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NCCT-ICS - NCCT Insurance and Coding Specialist - Dump Information

Vendor : P&C
Exam Code : NCCT-ICS
Exam Name : NCCT Insurance and Coding Specialist
Questions and Answers : 84 Q & A
Updated On : Click to Check Update
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NCCT-ICS Questions and Answers

NCCT-ICS


Question: 76

In the CPT manual, Appendix C lists clinical examples of:


  1. Surgical procedures

  2. Radiological procedures

  3. Dermatology procedures

  4. Evaluation and management procedures


Answer: D


In the CPT manual, Appendix C lists clinical examples of evaluation and management procedures. In Appendix C, you will find multiple examples of each level of evaluation and management procedures. Reviewing these examples will not only help you determine which specific levels of codes should be used in each coding situation, it will also help you make sure the right code is assigned.


Question: 77

Sylvia was seen in the office and was diagnosed with acute bronchitis with

Chronic Obstructive Pulmonary Disease. What is the correct ICD-9 diagnosis code for her condition?


A. 466.0

B. 491.22

C. 466.0, 491.22

D. 491.21


Answer: B

The correct ICD-9 diagnosis code for Sylvia’s condition is 491.22. According to ICD-9 coding guidelines, only code 491.22 (Obstructive Chronic Bronchitis with Acute Bronchitis) should be assigned. It is not necessary to also assign code 466.0 (Acute Bronchitis). In addition, code 491.21 (Obstructive Chronic Bronchitis with Acute Exacerbation) is inappropriate because it only indicates an exacerbation of the chronic bronchitis, not acute bronchitis.


Question: 78

The external ear contains the:


  1. Auricle and Auditory Canal, leading up to the Tympanic Membrane

  2. Incus, Stapes, and Malleus

  3. Cochlea, Semicircular Canals, and Eustachian Tube

  4. Branches of the Vestibulocochlear Nerve and Tympanic Membrane


Answer: A


The external ear contains the auricle and external auditory canal, which leads up to the tympanic membrane. The tympanic membrane separates the outer ear canal from the middle and inner ear. The middle ear includes the incus, stapes, and malleus. The inner ear contains the cochlea, semicircular canals and Eustachian tube. This is where sounds waves are converted into nerve impulses, which are read by the brain.


Question: 79

The HCPCS manual includes codes for:


  1. Procedures that are also found in the CPT coding manual

  2. Supplies, services, and procedures that are not found in the CPT manual

  3. Only supplies that you cannot find in the CPT manual

  4. All services performed in the office, except for procedures


Answer: B


The HCPCS manual includes codes for supplies, services, and procedures that are not found in the CPT manual. Although some procedures found in the HCPCS manual are also found in the CPT manual, the most appropriate answer is B

because HCPCS codes also include supplies and services not found in the CPT manual.


Question: 80

There are four different classifications of a vulvectomy (the removal of the

vulva). What classification should be used for a vulvectomy with the removal of skin and deep subcutaneous tissues?


  1. Simple Vulvectomy

  2. Radical Vulvectomy

  3. Partial Vulvectomy

  4. Complete Vulvectomy


Answer: B


The classification that should be used for a vulvectomy with the removal of skin and deep subcutaneous tissues is a radical vulvectomy. A simple vulvectomy is the removal of skin and superficial subcutaneous tissue not deep subcutaneous tissues. A partial vulvectomy is the removal of less than 80% of the vulvar area, and a complete vulvectomy is the removal of more than 80% of the vulvar area.


Question: 81

The HCPCS Level II modifier -E1 stands for:


  1. Lower Right, Eyelid

  2. Upper Right, Eyelid

  3. Upper Left, Eyelid

  4. Right Hand, Thumb


Answer: C


The HCPCS Level II modifier -E1 stands for Upper Right, Eyelid. Many HCPCS modifiers indicate anatomical locations, such as the -E series modifiers for eyelids. Other HCPCS modifiers indicate a section of the vertebral column, and digits of the hands or feet.

Question: 82

When listing both CPT and HCPCS modifiers on a claim, you:


  1. List the HCPCS modifier first

  2. Do not list the HCPCS modifier at all

  3. Only list the CPT modifier

  4. List the CPT modifier first


Answer: D


When listing both CPT and HCPCS modifiers on a claim, you list the CPT modifier first. When you report a procedure code with more than one modifier, you must list the modifier that will affect the payment first on the claim. Typically, CPT modifiers will affect the payment of a claim, but HCPCS modifiers may not.


Question: 83

When you are searching for a diagnosis code in the ICD-9 manual:


  1. You must first locate the diagnosis code description in the index and then verify the correct code selection in the tabular list

  2. You must locate the diagnosis code in the index and then assign the appropriate code

  3. You must determine which procedure you will bill for first, and then find out which diagnosis codes match the procedure

  4. You must first locate the diagnosis code description in the index and then verify the code in Volume III


Answer: A


When you are searching for a diagnosis code in the ICD-9 manual, you must first locate the diagnosis code description in the index and then verify the correct code selection in the tabular list. It is an incorrect coding practice to code directly from the index. Once you locate your code in the index, it is important to verify the code in the tabular list to make sure it is the correct code.


Question: 84

HCPCS Level II codes are updated every quarter by:


  1. CMS

  2. Medicaid

  3. Tricare

  4. Commercial payers


Answer: A


HCPCS Level II codes are updated every quarter by CMS (Centers for Medicare and Medicaid Services). Updates to HCPCS Level II codes are published on the CMS website at the beginning of each new quarter. The HCPCS Level II manual, however, is only published once per year.


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A postsecondary certificates or associate's degree is required for a profession as an coverage specialist. skilled certification is non-compulsory, however can check clinical insurance credentials and may increase job possibilities for those coming into this box. standard tips insurance experts are consultants in decoding assurance guidelines and making a choice on insurance. With specialized training in billing and coding, they may additionally work in medical and govt workplaces, hospitals, and laboratories. potential assurance consultants can prepare for the job by way of earning an associate's diploma, although most competencies are learned on the job. Required education faculty coursework resulting in certificate or associate's diploma other necessitiesprofessional certification (non-compulsory) Projected Job increase (2014-2024)* 13% for billing and processing clerks,15% for scientific information and fitness suggestions technicians Median revenue (2015)* $35,050 for billing and processing clerks,$37,a hundred and ten for medical information and fitness assistance technicians source: *U.S. Bureau of Labor records assurance professional Job Description coverage specialists are knowledgeable to decipher complex insurance laws and policies. In a government capability, insurance consultants may be accountable for guaranteeing that executive courses, comparable to Medicare and Medicaid, comply with federal legislations, regulations, and contracts. experts may additionally recommend on considerations regarding eligibility and coverage, as well as display screen the compliance of govt contractors. Many coverage consultants are also employed in the health care trade. As such, they may additionally cope with medical insurance billing and payments including decoding billing codes and processing claims. consultants might also even be expected to retain tune of affected person statistics and function different capabilities crucial to the operating of a clinical workplace. find colleges that present these regularly occurring classes Auctioneering company advertising Operations trend Merchandising Hospitality advertising Operations insurance, generic marketing for apparel and add-ons marketing for trip and Tourism Operations Modeling actual estate sales, Appraisal, and Finance particular Product advertising and marketing Tourism merchandising Operations vehicle and vehicle ingredients advertising more courses assurance expert schooling requirements while most of the potential quintessential to the career could be learned on the job, prospective assurance consultants may additionally are looking to believe really expert practising within the field. in the fitness care enviornment, colleges offer certificate and associate's diploma courses for medical or medical health insurance specialists. These programs offer classes in medical coding, medical terminology, and fitness care legislations. Graduates could be certified to earn medical health insurance Portability and Accountability Act (HIPAA) Certification, which shows a more suitable figuring out of the federal statute, which governs privateness of affected person scientific suggestions. Certification For those looking for extra credentials, there are certification courses available to highlight selected knowledge. For medical insurance specialists, the countrywide middle for Competency trying out (NCCT) and the American Academy of skilled Coders (AAPC) offer numerous certifications. The NCCT offers the insurance and Coding expert certification. The certification exam for an NCCT credential exams expertise of medical coding, processes and terminology. The AAPC offers certifications that exhibit advantage in clinical coding such because the certified expert Coder and the licensed Interventional Radiology Cardiovascular Coder. earnings info and Job Outlook according to the U.S. Bureau of Labor facts (BLS, www.bls.gov), scientific facts and fitness tips technicians earned a median earnings of $37,a hundred and ten in may additionally 2015, while billing and processing clerks earned a median of $35,050 a yr. The employment of scientific information and fitness suggestions techs is projected by the BLS to enhance by means of 15% between 2014 and 2024, just as billing and processing clerks may still see job alternatives upward thrust via about 13% all the way through the same decade. insurance consultants analyze guidelines and assess the scope of a policy's coverage. They deserve to be accepted with coverage legal guidelines and policies. 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