AAPC CPB Exam C QUESTIONS AND ANSWERS 2022/2023| GRADED A
3 views 0 purchase
Course
AAPC CPB
Institution
AAPC CPB
AAPC CPB Exam C QUESTIONS AND ANSWERS 2022/2023| GRADED A
A 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 ...
aapc cpb exam c questions and answers 20222023| graded a
a 6 year old is seen in the pediatrician office for the first time he has insurance coverage through both his m
Written for
AAPC CPB
All documents for this subject (1081)
Seller
Follow
Classroom
Reviews received
Content preview
AAPC CPB Exam C QUESTIONS AND
ANSWERS 2022/2023| GRADED A
A 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. Correct Answer: 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) Correct Answer: 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 Correct Answer: 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 Correct Answer: 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.
Correct Answer: 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) Correct Answer: 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 Correct Answer: D. II, III, IV, V
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 or Stuvia-credit 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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
