PACKAGE DEAL FOR AAPC CPB EXAM STUDY QUESTIONS AND ANSWERS GRADED A

Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice Expense (PE) X Conversion factor = Medicar...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. ...

WHO IS COVERED BY CHAMPVA? A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES B) ACTIVE DUTY MILITARY AND THEIR FAMILIES C) RETIRED MILITARY AND THEIR FAMILIES D) ACTIVE DUTY MILITARY OVER THE AGE OF 65 - A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES ...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - covered entity Which of the following is not a covered entity in the Privacy Rule - healthcare consulting firm A request for medical records is received for a specific date ...

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. Copayment B. Deductible C. Secondary Payment D. Coinsurance - B. Deductible Which type of insurance covers...

A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits ...

AAPC CPB Exam Study Guide Graded A

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 pay. Wh...

HIPPA OF 1996 includes a security rule that is established to provide what national stands for protecting and transmitting patient data. Which of the following is NOT true? A) The security rule applies to healthcare providers, health plans, and any covered entity involved in the care of a patient....

Abuse - Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - The amount owed to a business fo...

What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - c. Protected Health Information A new radiology company opens in town. The manager calls your practice and offers to pay $20 f...

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? - workers' compensation,...