NCCT TESTS COMPILATION BUNDLE

An insurance and coding specialist is reviewing a patient's encounter form that is documented in the medical record prior to competing a CMS-1500 form. She notices that the physician upcoded the encounter form. The specialist has the ethical obligation to first - query the physician A patient had s...

Which of the following is an appropriate way to open the discussion when explaining practice fees to a patient? a. "Do you have any questions about the cost of today's visit?" b. We can accept your insurance as payment in full." c. "Do you know what your out of pocket cost is today?" d. "...

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. A 45-year-old patient with ESR...

If the insurance and coding specialist suspects Medicare fraud, she should contact the A. DOJ. B. AMA. C. FDA. D. OIG. Correct Answer: D. OIG Collecting statistics on the frequency of copay collection at time of service is a step in the process of A. a recovery audit. B. managing A/R. C...

CPT codes are A. 2 digits B. 5 digits C. 3 digits D. 4 digits Correct Answer: 5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an A. Individual Contract B. HMO C. Conversion Privilege D. Exclusive Provider Org...

It is important to make the patient aware of the mailing address, interest rates, and length of agreement when setting up a Correct Answer: payment arrangement. What is the correct term for a doctor who enters into an agreement with a third party payer on charges, discounts, and services rendere...

The patient owes $25.00 for the visit. The amount collected for the office visit is called what? Correct Answer: Copayment The insurance carrier rate is 80% the remaining 20% is called what? Correct Answer: Coinsurance A third party payer made an error when adjudicating a claim which of the ...

An insurance and coding specialist is reviewing a patient's encounter form that is documented in the medical record prior to competing a CMS-1500 form. She notices that the physician upcoded the encounter form. The specialist has the ethical obligation to first Correct Answer: query the physician ...

A patient is choking and coughing. Which action is appropriate? Correct Answer: Do not interfere except have another employee get the physician. The medical abbreviation ASHD stands for Correct Answer: Arteriosclerotic heart disease "ASHD" Which of the following ambulatory monitoring syste...