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AAPC CPB Practice Exam A 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers) $14.49   Add to cart

Exam (elaborations)

AAPC CPB Practice Exam A 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)

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AAPC CPB Practice Exam A 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)

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  • October 31, 2024
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AAPC CPB Practice Exam A.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%




AAPC CPB Practice Exam A Verified

Questions & Answers



1. The office policy for claims follow-up is to prioritize the insurance balance

accounts past 90 days by highest outstanding balance. Based on the A/R report

provided, which payer type and aging category would be one of the top priorities

on which to focus collection efforts?

Answer workers' compensation, 121+ days



2. Using the fee schedule and the payment policy provided, what is the expect- ed

reimbursement (including patient responsibility) when a provider performs a

nasal endoscopy and dilation of the left maxillary sinus (31295) and a

diagnostic nasal endoscopy of the right maxillary sinus (31233)?

Answer $2475



3. Policy applies to all professional services performed in an office place of

service When a significant, separately identifiable E/M service (appended with
1/




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,AAPC CPB Practice Exam A.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%




modifier 25) and any service that has a global period indicator—as designated

by CMS of 0, 10, 90 or YYY—is performed on the same day, the E/M service will

be reimbursed at 50% of the contracted allowable. When performed in a

facility, both services are paid at 100%.

When the E/M value is greater than the procedure, the reduction will be applied to

the global procedure code.

Based on the remittance advice and the payment policy provided, what action is

required for this claim?

Answer D. The claim did not pay correctly. Both services should be paid at 100%.

Contact the payer to reprocess the claim for full payment.

Balloon Sinusplasty Medical Coverage Policy



4. According to the LCD, how is an extracapsular cataract surgery with in-

sertion of an intraocular lens for a drug induced cataract in the left eye

reported?

Answer 66984, H26.32, T38.0X5A



5. I. Primary insurance

II. Primary insurance ID number
2/




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III. Relationship to the insured

IV. Place of service

V. Provider NPI

VI. CPT code(s)

VII. Modifier

VIII. Diagnosis code correlation

IX. Units of service

X. Service Facility Location Information


(Robert Roberts)

Answer VI , VIII and X




6. The provider performs an office visit with an expanded problem focused

history, expanded problem focused exam and low MDM to manage the pa-




3/




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