CPB PRACTICE EXAM 1 Top Questions and answers. 100% Accurate. Rated A
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CPB PRACTICE EXAM 1 Top Questions and answers. 100% Accurate. Rated A
________________________ is a legal proceeding involving a person that is unable to repay outstanding outstanding debts.
A. Collection Agency
B. Bankruptcy
C. Dismissal of patient
D. Bad debt - -B. Bankruptcy
Accord...
cpb practice exam 1 top questions and answers 100 accurate rated a is a legal proceeding involving a person that is unable to repay outstanding outstanding debts a col
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CPB PRACTICE EXAM 1 Top Questions
and answers. 100% Accurate. Rated A
________________________ is a legal proceeding involving a person that is unable to repay outstanding
outstanding debts.
A. Collection Agency
B. Bankruptcy
C. Dismissal of patient
D. Bad debt - ✔✔-B. Bankruptcy
According to Chapter 30 of the Medicare Claims Processing Manual, any refund due a Medicare
recipient must be made to the beneficiary within _____________ days.
A. 5
B. 15
C. 30
D. 60 - ✔✔-C. 30
The HIPAA privacy rule states that "an individual has the right to inspect and obtain a copy of the
individual's protected health information (PHI) in a designated record set". What PHI cannot be
inspected by the patient or be allowed a copy of such record?
A. PHI exempt from CLIA (information generated by facilities that perform forensic testing).
B. Psychotherapy notes
C. Information compiled in anticipation of use in a civil, criminal, or administrative action or proceeding.
D. All of the above - ✔✔-D. All of the above
,The __________________________ was developed by CMS to assign the unique health care provider
and health plan identifiers and to serve as a database from which to extract data.
A. Healthcare Organization Act
B. HIPAA ruling
C. Web-based application
D. National Plan and Provider Enumeration System (NPPES) - ✔✔-D. National Plan and Provider
Enumeration System (NNPES)
The ______________________, which uses Ambulatory Payment Classifications (APCs) to calculate
reimbursement, is implemented for billing of hospital-based Medicare outpatient claims.
A. Medicare Contracting Reform (MCR)
B. Quality Improvement System (QIS)
C. Outpatient Prospective Payment System (OPPS)
D. Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) - ✔✔-C. Outpatient
Prospective Payment System (OPPS)
What part of a SOAP note contains the chief complaint and the patient's description of the presenting
problem?
A. Plan
B. Assessment
C. Objective
D. Subjective - ✔✔-D. Subjective
A _______________________ is used to compare units of service (UOS) with CPT and HCPCS Level II
Codes reported on claims.
A. medically unlikely edit
B. medical necessity code
, C. Medicare severity diagnosis-related groups
D. None of the above. - ✔✔-A. medically unlikely edit
_Code first underlying disease _ is when the code referenced is to be sequenced as a secondary code;
the code, title, and instructions are italicized. What is this referred to as:
A. ICD-10-CM Coding Convention
B. CPT® Coding Convention
C. HCPCS Level II Coding Convention
D. HCPCS Level I Coding Convention - ✔✔-A. ICD-10-CM Coding Convention
What insurance carrier is always considered the payer of last resort?
A. CHAMPVA
B. Indian Health Services
C. Medicare
D. Medicaid. - ✔✔-D. Medicaid.
Which modifier would be used to show that the physician had to go far beyond the average to perform a
procedure and involved significantly more work, time, and complexity than the same procedure typically
requires? This modifier would not be appended to the E/M code.
A. Modifier 52
B. Modifier 51
C. Modifier 22
D. Modifier 26 - ✔✔-C. Modifier 22
A patient with signs of rheumatoid arthritis is given an injection of 20 mg of Humira for temporary relief.
Which HCPCS Level II code would be assigned?
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