AAPC Chapter 14 Practical Application
Exam Questions and Answers
Use CPB Chapter 14_Case 1.pdf to answer questions 1 & 2.
After review of the information provided, are there any errors on the claim
form? If so, which elements are incorrect?
I. Insured's name
II. Secondary insurance
III. Primary insurance policy number
IV. Date of birth
V. Date of injury
VI. Relationship to the insured
VII. Place of service
VIII. CPT codes
IX. Modifier use
X. Diagnosis code
A. I, III, VI, and X
B. I, II, VI, and VII
C. III, IV, V, VIII, and IX
D. None of the above. - -A. I, III, VI, and X
Response Feedback:
Rationale: For Workers' Compensation claims, the insured is the employer.
The relationship to the insured should be other and the insured's name and
address should be the employer's name and address. Primary insurance
policy number is incorrect. In addition, because this is the first visit, a place
of occurrence, activity, and status code should be reported.
-Which statement is TRUE regarding CPB Chapter 14_Case 1.pdf?
A. The Workers' Compensation carrier will process this claim as is.
B. The place of service should be 11.
C. AAPC National Bank should be listed as the insured.
D. The CPT code should be replaced and the claim refiled. - -C. AAPC
National Bank should be listed as the insured.
Response Feedback:
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