Exam (elaborations)
AAPC CPB - CHAPTER 11 QUIZ
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AAPC CPB - CHAPTER 11 QUIZ
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AAPC CPB - CHAPTER 11 QUIZWhat is true regarding Medigap policies?
a. They cover everything that Medicare does not.
b. They cover deductibles, copayments, and coinsurances usually.
c. All Medigap policies are the same and offer the same coverage.
d. Medigap policies must cover patients if they injured outside the United States. -
Answers -b. They cover deductibles, copayments, and coinsurances usually.
A 21 year-old patient presents for fillings for two if his teeth. Are these services covered
under EPSDT?
a. No, because these types of services are not covered.
b. Yes, if the patient lives in a state that covers dental services.
c. No, because the patient is not under the age of 21.
d. Yes, all services are covered under Medicaid. - Answers -c. No, because the patient
is not under the age of 21.
A Medicare patient has prescription drug coverage, but does not have Medicare
Advantage. What Medicare coverage does the patient have for his medications?
a. Part A
b. Part B
c. Part C
d. Part D - Answers -d. Part D
A Medicare patient presents for her pelvic, pap, and breast examination (PPB). The
patient is not sure when she had her last PPB. As she is checking out, the front desk
rep has her sign an ABN. The service is billed and denied for frequency. Can the patient
be balance billed? Why?
a. Yes. It does not matter when you get an ABN signed.
b. No. The ABN must be signed before the service is performed.
c. Yes, as long as the patient has met her deductible.
d. No. An ABN is not required, but the patient is required to pay at time of service or the
bill has to be written off. - Answers -b. No. The ABN must be signed before the service
is performed.
A Medicare patient presents with an injury sustained at his part-time job. His injury
status is verified by his company. After services are rendered, in what order are the
claims submitted?
a. The worker's compensation is primary, and Medicare is secondary
b. Either may be filed first, whichever pays better
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