NCICS Practice Questions - National Certified Insurance and Coding Specialist Exam - NCICS Practice Questions - National Certified Insurance and Coding Specialist Exam

Question 1

Under the Birthday Rule for a dependent child covered by both parents' employer plans, the primary plan is the one belonging to the parent whose:

Birthday falls earlier in the calendar year (month and day) Policy was effective first Birthday falls later in the calendar year Last name comes first alphabetically

Correct Answer:

Birthday falls earlier in the calendar year (month and day)

Question 2

A 67-year-old patient is covered by Medicare and a commercial group plan through her actively-employed spouse (employer has 12 employees). Which payer is primary?

Medicare Commercial group plan Medicaid The patient pays first

Correct Answer:

Medicare

Question 3

Pre-authorization is BEST defined as:

A guarantee that the payer will pay the claim Approval from the payer that a planned service is medically necessary before it is rendered A discount negotiated with the provider The amount the patient owes after the deductible

Correct Answer:

Approval from the payer that a planned service is medically necessary before it is rendered

Question 4

A new patient presents with a referral from her primary care physician for an in-network specialist. Before the visit, the coding specialist should FIRST:

Submit the claim with a referral modifier Verify insurance eligibility and the active referral Collect the full charge from the patient Apply ICD-10-CM Z-codes for the encounter

Correct Answer:

Verify insurance eligibility and the active referral

Question 5

Which Medicare part covers outpatient physician services and durable medical equipment?

Part A Part B Part C Part D

Correct Answer:

Part B

Question 1

Exam overview

About this Exam

Prepare with the NCICS Practice Questions - National Certified Insurance and Coding Specialist Exam practice quiz. This question bank includes 100 questions covering patient, icd-10-cm, code, codes, and hcpcs. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

More details

Additional Information

NCICS Practice Questions - National Certified Insurance and Coding Specialist Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, icd-10-cm, code, codes, and hcpcs. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

Quiz information

Frequently Asked Questions

The complete question count is available after full access is unlocked.

No fixed duration is currently configured for this quiz.

Question explanations are included where they are available in the quiz content, helping you review the reasoning after answering.

Yes. You can retake the practice test again as you continue studying during your available access period.

After your access is confirmed, you can continue into the complete practice exam from this quiz flow.

Unless explicitly stated otherwise, this page provides independent practice material for study and exam preparation and is not the official examination itself.

Keep studying

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

About this Exam

Additional Information

NCICS Practice Questions - National Certified Insurance and Coding Specialist Exam

Frequently Asked Questions

Related Questions

ISC2 Certified in Cybersecurity Practice Exam

Arizona CNA Certified Nursing Assistant Practice Exam

Arizona Health Insurance Practice Exam

Arizona Insurance Laws and Rules Practice Exam

7-Hour National USPAP Practice Exam

Certified Professional Public Buyer (CPPB) Practice Exam