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AAPC CPB PRACTICE EXAM (2024 / 2025) Questions and Verified Answers, 100% Guarantee Pass
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AAPC CPB PRACTICE EXAM (2024 / 2025) Questions and Verified Answers, 100% Guarantee Pass
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AAPC CPB PRACTICE EXAM QUESTIONS AND ANSWERS.pdf file:///C:/Users/HP/Desktop/New%20folder/AAPC%20CPB%20PRAAPC CPB PRACTICE EXAM
QUESTIONS AND ANSWERS
1. WHO IS COVERED BY CHAMPVA?
A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAM- ILIES
B) ACTIVE DUTY MILITARY AND THEIR FAMILIES
C) RETIRED MILITARY AND THEIR FAMILIES
D) ACTIVE DUTY MILITARY OVER THE AGE OF 65
Answer A) VETERANS WITH SER- VICE - CONNECTED DISABILITIES AND THEIR
FAMILIES
RATIONALE THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DE-
PARTMENT OF VETERANS AFFAIRS (CHAMPVA) COVERS VETERANS WHO ARE
PERMANENTLY AND TOTALLY DISABLED DUE TO A SERVICE-RELATED DISABILITY
AND THEIR SPOUSE AND CHILDREN.
2. PATIENT IS BROUGHT TO THE LOCAL URGENT CARE AFTER FALLING FROM
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,AAPC CPB PRACTICE EXAM QUESTIONS AND ANSWERS.pdf file:///C:/Users/HP/Desktop/New%20folder/AAPC%20CPB%20PR
A LADDER WHILE HANGING EXTERIOR LIGHTS ON HIS HOUSE.
X- RAYS REVEALED A CLOSED FRACTURE OF HIS LEFT FEMUR. THE PA- TIENT IS
COVERED BY HIS EMPLOYER'S GROUP HEALTH PLAN AND HE ALSO HAS A
HOMEOWNER'S LIABILITY INSURANCE POLICY.WHICH INSUR- ANCE SHOULD BE
BILLED?
A) THE HOMEOWNER'S INSURANCE FIRST, FOLLOWED BY THE GROUP
HEALTH PLAN
B) THE EMPLOYER'S GROUP HEALTH PLAN
C) THE HOMEOWNER'S INSURANCE ONLY
D) FILE THE EMPLOYER'S GROUP HEALTH PLAN AS PRIMARY AND LIST THE
HOMEOWNER'S INSURANCE AS SECONDARY.
Answer B) THE EMPLOYER'S GROUP HEALTH PLAN
RATIONALE THE HEALTH INSURANCE PLAN IS BILLED FIRST AND THEN
THROUGH THE PROCESS OF SUBROGATION IT WILL BE DETERMINED IF A
LIABILITY PAYER SHOULD BE CONSIDERED PRIMARY.
3. 3. PRIVATE COMPANIES CONTRACT WITH CMS TO ADMINISTER
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,AAPC CPB PRACTICE EXAM QUESTIONS AND ANSWERS.pdf file:///C:/Users/HP/Desktop/New%20folder/AAPC%20CPB%20PR
A) MEDICARE PART A & B
B) MEDICARE PART B
C) MEDICARE PART C
D) MEDICARE PART A, B, & C
Answer D) MEDICARE PART A, B, AND C
RATIONALE MEDICARE PART A, B, AND C ARE ALL ADMINISTERED BY PRI-
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,AAPC CPB PRACTICE EXAM QUESTIONS AND ANSWERS.pdf file:///C:/Users/HP/Desktop/New%20folder/AAPC%20CPB%20PR
VATE COMPANIES THAT CONTRACT WITH CMS AS MEDICARE ADMINISTRA- TIVE
CONTRACTORS OR MACs.
4. WHAT IS A CO-PAYMENT?
A) AN AMOUNT PAID EVERY MONTH BY THE POLICYHOLDER TO MAINTAIN
HEALTH INSURANCE COVERAGE
B) A PERCENTAGE OF THE ALLOWED AMOUNT THAT THE PATIENT IS RE-
SPONSIBLE FOR.
C) A FLAT AMOUNT PAID TO THE HEALTHCARE PROVIDER WHEN THE POL-
ICYHOLDER IS SEEN FOR AN OFFICE VISIT.
D) THE ADJUSTED AMOUNT BASED ON THE INSURANCE POLICY REQUIRE- MENT.
Answer C) A FLAT AMOUNT PAID TO THE HEALTHCARE PROVIDER WHEN THE
POLICY HOLDER IS SEEN FOR AN OFFICE VISIT.
5. WHICH OF THE FOLLOWING STATEMENTS IS TRUE REGARDING THE NON-
PAR MEDICARE ALLOWED FEE SCHEDULE?
A) THE NON-PAR PROVIDER CAN BILL THE PATIENT THE DIFFERENCE BE-
TWEEN THE CHARGE AND THE MEDICARE ALLOWABLE.
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