AAPC – CPB Test Bank questions and Detailed Answer Latest Version | 100% Correct Answers (Verified)
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AAPC CPB
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AAPC CPB
AAPC – CPB Test Bank questions and
Detailed Answer Latest Version 2023 | 100%
Correct Answers (Verified)
Mr. Peabody is an established patient who was told by Dr. Woods to come back for
an injection in his right knee if he was still getting pain due to arthritis. Mr.
Peabody is in for just t...
AAPC – CPB Test Bank questions and
Detailed Answer Latest Version 2023 | 100%
Correct Answers (Verified)
Mr. Peabody is an established patient who was told by Dr. Woods to come back for
an injection in his right knee if he was still getting pain due to arthritis. Mr.
Peabody is in for just the injection. The physician only examines the knee
(problem focused exam) before he gives the injection. Dr. Woods explains the risks
associated with the procedure and the patient gives consent. The doctor prepped
the knee with betadine and injects the right knee with 10 mg of Depo-Medrol. How
is this visit reported?
A. 20610, J1020
B. 99212-25, 20610, J1020
C. 99212, 20610-25, J1020
D. J1020 Correct Answer: A. 20610, J1020
A CRNA is performing a case personally without medical direction from an
anesthesiologist. Which modifier is appropriately reported for the CRNA services?
A. QX
B. QZ
,C. QK
D. QS Correct Answer: B. QZ
Patient presents to her physician 10 weeks following a true posterior wall
myocardial infarction. The patient is still exhibiting symptoms of chronic
ischemic heart disease. The physician reviews the current medications to confirm
the patient is compliant and discusses a heart-healthy diet and exercise. What is
the correct ICD-10-CM code for this condition?
A. I25.9
B. I21.29
C. I21.21
D. I25.2 Correct Answer: A. I25.9
When a nonparticipating provider files a claim for a patient to BC/BS, how is the
payment processed?
A. The payment is sent to the patient and the patient must pay the provider.
B. The payment is sent to the provider if the provider agrees to accept assignment.
C. The payment is sent to the provider regardless if he accepts assignment.
D. The claim is not paid because the provider is not participating in the plan.
Correct Answer: A. The payment is sent to the patient and the patient must pay
the provider.
,Which of the following TRICARE options is/are available to active duty service
members?
A. TRICARE Select
B. TRICARE Prime
C. TRICARE For Life
D. TRICARE Young Adult Correct Answer: B. TRICARE Prime
A Medicare card will list which of the following:
I. Effective date of coverage
II. Home address
III. Telephone Number
IV. Entitled to Part A and/or Part B
V. When coverage ends
VI. Name of Primary Care Physician
A. I - VI
B. I, IV
C. I-III, VI
D. I, II, IV, V Correct Answer: B. I, IV
In which of the following scenarios is Medicare the secondary payer?
I. A 65 year-old patient who is collecting her deceased spouse's Medicare
benefits and has a supplemental insurance
, II. A 72 year-old patient who participates in the group health insurance of his
employer
III. A 66 year-old patient is injured at work and the employer does not offer
health insurance as a benefit of employment
IV. A 55 year-old patient who is on disability through Social Security and
qualifies for Medicaid and Medicare
A. I-IV
B. II and III
C. I and IV
D. None Correct Answer: B. II and III
When a patient has Medicare primary and AARP as Medigap, what is entered on
the CMS-1500 claim form in item 9d for the Insurance Plan Name or Program
Name for Medicare to cross over the claim?
A. Plan name followed by "MEDIGAP"
B. Plan Payer ID followed by "MEDIGAP"
C. COBA Medigap claim-based identifier (ID)
D. Leave blank Correct Answer: C. COBA Medigap claim-based identifier (ID)
Which guidelines must all billing personnel be knowledgeable about in order to
ensure compliance with Medicaid programs?
A. Federal guidelines
B. State guidelines
C. Both A and B
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