NCCT-medical Office Procedure
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NCCT quiz on medical office procedure
- 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
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