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AAPC CPB - Chapter 6 ReviewA 65 year-old patient is seen in her physician's office with a laceration on her forehead. The cut is not deep for a suture repair. The physician decides to repair the wound with tissue adhesive. How would this be billed? a. A4364 b. A4452 c. G0168 d. C1765 - correc...

AAPC CPB - Chapter 3 ReviewWhat information can be released based on this Disclosure form? AAPC Physician Practice are authorized to make the disclosure. The type of information to be used or disclosed is as follows: ____ Problem list ____ Medication list ____ List of allergies ____ Immun...

AAPC CPB - Chapter 2 Review What is the largest health program in the United States? a. Blue Cross Blue Shield b. Medicare c. Medicaid d. TRICARE - correct answer b. Medicare Which of the following services is NOT covered under Medicare Part B? a. Cardiovascular disease screening b. Di...

AAPC CPB - CHAPTER 2: QUESTIONSWhy 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 - correct answer d. I, III A patien...

AAPC CPB Finalcovered entity - correct answer Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - correct answer Which of the following is not a covered entity in the Privacy Rule release reqt to in...

AAPC CPB Chapter 9 Review A patient with ABC insurance is seen on May 1st, and the claim is submitted on July 15 of the same year. Has the claim met the timely filing deadline? a. Yes. All payers have the same timely filing deadline of one year from date of service. b. No. All payers have a 3...

AAPC CPB - Chapter 9 QuizWhen a claim has been paid, an EOB is sent to: a. the clearinghouse. b. the patient. c. the provider. d. the insurance company. - correct answer b. the patient. Cost based fee schedules are developed using which of the following: a. RBRVS methodology b. total co...

AAPC CPB - Chapter 12 Quiz Which type of insurance plan is a federal and state program that provides coverage to the low-income population? a. Medicare b. HMO c. Medicaid d. PPO - correct answer c. Medicaid Response Feedback: Medicaid is a joint federal and state program that provides h...

AAPC CPB - Chapter 6 Quiz A female patient is getting a right and left breast mastectomy bra with integrated form breast prosthesis. What HCPCS Level II code is reported? a. L8002 b. L8002-50 c. L8001-50 d. L8000 - correct answer a. L8002 Patient is given 15 mg of methotrexate sodium IM fo...

AAPC CPB - Chapter 9 ReviewA ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code - correct answer a. Revenue code...

AAPC CPB - Chapter 14 Review__________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - correct answer d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maintenance staf...

CPB Final ExamEPO - correct answer ...provides benefits to subscribers who are required to receive services from network providers IDS - correct answer ...organizations of affiliated providers sites that offer joint healthcare services to subscribers HMO - correct answer ...providers comprehen...

AAPC CPB - CHAPTER 3: QUESTIONSWhich of the following does NOT qualify a patient for coverage under Medicare? a. End Stage Renal Disease (ESRD) b. Age 65 or older c. Under age 65 with disabilities d. Low income individual - correct answer d. Low income individual The insurance claim process...

AAPC CPB - Chapter 1 ReviewWhat does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - correct answer c. Protected Health Information A new radiology company opens in town. The manager c...

AAPC CPB - Chapter 8 ReviewWhich statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the procedure. b. Condition codes are listed in the order of occurrence instead of numerical order. c. Con...

AAPC CPB Ch 2 exam reviewWhat components make up the Medicare Physician Fee Schedule? Relative value units for physician work, practice expense, and professional liability insurance; the Geographical Practice Cost Index; and the conversion factor. Medicare uses the Medicare Physician Fee Schedul...

AAPC Chapter 1 CPBA 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 - correct answer Anti-Kickback Statu...

AAPC CPB - Chapter 12 ReviewThe 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. - correct answer c. copay. Response Feedback: A copayment or copay is the set amount the in...

AAPC CPB - Chapter 7 QuizA patient has a breast biopsy with placement of localization device (19083) with subsequent mastectomy (19301) at the same session after the biopsy is proven to be malignant. What modifier would be used for this scenario? a. 59 b. 58 c. 25 d. 78 - correct answer b. 58 ...

AAPC CPB - Chapter 3 Quiz Listed below are examples of patient reminders for appointments. Which one is HIPAA compliant? a. "This is the obstetrical office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." b. "This is Dr. Smith's office calling to re...

AAPC CPB - Chapter 8 ExamWhich statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the procedure. b. Condition codes are listed in the order of occurrence instead of numerical order. c. Condi...

AAPC CPB - Chapter 8 QuizPrior authorization is reported in Item 23. What other information can be reported in this area of the CMS-1500 claim form? a. Unlisted CPT® code(s) b. mammography pre-certification number c. patient identification number d. patient account number - correct answer b. ...

AAPC CPB Chapter 7 ReviewWho were the NCCI edits originally developed to be used by? a. Commercial Carriers b. Medicare Administrative Contractors c. Self-pay patients d. Medicare beneficiaries b. Medicare Administrative Contractors The NCCI edits have column 1 and Column 2 codes and pro...

AAPC CPB Chapter 4 ReviewHow many chapters does ICD-10-CM contain? a. 17 b. 19 c. 22 d. 20 c. 22 What is/are the correct code(s) for a patient with type 1 diabetic neuropathy? a. E11.40 b. E90.40 c. E10.9, G62.9 d. E10.40 d. E10.40 What are the correct codes for benign hypert...

AAPC CPB Chapter 6 ReviewPatient is given 15 mg of methotrexate sodium IM for rheumatoid arthritis given from 5 mg vials. What HCPCS Level II code and unit(s) is reported? a. J8610 x 6 b. J9260 c. J9250 x 5 d. J9250 x 3 d. J9250 x 3 Look in the HCPCS Level II Table of Drugs for Methotrexat...

AAPC CPB Chapter 1Eight 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. Coordination of benefits d. Physician unique ident...