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NCCT-medical Office Procedure

36 Questions
NCCT Quizzes & Trivia

NCCT quiz on medical office procedure

Questions and Answers
  • 1. 
    A bed patient in a hospital is called a
    • A. 

      Inpatient

    • B. 

      Outpatient

    • C. 

      Third party payer

    • D. 

      Provider

  • 2. 
    One who acts for the insured or the carrier in a claim is called
    • A. 

      Doctor

    • B. 

      Adjuster

    • C. 

      Provider

    • D. 

      Subscriber

  • 3. 
    A request for payment under an insurance contractor bond is called a(an)
    • A. 

      Insurance application

    • B. 

      Claim

    • C. 

      Dual choice request

    • D. 

      Total disability

  • 4. 
    Payment made periodically to keep an insurance policy in force is called
    • A. 

      Time limit

    • B. 

      Premium

    • C. 

      Coinsurance

    • D. 

      Fee for service

  • 5. 
    A person or institution that gives medical care is an
    • A. 

      Third party payer

    • B. 

      Provider

    • C. 

      Adjuster

    • D. 

      Insurance agent

  • 6. 
    Benefits in the form of cash payments rather than service are called
    • A. 

      Indemnity

    • B. 

      Hospital benefits

    • C. 

      Catastrophic health benefits

    • D. 

      Cash advances

  • 7. 
    An Amount the insured must pay before policy benefits begin is called
    • A. 

      Indemnity

    • B. 

      Extended benefits

    • C. 

      Deductible

    • D. 

      Catastrophic

  • 8. 
    An organization that offers insurance against losses in exchange for a premium is called a
    • A. 

      Rider

    • B. 

      Health maintenance organization

    • C. 

      Member physician

    • D. 

      Bank

  • 9. 
    Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or disabilities is called
    • A. 

      Catastrophic

    • B. 

      Severe

    • C. 

      Third party payer

    • D. 

      None of the above

  • 10. 
    A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a (an)
    • A. 

      Inpatient

    • B. 

      Outpatient

    • C. 

      Carrier

    • D. 

      Adjuster

  • 11. 
    An illness of injury that prevents an insured person from performing one or more of the functions of his regular job is called
    • A. 

      Partial disability

    • B. 

      Permanent disability

    • C. 

      Total disability

    • D. 

      Resultant disability

  • 12. 
    A previous injury disease or physical condition that existed before the health insurance policy was issued is called
    • A. 

      Preexisting condition

    • B. 

      Prior exposure

    • C. 

      Foregoing condition

    • D. 

      None of the above

  • 13. 
    One who belongs to a group insurance plan is called
    • A. 

      Third party payer

    • B. 

      Subscriber

    • C. 

      Carrier

    • D. 

      None of the above

  • 14. 
    A sum of money provided in an insurance policy, payable for covered services is called
    • A. 

      Deductible

    • B. 

      Benefits

    • C. 

      Dues payable

    • D. 

      Premium

  • 15. 
    To prevent the insured from receiving a duplicate payment for losses under more than one insurance policy is called
    • A. 

      Fee for service

    • B. 

      Hospital benefits

    • C. 

      Coordination of benefits

    • D. 

      Non duplication benefits

  • 16. 
    A requirement under a health care policy dictated that the insured be responsible for a percentage of covered services, this is called
    • A. 

      Coinsurance

    • B. 

      Pre defined policy

    • C. 

      Comprehensive

    • D. 

      In percent policy

  • 17. 
    Insurance designed to offset medical expenses resulting from catastrophic or prolonged illness or injury is called
    • A. 

      Primary insurance

    • B. 

      Major medical

    • C. 

      Whole life policy

    • D. 

      Comprehensive

  • 18. 
    An unexpected event which may cause injury is a(n)
    • A. 

      Dread disease rider

    • B. 

      Accident

    • C. 

      Adjuster

    • D. 

      None of the above

  • 19. 
    A doctor who agrees to accept an insurance companies pre-established fee as the maximum amount to be collected is a(n)
    • A. 

      Subscriber

    • B. 

      Claim representative

    • C. 

      Participating physician

    • D. 

      Adjuster

  • 20. 
    Insurance plans that pay a physician's full charge if it does not exceed his normal charge or does not exceed the amount normally charged for the service is
    • A. 

      Usual, customary, and reasonable

    • B. 

      Comprehensive

    • C. 

      Dual choice

    • D. 

      None of the above

  • 21. 
    The period of the time in which a notice of claim or proof of loss must be filed is a(n)
    • A. 

      Waiting period

    • B. 

      Policy dates

    • C. 

      Time limit

    • D. 

      Grace period

  • 22. 
    A health program for people age 65 and older under social security is
    • A. 

      Tri-care

    • B. 

      Medicare

    • C. 

      Champva

    • D. 

      Worker's compensation

  • 23. 
    A Civilian health and medical program of the uniform services is
    • A. 

      Tri-care

    • B. 

      Medicare

    • C. 

      Medicaid

    • D. 

      Worker's compensation

  • 24. 
    A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment is
    • A. 

      Tri-care

    • B. 

      Champus

    • C. 

      Worker's Compensation

    • D. 

      Medicaid

  • 25. 
    A recap sheet that accompanies a medicare or medicaid check, showing breakdown and explanation of payment on a claim is a(n)
    • A. 

      Fee for service

    • B. 

      Explanation of benefits

    • C. 

      Coordination of benefits

    • D. 

      Dual choice

  • 26. 
    A type of insurance whereby the insured pays a specific amount per unit of service and the insurer pays the rest of the cost is a(n)
    • A. 

      Co-payments

    • B. 

      Coordination of benefits

    • C. 

      Deductible

    • D. 

      Indemnity

  • 27. 
    In Insurance, greater coverage of diseases or an accident  and greater indemnity payment in comparison with a limited clause is a(n)
    • A. 

      Co-payment

    • B. 

      Comprehensive

    • C. 

      Deductible

    • D. 

      Major medical

  • 28. 
    A rider added to a policy to provide additional benefits for certain conditions is a(n)
    • A. 

      Hospital benefits

    • B. 

      Dread disease rider

    • C. 

      Preexisting condition

    • D. 

      None of the above

  • 29. 
    An interval after a payment is due to the insurance company in which the policy holder may make payments, and still the policy remains in effect is a(n)
    • A. 

      Extended benefits

    • B. 

      Grace period

    • C. 

      Coordination of benefits

    • D. 

      Lapse time

  • 30. 
    An agreement by which a patient assigns to another party the right to receive payment from a third party for the services the patient has received is a(n)
    • A. 

      Assignment

    • B. 

      Coordination of benefits

    • C. 

      Non duplication of benefits

    • D. 

      None of the above

  • 31. 
    A skilled nursing facility for patients receiving specialized care after discharge from a hospital is a(n)
    • A. 

      Extended care facility

    • B. 

      Post care facility

    • C. 

      Nursing home

    • D. 

      None of the above

  • 32. 
    Payment for hpspital charges incurred by an insured person because of injury or illness is a(n)
    • A. 

      Hospital benefits

    • B. 

      Catastrophic health benefits

    • C. 

      Extra help benefits

    • D. 

      None of the above

  • 33. 
    An agen of an insurance company who solicits or initiates contracts of insurance and services the policyholder for the insurer is a(n)
    • A. 

      Insurance agent

    • B. 

      Claim representative

    • C. 

      Carrier

    • D. 

      Member physician

  • 34. 
    A method or charging whereby a physician presents a bill for each service rendered is a(n)
    • A. 

      Non duplication of benefits

    • B. 

      Fee for service

    • C. 

      Monthly statement

    • D. 

      None of the above

  • 35. 
    The Tri-care fiscal begins ________ and ends ________
    • A. 

      January 1 to December 31

    • B. 

      October 1 to September 1

    • C. 

      October 1 to September 30

    • D. 

      July 1 to june 31

  • 36. 
     The Employees withhold exemption certificate form number is also known as a
    • A. 

      W-2

    • B. 

      W-4

    • C. 

      1040

    • D. 

      Social security