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AAPC CPB Practice Exam A 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)
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AAPC CPB Practice Exam A 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)
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AAPC CPB Practice Exam A.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%AAPC CPB Practice Exam A Verified
Questions & Answers
1. 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
2. Using the fee schedule and the payment policy provided, what is the expect- ed
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
3. Policy applies to all professional services performed in an office place of
service When a significant, separately identifiable E/M service (appended with
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,AAPC CPB Practice Exam A.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
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.
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
4. According to the LCD, how is an extracapsular cataract surgery with in-
sertion of an intraocular lens for a drug induced cataract in the left eye
reported?
Answer 66984, H26.32, T38.0X5A
5. I. Primary insurance
II. Primary insurance ID number
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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
(Robert Roberts)
Answer VI , VIII and X
6. The provider performs an office visit with an expanded problem focused
history, expanded problem focused exam and low MDM to manage the pa-
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