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NCCT Study

study for the NCCT march 30th

QuestionAnswer
Collecting statistics on the frequency of copay collection at the time of service is a step in the process of managing A/R
When a capitation account is applied to the ledger it is also known as Monthly Prepayment amount
Which of the following protects federal healthcare programs from fraud and abuse by healthcare providers who solicit referrals? Anti-Kickback Law
Which of the following are violation of the Stark Law? Accepting gifts in place of payments from patients, referring patients to facilities where the provider has financial interest
When patient has signed the assignment of benefits form, the payment for services should be sent to provider unless the provider is... out of work
Which of the following are necessary to complete a CMS-1500 form? Diagnosis & CPT codes, Physician Info, Demographic information
The patient opted to have a tubal ligation performed, Which of the following is needed in order for the third party payer to cover the procedure? pre-certification
Which of the following fees posted to the patients account is an example of "usual, customary, and reasonable? allowed amount
When should a provider have a patient sign an ABN? When the items may be denied and prior to performing the services
The most effective method to manage patient statements and other financial invoices as well as avoid payment delays is to ? collect fees at the time of service
When using an EHR system to enter CPT codes in the CMS 1500 claim form for electronic submission, which of the following should be entered on the claim form first ? the most resource-intensive procedure or service
When posting an insurance payment via an EOB, the amount that is considered contractual is the ? insurance allowed amount
The insurance and coding specialist is billing the insurance company of a 66 year old woman who has Medicare and is covered under her husbands private insurance. Which of the following is billed first ? the husbands insurance
Which of t he following must be verified to process a credit card transaction ? account number, credit card number, security code
The Patient was hospitalized for diabetes, Upon release the patient consults with a registered dietician. which of the following level 2 HCPCS modifiers should be assigned? AE
The patient is sent a statement for an office visit. The total amount billed is $100.00 and this amount is paid before the insurance company will pay on claim . Which of the following is t his called? Deductible
Applying the birthday rule, a minor child comes in . Both parents have married and the child is listed on t he mothers, fathers and both step parents policies. The mothers birthday is April 16th, step fathers is March 19th fathers birthday is Feb 19th an Fathers plan is primary, mothers plan is secondary
When following up on a denied claim, an insurance and coding specialist should have which of the following information available when speaking with the insurance company ? Date of Service, Physicians NPI , patients Insurance ID number
Created by: IzzyMOA
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