AAPC CPB - Chapter 2 Questions And Answers With Verified Solutions Graded A+
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Course
AAPC CPB
Institution
AAPC CPB
An internist sees a 20-year-old patient for an office visit. The patient needs to see an endocrinologist for
a consultation regarding her diabetes. The internist is a participating provider in her plan. She can choose
any provider she wishes for her consultations, but she will save money if she s...
AAPC CPB - Chapter 2 An internist sees a 20 -year -old patient for an office visit. The patient needs to see an endocrinologist for a consultation regarding her diabetes. The internist is a participating provider in her plan. She can choose any provider she wishes for her consul tations, but she will save money if she sees a specialist that is in her network. She does not require a referral for her consultation. What type of insurance does the patient have? a. HMO b. Indemnity insurance c. Medicare Advantage d. PPO - Answer -d. PPO A Medicaid patient presents for services on the first day of the month. He has a $50 spenddown and has had no services this month. The visit for today was $100.00. If the patient wants to be covered as long as possible from today's visit, what can he do? a. Turn the receipt in to his caseworker and be eligible for two months of coverage b. Turn the receipt in to his caseworker and be eligible for the month with $50 to assessed by Medicaid for the visit that is above his spenddown c. Coverage is automatic and the patient will be reimbursed the $100 from Medicaid d. Turn in the receipt to his caseworker and be eligible for coverage for the current month, plus two additional months - Answer -a. Turn the receipt in to his caseworker and be eligible for two months of coverage Why must a provider obtain an NPI number? I. To submit claims II. To prove that he is licensed III. To be HIPAA compliant IV. To guarantee payment by a health plan
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