CPB Practice Exam A Questions and
Answers (100% Pass)
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 ...
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
CPB Practice Exam A Questions and
Answers (100% Pass)
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? - Answer✔️✔️-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)? -
Answer✔️✔️-$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.
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
Based on the remittance advice and the payment policy provided, what
action is required for this claim? - Answer✔️✔️-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? - Answer✔️✔️-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
2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SophiaBennett. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
