AAPC CPB Bundled Exams 2024/2025 with complete solution

A 40-year-old patient has severe pain in his lower back. After multiple surgeries, physical therapy, and various medications without relief, the provider performed percutaneous epidural lysis of adhesions. An epidural catheter is placed and an epidurography is performed. A series of injections are...

A 3 year-old is seen for ear infections in both of his ears. The provider's assessment indicates that the infection is worse in the child's right ear. What ICD-10-CM code(s) should be assigned? a. H66.92, H66.91 b. H66.90 c. H66.91, H66.92 d. H66.93 - Answer-d. H66.93 A patient complains of ...

Patient presents with difficulty speaking, facial droop, and she is unable to close her left eye. She has no other complaints. She is diagnosed with Bell's palsy. She is prescribed Corticosteroids. She will return in 3 days for follow-up. What ICD-10-CM code(s) is/are reported? a. G51.0, R29.810...

What does no-fault insurance mean? a. The insurance will pay only if no one was found to be at fault. b. The insurance will pay regardless of who was at fault. c. Both insurances pay evenly when no one is found to be at fault. d. No payments or benefits are paid. - Answer-b. The insurance will p...

Medicare Supplement Insurance policies or Medigap is sold by: a. Medicare b. Medicaid c. Private insurance companies d. Healthcare providers - Answer-c. Private insurance companies Albert has purchased a Medigap policy to supplement his Medicare benefits. To which entity will Albert pay his mo...

A family has health insurance coverage from both the father and mother. The father's birthday is May 29, 1989 and the mother's birthday is May 26, 1990. Which insurance would be primary for their three children? A. The father's insurance would be primary because he was born before the mother. ...

An internist sees a 20-year-old patient for an office visit. The patient needs to see an endocrinologist for a consultation regarding her diabetes. The internist is a participating provider in her plan. She can choose any provider she wishes for her consultations, but she will save money if she se...

A provider removes a skin lesion in an ASC and receives a denial from the insurance carrier that states "Lower level of care could have been provided." What steps should the biller take? a. Write-off the charge. b. Check with the provider and write an appeal to the insurance carrier explaining ...

Blue Cross/Blue Shield offers which type of Medicare plan? a. Medicare Plus b. Medicare Advantage c. Medicare Part G d. Medicare Add-on - Answer-b. Medicare Advantage A claim is submitted for a patient who suffered a fractured femur. The diagnosis code that was submitted is S82.401A, with the ...

60-year-old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initial visit. The patient has a constant cough due to smoking and some shortness of breath. No night sweats, weight loss, night fever, CP, headache, or dizziness. She has tried patches and nicotine ...

CMS defines ___________ as billing for a lower level of care than is supported in documentation, making false statements to obtain undeserved benefits or payment from a federal healthcare program, or billing for services that were not performed. a. Fraud b. Abuse c. a Stark violation d. an Ant...

NCDs are released by which of the following entities: - CMS A health plan sends a request for medical records in order to adjudicate a claim. Does the office have to notify the patient or have them sign a release to send the information? - no ____ sets standards and directives to protect workers ...