Exam (elaborations)
AAPC CPB - Practice Exam C
- Module
- AAPC CPB - Practice Exam C
- Institution
- AAPC CPB - Practice Exam C
AAPC CPB - Practice Exam C
[Show more]
Content preview
AAPC CPB - Practice Exam CA 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
D. Either mother's or father's insurance plan depending who brings the child
in for medical care. - -A. Mother's insurance plan
-Which managed care plan has the patient receiving care from participating
providers (network provider) and the providers are only paid for services
provided?
A. Health Maintenance Organization (HMO)
B. Point-of-Service Plan (POS)
C. Exclusive Provider Organization (EPO)
D. Integrated Delivery System (IDS) - -C. Exclusive Provider Organization
(EPO)
-Which TRICARE plan is similar to an HMO plan?
A. TRICARE For Life
B. TRICARE Select
C. TRICARE Prime
D. TRICARE Young Adult - -C. TRICARE Prime
-Which of the services are covered by Medicare Part A?
I. Skilled Nursing Facility Care
II. Ambulatory Surgery
III. Durable Medical Equipment
IV. Hospice Care
V. Home Health Services
VI. Long Term Care
VII. Outpatient prescription drugs
A. I-VII
B. II, III, VI
C. I, II, IV, VII
D. I, IV, V - -D. I, IV, V
-Which is a TRUE statement regarding Workers' Compensation?
, A. There is no copayment for the injured worker in workers' compensation
cases.
B. The filing deadline for a first report of injury form is one week from the
date of the accident.
C. Providers can balance bill a patient when compensation payment is not
paid in full.
D. There is a deductible for the injured worker in workers' compensation
claims. - -A. There is no copayment for the injured worker in workers'
compensation cases.
-Bob sees his family physician for seasonal allergies. Before leaving, Bob
pays the charge for the office visit. As a courtesy, the physician's staff
submits a claim to Bob's insurance company. If the service is covered by the
insurance company, Bob can expect to be reimbursed for the office visit. This
is which type of insurance model?
A. Healthcare Anywhere
B. Managed Care Plan
C. Fee-for-service (traditional coverage)
D. Health Maintenance Organization (HMO) - -C. Fee-for-service (traditional
coverage)
-Which of the following benefits are NOT covered by all Medigap policies?
I. Part A co-insurance and hospital costs
II. Skilled nursing facility care co-insurance
III. Parts A & B deductible
IV. Part B excess charges
V. Foreign travel exchange
A. I, II, III
B. I, III
C. I, IV, V
D. II, III, IV, V - -D. II, III, IV, V
-Medicaid eligibility is primarily determined by?
A. Income
B. Prior insurance coverage
C. Marital status
D. Number of living relatives - -A. Income
-____________ is incorporated by CMS into the NCCI program to limit the
number of times a service or procedure can be reported by a physician on
the same date of service to a patient.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.11. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73091 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now