26 Free NCCT Practice Test Online Questions for Medical Insurance Coding

26 Free NCCT Practice Test Online Questions for Medical Insurance Coding provide exam-focused questions that are easy to access for everyone who desire to get a NCCT certification. Actually, this free online NCCT practice test displays key questions organized by topics in the official NCCT practice exam. So, don’t miss the opportunity to enhance your ability, revise your knowledge and increase more confidence to lead up to the next exam. Each question includes 4 answers and you have to choose one correct answer among them. After testing completion, scroll down to the end and hit the submit button. Your test will be automatically checked and your total points will come out immediately. Hope you win in this test!
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Increases/decreases to patient accounts not due to charges incurred or payments received

• Adjustment
• M codes
• Co-payment
• V codes

Type of managed care operation that is typically set up as a for-profit corporation with salaried employees

• Health Maintenance organization (HMO)
• Preferred Provider Organization (PPO)
• Preauthorization
• Explanation of Benefits (EOB)

Documentation/codes are ambiguous, reimburse lowest feeFraud

• E codes
• M codes
• Down-coding
• Up-Coding

Separating codes, bill separate to gain more money Fraud

• Unbundling codes
• Bundled codes
• E codes
• V codes

...

• E codes
• V codes
• CMS 1500
• M codes

Add on codes

• E codes
• M codes
• V codes
• Modifier

Identifies procedures performed, diagnoses, charges, and returns

• E codes
• Bundled codes
• V codes
• Encounter forms

Grouping of several services directly related to one procedure and paid as one

• E codes
• Bundled codes
• Unbundling codes
• V codes

Codes for preventative procedures

• Up-Coding
• E codes
• M codes
• V codes

ICD-9-CM codes for external causes of injury, poisoning, that explain how the injury occurred

• Up-Coding
• V codes
• E codes
• M codes

Payment required when seem by the probider

• Co-payment
• Up-Coding
• Adjustment
• Modifier

Signing over of benefits by the beneficiary to another party

• Encounter forms
• Adjustment
• Assignment of Benefits
• Explanation of Benefits (EOB)

Organizations of providers who network together to offer discounts on insurance

• Point-of-Service Plan (POS)
• Preferred Provider Organization (PPO)
• Health Maintenance organization (HMO)
• Preauthorization

Obtaining insurance carriers consent to proceed with patient care and treatment

• Beneficiary
• Modifier
• Medicare Part D
• Preauthorization

Direct communication between office and insurance companies

• Preauthorization
• Point-of-Service Plan (POS)
• Explanation of Benefits (EOB)
• Encounter forms

41 Free NCCT Practice Test Online Questions for Basics of Diagnostic Coding

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terms that are enclosed in a box and are printed in italics. these notation indicates that some code classifications cannot be used with the code selected

• excludes
• notes
• includes
• symbols

a direction to the coder to look elsewhere if the main term or subterm(s) for that entry are not sufficient for coding the information

• see
• see also
• symbols
• code also

used to define terms and give coding instructions

• with
• and
• see
• notes

classifies environmental or external causes injury, poisoning, or other adverse effects on the body

• V codes: The Supplementary Classification of Factors Influencing Health Status and Contact with Health Services
• International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
• E codes: The Supplemental Classification of External Causes of Injuries and Poisoning
• NEC: not elsewhere classifiable

documented at the patient's first visit with a new physician or provider or upon admission to a hospital and normally includes the CC, personal and family medical history, a physical examination, an assessment, and a treatment plan for the patient

• chief complaint (CC)
• subclassification
• history and physical examination (H&P, HPE)
• use additional code

Volume 2 of the ICD-9-CM coding manual; it lists conditions, injuries, illnesses, and diseases in alphabetical order by main terms, modifying terms, subterms

• excludes
• Alphabetic Index
• notations
• Tabular Index

the manual that establishes the system for classifying diseases to facilitate collection of uniform and comparable health information, for statistical purposes, and for indexing medical records for data storage and retrieval

• E codes: The Supplemental Classification of External Causes of Injuries and Poisoning
• International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Clinical Modification (ICD-10-CM)
• history and physical examination (H&P, HPE)
• International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)

the physician's determination of what is or may be wrong with the patient based on findings from the history and physical examination (H&P) and includes a preliminary, interim, or final diagnosis

• and
• assessment
• see
• abstract

in the content of the ICD-9-CM, it should be interpreted as and/or

• see
• coding
• with
• and

the concise, technical description of the cause, nature, or manifestations of a condition or problem

• SOAP notes
• notes
• diagnosis
• chapters

adds the highest level of detail to the illness or injury, used to assign a fifth digit when appropriate

• subcategory
• abstract
• subclassification
• manifestation

broad sections of the ICD-9-CM coding manual grouped by disease or illness

• SOAP notes
• notes
• chapters
• category

28 Free NCCT Practice Test Online Questions for Medical Coding Specialist

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mohs micrographic surgery invloves the surgeon acting as

• any physician
• surgeon and pathologist
• new technology
• social history

observastion e/m codes 99218-99220 are used in physician billing when

• it can be used to collect data about nursing care.
• selective catheterization
• centers of medicare and medicaid services.
• a patient is referred to a designated observation status

per cpt guidelines a seperate procedure is

• centers of medicare and medicaid services.
• one code, for the final vessel entered
• considered to an integral part of another, larger service
• surgeon and pathologist

an encoder that takes a coder through a series of questions and choices is called

• e codes
• logic based encoder
• subcategory codes
• v codes

when coding a selective catheterization in cpt, how are codes assigned

• selective catheterization
• subclassification level
• one code, for the final vessel entered
• logic based encoder

which of the following statements does not apply to icd9cm

• centers of medicare and medicaid services.
• a 'with manipulation' code
• one code, for the final vessel entered
• it can be used to collect data about nursing care.

according to cpt, a repair of a laceration that includes retention sutures would be considered what type of closure

• cpt
• volume 1
• complex
• volume 2

if a patient has a excision of a malignant lesion of the skin, the cpt code is determined by the area from which the excision occurs and which of the following.

• diameter of the lesion as well as the most narrow margins required to adequately excise the lesion described in the operative report
• a patient is referred to a designated observation status
• identification of the supplies, products and services provided to patients
• considered to an integral part of another, larger service

which of the following icd9 codes are always alphanumeric

• volume 2
• v codes
• cpt
• e codes

which volume of icd9cm contains the numerical listing of codes that represent diseases and injuries

• complex
• volume 2
• v codes
• volume 1

the codes in the musculoskeletal section of cpt may be used by

• cpt
• any physician
• miscarriage
• ama

which volume of icd9 contains the tabular and alphabetic indexes of procedures.

• volume 1
• volume 2
• complex
• v codes

according to the uhdds whick of the following is the definition of other diagnosis

• considered to an integral part of another, larger service
• identification of the supplies, products and services provided to patients
• receives clinical evaluation or therapeutic treatment or diagnostic procedures or extends the length of stay or increases nursing care and or monitoring
• it can be used to collect data about nursing care.

the two digit modifier that may be reported to indicate a physician preformed the postoperative management of a patient, but another physician performed the surgical procedure

• 55
• cpt
• ama
• complex

what are five-digit icd9cm diagnosis codes referred to as

• subclassification level
• subcategory codes
• subclassification codes
• social history

44 Free NCCT Practice Test Online Questions for Certified Medical Coding Specialist

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In the Medicare program, a clean claim means that :

• there is an emergent need for the information stated by the physician
• supplies, orthotics, prosthetics, DME equipment, ambulance services
• the claim has no deficiencies, the carries does not need to investigate further, the claim passes all electronic edits.
• add or correct the information and resubmit the claim

An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed a(n)

• $100
• HMO
• CBC
• head

Services in which opinions of specialists are requested are called

• Confidential
• -ostomy
• consent
• consultations

The usual abbreviation for complete blood count is ______.

• $100
• HMO
• head
• CBC

If an error is made in a patient's chart, what should be done before adding the correct information nearby?

• services and procedures
• draw a single line through the error
• assignment of benefits form
• Remedial education

A patients medical record should be faxed only if ______.

• there is an emergent need for the information stated by the physician
• add modifier -F5 to the appropriate procedure code
• add or correct the information and resubmit the claim
• previously injured person is injured again at work

One insurance plan jointly sponsored by federal and state government is ___________.

• medicare
• head
• Medicaid
• fraud

Intentional misrepresentation of facts in order to deceive or mislead others is ___________.

• fraud
• $100
• premium
• head

The opposite of ventral is _________.

• dorsal
• head
• fraud
• consent

If a patient had an operative procedure on his/her thumb of the right hand, a coder would ____________________.

• draw a single line through the error
• add or correct the information and resubmit the claim
• add modifier -F5 to the appropriate procedure code
• services and procedures

All of the following are included in the Medicaid EPSDT program for welfare children EXCEPT(treatment for mental defects, developmental assessment, remedial education, dental screening)

• Electronic
• Remedial education
• medicare
• Medicaid

Examples of HCPCS level II codes are

• Drinks at professional meetings
• services and procedures
• Amyotrophic Lateral Sclerosis
• supplies, orthotics, prosthetics, DME equipment, ambulance services

The subsequent injury was established for problems that arise when a _____.

• draw a single line through the error
• Drinks at professional meetings
• services and procedures
• previously injured person is injured again at work

A suffix indicating the surgical creation of an opening is ________.

• -ostomy
• HMO
• dorsal
• consent

HCT is the general medical abbreviation for ____________.

• hematocrit
• HMO
• head
• Medicaid

TBSA refers to

• ALL U.S. states
• total body surface area
• concurrent care
• third degree first

For the insurance check to go directly to the physician, the patient must sign a(n) ______________________.

• indented codes
• assignment of benefits form
• concurrent care
• hypertension

25 Free NCCT Practice Test for Insurance and Coding Specialist

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CPT codes approved by the FDA and representing widely used services and procedures

• ADHD
• Refferal
• Appendix A
• Category I

new or revised text

• Bullet Symbol
• Refferal
• Right / Left triangle symbols
• Solid Triangle Symbol

Services that are provided by the physician in the emergency department for unplanned patient encounters

• Concurrent care
• Critical Care
• Emergency Care Services
• Key Components

Patient who has not been seen by a physician within the past 3 years

• Out patient
• New patient
• Inpatient
• Consultation

Face to Face encounter between a physician and a patient in physicians private office

• Out patient
• Office Visit
• Modifiers
• Inpatient

Physician with the primary responsibility for care of the patient

• Attending Physician
• Category I
• Appendix A
• Admission

The history examination and Medical decision making complexity of an E/M service

• Key Components
• New patient
• Out patient
• Modifiers

Attention Deficit Hyperactivity Disorder

• See
• ADHD
• Modifiers
• Admission

21 NCCT Free Practice Test Questions on Insurance and Billing Procedures

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the name for storage in a computer

• computer menu
• peer review
• computer virus
• computer memory

a legally enforceable document composed by an insurance company describing an agreement

• peer review
• subpoena
• insurance policy
• OCR devices

a transmission device for sending electronic data

• RAM
• fraud
• bytes
• modem

when physicians evaluate other physicians

• OCR devices
• computer virus
• peer review
• RAM

a separate part of a computer keyboard that handles numerical functions only

• bytes
• fraud
• RAM
• keypad

intentional misrepresentation of facts in order to deceive or mislead others

• fraud
• modem
• RAM
• bytes

a lists of items displayed on a computer screen from which the operator can choose a function

• subpoena
• computer virus
• computer memory
• computer menu

scanners for directly reading claims into a computer's memory

• OCR devices
• modem
• computer virus
• peer review

34 NCCT Free Practice Test Questions on Insurance and Billing Procedure

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Everything that a medical claims specialist learns about a patient's condition must remain

• Counseling
• computer
• confidential
• conduct

When a fax is used to transmit medical records, the patient must sign a

• bytes
• keypad
• RAM
• release

Who should interpret reports and laboratory tests to the patient?

• OCR devices
• policy
• keypad
• The physician

When physicians evaluate other physicians, this process is called

• release
• memory
• peer review
• OCR devices

Which of the following is NOT typical knowledge expected of an insurance billing specialist?

• file a DBA form
• Social entertaining
• How to repair a fax machine
• Computer programming

The following should be condsidered wshen selecting and setting up a computer system EXCEPT

• decor
• memory
• CPU
• menu

A legally enforceable document composed by an insurance company describing an agreement is a

• conduct
• IRS
• policy
• modem

Self- employed insurance billing specialists can deduct all but which one of the following expenses from their income taxes?

• Social entertaining
• Computer programming
• Counseling
• confidential

All of the following are expected as part of a professional image EXCEPT

• Social entertaining
• saving data
• confidential
• a strong pleasant fragrance

A transmission device for sending electronic data is called a

• bytes
• modem
• menu
• RAM