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Chapter 2 - CPB 2024 Exam Practice Questions and Answers

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Chapter 2 - CPB 2024 Exam Practice Questions and Answers What type of insurance is paid for by employers and takes advantage of purchasing power of having large member numbers? - ANSWER-Group health plan An internist sees a 20-year-old patient for an office visit. The patient needs to see an en...

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  • October 30, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPB
  • CPB
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©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Chapter 2 - CPB 2024 Exam Practice

Questions and Answers


What type of insurance is paid for by employers and takes advantage of purchasing power of having

large member numbers? - ANSWER✔✔-Group health plan


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 consultation, but she will save money if she sees a specialist that is in her

network. She does not require a referral for her consultation. What type of insurance does the patient

have? - ANSWER✔✔-PPO


What are the options for a provider with regard to participation with Medicare? - ANSWER✔✔-Providers

may participate, may choose not to, or can op-out


A family practitioner sees a Medicare patient and bills a 99213. This provider has opted-out of Medicare.

His fee for the service is $125.00. Medicare's approved amount is $73.08, and the patient has met $0 of

his deductible. What can the provider bill the patient? - ANSWER✔✔-$125.00


Under the Patient Protection and Affordable Care Act, what was banned - ANSWER✔✔-Lifetime Limits




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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




What does ACA stand for? - ANSWER✔✔-Affordable Care Act


At what age are you eligible for Medicare Part A? - ANSWER✔✔-65


What is Medicare Part A? - ANSWER✔✔-Covers inpatient hospital care, as well as care provided in skilled

nursing facilites, hospice care, and home health care


What is Medicare Part b? - ANSWER✔✔-Covers medically necessary doctors' services, outpatient care,

DME, Mental health Services, ambulance services


What is Medicare Part C? - ANSWER✔✔-Medicare Advantage Plans - private plans


What is Medicare Part D? - ANSWER✔✔-Prescription drug coverage


What is Medicaid Spenddown program? - ANSWER✔✔-Spenddown is similar to a deductible but

different in patient must be a monthly amount (out of pocket). Once amount is met each month, patient

gets a spending card that covers expenses.


What is the monthly spedning required for Spenddown? - ANSWER✔✔-different for everyone


How long can a Spenddown patient wait to submit payment reciept for a service? - ANSWER✔✔-Up to 6

months


What is TRICARE? - ANSWER✔✔-health benefit program for military personnel and retirees, includes

dependents


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