Exam (elaborations) AAPC CPB - Chapter 7 Review Questions and Answers 2023 Exam (elaborations) AAPC CPB - CHAPTER 2: QUESTIONS WITH ANSWERS 2023 Exam (elaborations) AAPC CPB - Chapter 13 Review Questions and Answers 2023 Exam (elaborations) AAPC CPB - Chapter 8 Practical Application Question...
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AAPC CPB Practice Exam Questions and Answers 100% correct 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...
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Add to cartAAPC CPB Practice Exam Questions and Answers 100% correct 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...
AAPC CPB Final Questions and Answers, GRADED A+ 2023 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 ...
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Add to cartAAPC CPB Final Questions and Answers, GRADED A+ 2023 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 ...
AAPC CPB - Practice Exam A Questions and Answers 100% correct| Graded A+ 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 childr...
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Add to cartAAPC CPB - Practice Exam A Questions and Answers 100% correct| Graded A+ 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 childr...
AAPC CPB Questions and Answers 2023 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 h...
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Add to cartAAPC CPB Questions and Answers 2023 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 h...
AAPC CPB - Chapter 12 Terminology Questions and Answers 2023 Copay The amount the member pays the healthcare provider on the day of service Credentialing The process where an insurance payer reviews and validates the professional qualifications of healthcare providers who apply for partici...
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Add to cartAAPC CPB - Chapter 12 Terminology Questions and Answers 2023 Copay The amount the member pays the healthcare provider on the day of service Credentialing The process where an insurance payer reviews and validates the professional qualifications of healthcare providers who apply for partici...
AAPC CPB - Chapter 3 Practical Application Questions and Answers 2023 Use the CPB Chapter 3_Case to answer questions 1 & 2. 1. Susan smith arrives at her in-network primary care physician's office for her annual preventive visit. What is her copay? a. $15.00 b. $50.00 c. $75.00 d. The pa...
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Add to cartAAPC CPB - Chapter 3 Practical Application Questions and Answers 2023 Use the CPB Chapter 3_Case to answer questions 1 & 2. 1. Susan smith arrives at her in-network primary care physician's office for her annual preventive visit. What is her copay? a. $15.00 b. $50.00 c. $75.00 d. The pa...
AAPC CPB Chapter 1 Review Questions and Answers 2023 FCA False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-repre...
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Add to cartAAPC CPB Chapter 1 Review Questions and Answers 2023 FCA False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-repre...
AAPC CPB - Practice Exam B Questions and Answers, 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. Copayment B. Deductible C. Secondary Payment D. Coin...
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Add to cartAAPC CPB - Practice Exam B Questions and Answers, 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. Copayment B. Deductible C. Secondary Payment D. Coin...
AAPC CPB - Chapter 1 Review Questions and Answers 2023 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 to...
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Add to cartAAPC CPB - Chapter 1 Review Questions and Answers 2023 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 to...
AAPC CPB QUESTIONS AND ANSWERS 2023 HRA Health Reimbursement Account What part of Medicare pays for prescriptions Part D What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO insurance plans to its members? Triple Option Plan HIPAA ...
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Add to cartAAPC CPB QUESTIONS AND ANSWERS 2023 HRA Health Reimbursement Account What part of Medicare pays for prescriptions Part D What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO insurance plans to its members? Triple Option Plan HIPAA ...
AAPC CPB - CHAPTER 1: QUESTIONS WITH COMPLETE TOP SOLUTIONS Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordina...
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Add to cartAAPC CPB - CHAPTER 1: QUESTIONS WITH COMPLETE TOP SOLUTIONS Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordina...
AAPC CPB - Chapter 14 Review Questions and Answers 2023 __________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II....
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Add to cartAAPC CPB - Chapter 14 Review Questions and Answers 2023 __________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II....
AAPC CPB - Chapter 2 Quiz Questions and Answers 2023 A patient presents to be seen in the office. He does not pay at the time the services are rendered as the provider is his primary care provider, or gatekeeper. The large group practice has 800 covered members under this plan as is paid on a month...
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Add to cartAAPC CPB - Chapter 2 Quiz Questions and Answers 2023 A patient presents to be seen in the office. He does not pay at the time the services are rendered as the provider is his primary care provider, or gatekeeper. The large group practice has 800 covered members under this plan as is paid on a month...
AAPC CPB - Chapter 12 Review Questions and Answers 100% Correct The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. c. copay. Blue Cross/Blue Shield identifies the indi...
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Add to cartAAPC CPB - Chapter 12 Review Questions and Answers 100% Correct The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. c. copay. Blue Cross/Blue Shield identifies the indi...
AAPC CPB Chapter 12 Practical Application Questions and Answers 100% Correct Use CPB Chapter 12_Case to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. Type of Insurance II. Primary insurance...
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Add to cartAAPC CPB Chapter 12 Practical Application Questions and Answers 100% Correct Use CPB Chapter 12_Case to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. Type of Insurance II. Primary insurance...
AAPC CPB - Chapter 10 Review Questions and Answers 2023 Which statement is TRUE regarding the Prompt Payment Act? a. Patients are required to pay patient balances within 30 days. b. Patient balances are dismissed if a statement is not sent to the patient within 30 days. c. Federal agencies are...
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Add to cartAAPC CPB - Chapter 10 Review Questions and Answers 2023 Which statement is TRUE regarding the Prompt Payment Act? a. Patients are required to pay patient balances within 30 days. b. Patient balances are dismissed if a statement is not sent to the patient within 30 days. c. Federal agencies are...
AAPC CPB - Chapter 1 Quiz Questions and Answers and Answers 2023 Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? d. Physician unique identifier number A physician received office sp...
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Add to cartAAPC CPB - Chapter 1 Quiz Questions and Answers and Answers 2023 Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? d. Physician unique identifier number A physician received office sp...
AAPC Chapter 1 CPB Questions and Answers 2023 A physician received office space at a reduced rate for referring patients to the hospital's outpatient physical therapy center. What Law does this violate? 1. Anti-kickback Statute 2. Stark Law 3. False Claims Act 4. Truth in Lending Act Anti-K...
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Add to cartAAPC Chapter 1 CPB Questions and Answers 2023 A physician received office space at a reduced rate for referring patients to the hospital's outpatient physical therapy center. What Law does this violate? 1. Anti-kickback Statute 2. Stark Law 3. False Claims Act 4. Truth in Lending Act Anti-K...
AAPC Chapter 1 CPB Questions and Answers 2023 A physician received office space at a reduced rate for referring patients to the hospital's outpatient physical therapy center. What Law does this violate? 1. Anti-kickback Statute 2. Stark Law 3. False Claims Act 4. Truth in Lending Act Anti-K...
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Add to cartAAPC Chapter 1 CPB Questions and Answers 2023 A physician received office space at a reduced rate for referring patients to the hospital's outpatient physical therapy center. What Law does this violate? 1. Anti-kickback Statute 2. Stark Law 3. False Claims Act 4. Truth in Lending Act Anti-K...
AAPC CPB - Chapter 9 Practical Application Questions and Answers 2023 Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: Payer: HEALTHSPRINGMEDICARE ...
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Add to cartAAPC CPB - Chapter 9 Practical Application Questions and Answers 2023 Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: Payer: HEALTHSPRINGMEDICARE ...
AAPC CPB - Chapter 8 Practical Application Questions and Answers 100% correct Using the information in CPB Chapter 8 Case 1 to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I Date of birth II Dat...
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Add to cartAAPC CPB - Chapter 8 Practical Application Questions and Answers 100% correct Using the information in CPB Chapter 8 Case 1 to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I Date of birth II Dat...
AAPC CPB - Chapter 13 Review Questions and Answers 2023 On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for ...
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Add to cartAAPC CPB - Chapter 13 Review Questions and Answers 2023 On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for ...
AAPC CPB - CHAPTER 2: QUESTIONS WITH ANSWERS 2023 Why must a provider obtain an NPI number? I. To submit claims II. To prove that he is licensed III. To be HIPAA compliant IV. To guarantee payment by a health plan a. I, II, III b. II, III, IV c. I, II, III, IV d. I, III d. I, III ...
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Add to cartAAPC CPB - CHAPTER 2: QUESTIONS WITH ANSWERS 2023 Why must a provider obtain an NPI number? I. To submit claims II. To prove that he is licensed III. To be HIPAA compliant IV. To guarantee payment by a health plan a. I, II, III b. II, III, IV c. I, II, III, IV d. I, III d. I, III ...
AAPC CPB - Chapter 7 Review Questions and Answers 2023 MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM...
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Add to cartAAPC CPB - Chapter 7 Review Questions and Answers 2023 MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM...
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