CPB Practice Exam A. Questions & Answers. 100% Accurate. Rated A+
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CPB Practice Exam A. Questions & Answers. 100% Accurate. Rated A+
The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by highest outstanding balance. Based on the A/R report provided, which payer type and aging category would be one of the top pr...
cpb practice exam a questions amp answers 100 accurate rated a the office policy for claims follow up is to prioritize the insurance balance accounts past 90 days by highest outstanding balan
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CPB Practice Exam A. Questions &
Answers. 100% Accurate. Rated A+
The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by
highest outstanding balance. Based on the A/R report provided, which payer type and aging category
would be one of the top priorities on which to focus collection efforts? - ✔✔-workers' compensation,
121+ days
Using the fee schedule and the payment policy provided, what is the expected reimbursement (including
patient responsibility) when a provider performs a nasal endoscopy and dilation of the left maxillary
sinus (31295) and a diagnostic nasal endoscopy of the right maxillary sinus (31233)? - ✔✔-$2475
Policy applies to all professional services performed in an office place of service: When a significant,
separately identifiable E/M service (appended with modifier 25) and any service that has a global period
indicator—as designated by CMS of 0, 10, 90 or YYY—is performed on the same day, the E/M service will
be reimbursed at 50% of the contracted allowable. When performed in a facility, both services are paid
at 100%.
When the E/M value is greater than the procedure, the reduction will be applied to the global procedure
code.
Based on the remittance advice and the payment policy provided, what action is required for this claim?
- ✔✔-D. The claim did not pay correctly. Both services should be paid at 100%. Contact the payer to
reprocess the claim for full payment.
Balloon Sinusplasty Medical Coverage Policy
According to the LCD, how is an extracapsular cataract surgery with insertion of an intraocular lens for a
drug induced cataract in the left eye reported? - ✔✔-66984, H26.32, T38.0X5A
I. Primary insurance
II. Primary insurance ID number
III. Relationship to the insured
IV. Place of service
V. Provider NPI
, VI. CPT® code(s)
VII. Modifier
VIII. Diagnosis code correlation
IX. Units of service
X. Service Facility Location Information
(Robert Roberts) - ✔✔-VI , VIII and X
The provider performs an office visit with an expanded problem focused history, expanded problem
focused exam and low MDM to manage the patient's hypertension. The provider also destroys two
plantar warts. How is this reported? - ✔✔-99213-25, 17110
What is the correct HCPCS Level II code for Depo-Provera (medroxyprogesterone acetate) injection of
100 mg? - ✔✔-J1050 x 100
55-year-old female presents to the office with ongoing history of type I diabetes which has been
controlled with insulin. During the exam the physician notes that gangrene has set in due to the diabetic
peripheral angiopathy on her left great toe. Patient is recommended to see a general surgeon for
treatment of the gangrene on her left great toe. - ✔✔-E10.52
A dermatologist performed an excision of a squamous cell carcinoma from the patients forehead with a
1.2 cm excised diameter. The excision site required an intermediate wound closure measuring 1.8 cm.
What is/are the correct code(s)? - ✔✔-C. 11642, 12051-51
Procedures Performed: 1. Bilateral tympanotomy with insertion of ventilation tubes (69436 RVU 4.62) 2.
Adenotonsillectomy (42820 RVU 8.41) What is/.are the correct code(s) and proper billing sequence for
the following procedures performed by a physician? Procedures Performed: Bilateral tympanostomy
with insertion of ventilationg tubes (69436 RVU 4.63582) Adenotonsillectomy (42820 RVU 8.45321) -
✔✔-A. 42820, 69436
When you respond to a patient with "How may I help you, Mrs Jones?", the use of the patient's name: -
✔✔-C. Indicates to the caller you are interested and listening
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