AAPC CPB Latest Questions And Answers Rated 100% Correct
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Course
AAPC CPB
Institution
AAPC CPB
What is the term for the total amount of covered medical expenses a policyholder must
pay each year out-of-pocket before the health insurance company begins to pay any
benefits?
-:- A deductible is the amount a policyholder pays for health care services
before the health insurance begins to ...
TRICARE but is certified by the regional TRICARE Managed Care Support Contractor
(MCSC). The provider charges $200 for the office visit. TRICARE allows $160 and pays
$140. How much can the provider bill the patient for?
-:- . $60.00
What organization is responsible in evaluating the medical necessity, appropriateness, and
efficiency of the use of healthcare services and procedures?
-:- Utilization Review Organization
Medicaid providers are forbidden by law to:
-:- Balance bill patients
Which statement is FALSE about Local Coverage Determinations (LCDs)?
-:- CMS develops LCDs when there is no National Coverage Determination
When a minor procedure is performed on a Medicare patient, what is the global period and
what time frame is covered?
-:- 10-day global period - the day of the procedure and 10 days following the
procedure.
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