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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 - A deductible is the amount a policyholder pays for h...

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.B....

_______________________ is a legal proceeding involving a person that is unable to repay outstanding outstanding debts. A. Collection Agency B. Bankruptcy C. Dismissal of patient D. Bad debt - B. Bankruptcy According to Chapter 30 of the Medicare Claims Processing Manual, any refund due a Medi...

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 RA...

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. ...

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 of...

AAPC CPB - Practice Exam C | 2023 | 200 Questions with 100% Correct Answers | Updated & Verified | 20 Pages

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' compensati...