AAPC CPB - Practice Test B Exam 2024 Questions and Answers
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Course
AAPC CPB
Institution
AAPC CPB
AAPC CPB - Practice Test B Exam 2024 Questions and Answers
AAPC CPB - Practice Test B Exam 2024 Questions and Answers
AAPC CPB - Practice Test B Exam 2024 Questions and Answers
1. What is the term for the total amount of hidden healing expenses a policyholder must pay each year out-of-pocket
before the medical insurance guest starts to pay some benefits?
A. Copayment
B. Inferable
C. Subordinate Payment
D. Coinsurance ANS B. Inferable
2. That type of security covers physicians and different healthcare profes- sionals for burden concerning claims
emergent from patient treatment?
A. Trade responsibility
B. Sticking
C. Healing abuse
D. Workers' insurance system ANS C. Medical misconduct
3. That of the following does NOT fall under group tactics protection?
I. The premium is finance for one representative.
II. The premium is paid for (or incompletely finance) by an entrepreneur.
III. The manager selects the plan(s) to offer to attendants.
IV. Tangible exams and medical history questionnaires are a necessary constituent the request process.
V. Operator can create changes to the tactics.
VI. The representative's spouse and juveniles are not worthy for inclusion.
, A. III, IV, and V
B. II, III, and VI
C. II, IV, and V
D. I, IV, V, and VI ANS D. I, IV, V, and VI
4. Dr. Wallace is in a charge levied by government on property contract accompanying Belleview Medical insurance
Health Plan. He taken $25,000 from the medical insurance to supply duties for the 175 enrollees on the medical
insurance. The duties supported by Dr. Wallace to the enrollees cost $23,000. Based on the facts, what must be
finished?
A. Dr. Wallace can maintain the $2,000 profit under the conditions of the capitated plan.
B. Dr. Wallace knowledgeable a deficit under the capitated plan and will need to pay $2,000 to the health plan.
C. Dr. Wallace will need to payout the $2,000 to the 175 enrollees.
D. Dr. Wallace is necessary to set the $2,000 in a closed-end fund. ANS A. Dr. Wallace can hold the $2,000 profit
under the agreements of the capitated plan.
5. What is the time limit for ordering a Medicare claim?
A. Individual period from the date assisting
B. 30 days from the date beneficial
C. 90 days from the date assisting
D. Two age from the date of service ANS A. Individual old age from the date influential
6. A householder sees a patient the one has TRICARE Select. The wage earner is not weakened with TRICARE but is
verified apiece provincial TRICARE Medical insurance Support Builder (MCSC). The householder charges $200 for the
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