be used, but a separate financial record must be maintained c. the same financial and health records may be used d. the same financial record may be used, but a separate health record must be maintained - ANS a. separate financial and health records must be used Which of the following protects federal healthcare programs from fraud and abuse by healthcare providers who solicit referrals? a. Federal Claims Collection Act b. Utilization Review Act C. Fraud and Abuse Act d. Anti-Kickback Statute - ANS c. Fraud and Abuse Act A Medicare patient presents to an outpatient hospital facility for a scheduled hysterectomy. To which Medicare plan should the facility submit the claim? a. Part D b. Part B c. Part C d. Part A - ANS B. Part B Which of the following are necessary to complete a CMS 1500 form? (Select the three (3) correct answers.) a. patient SSN b. physician information c. demographic information d. effective date of insurance e. diagnosis and CPT codes - ANS b. physician information c. demographic information e. diagnosis and CPT codes An established patient is being seen by the physician today. The patient owes $25.00 for the visit. The amount collected for the office visit is called the a. balance b. deductible c. coinsurance d. copayment - ANS d. copayment