Aapc

A 63-year-old man sustained a gunshot wound through the right maxillary sinus penetrating into the right neck. CT scan revealed no hard evidence of arterial injury but a bullet was directly in line with the internal jugular vein. He was sent to the operating room for neck exploration to rule out vascular injury and injury to the aerodigestive tract (respiratory and digestive tracts). A sternocleidomastoid incision was performed and carried down through the platysma muscle. There was no penetrati...

A patient was referred to the radiology department for chronic low back pain. The radiology report indicated there was no marrow abnormality identified and the conus medullaris was unremarkable. Additional findings include: L4-L5: There is a minor diffusely bulging annulus at L4-L5. A small focal disc bulge is seen in far lateral position on the left at L4-L5 within the neural foramen. No definite encroachment on the exiting nerve root at this site is seen. No significant spinal stenosis is iden...

A patient is seen for three extra visits during the third trimester of her 30-week pregnancy because of her history of pre-eclampsia during her previous pregnancy which puts her at risk for a recurrence of the problem during this pregnancy. No problems develop. What diagnosis code(s) is/are reported for these three extra visits? No modifier is needed Rationale: An antenatal service is performed before the baby is delivered. According to the notes in the Maternity Care and Delivery subsection in...

AAPC FINAL EXAM 2024 WITH 100% ACCURATE ANSWERS

CPB Chapter 9 – Billing Exam Study Guide with Complete Solutions Money owed to the practice for services rendered and billed - Answer️️ - Account Receivables A review and evaluation of healthcare procedures and documentation for the purpose of comparing the quality of services provided in a given situation - Answer️️ -Audit Under the birthday rule, the health plan of the parent whose birthday comes first in the calendar year (not including the year) is designated as the primar...

CPB Exam B Practice Questions and Answers (100% Pass) What is the term for the total amount of covered medical expenses a policyholder must pay each year out-of-pocket before the health insurance company begins to pay any benefits? A) Copayment B) Deductible C) Secondary payment D) coinsurance - Answer️️ -Deductible Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? A) Business liability B) bondi...

CPB HIPAA Exam Study Guide with Complete Solutions Healthcare Regulations - Answer️️ -These are not always definitive and may vary by payer, geographic area, and the setting in which patient care is provided. Health Insurance Portability and Accountability Act (HIPAA) - Answer️️ -Provides rights and protections for participants and beneficiaries of health plans. Healthcare Fraud and Abuse Control Program (HCFAC) - Answer️️ - Established under HIPAA, to combat fraud and abuse...

AAPC CPB - Chapter 9 Practical Application Exam Practice Questions and Answers (100% Pass) Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: 384594 Payer: HEALTHSPRINGMEDICARE Submission Date: 11/19/XX Date of Service: 11/09/XX Charge: $557.00 Provider: Post, Alexis According to this clearinghouse rejections report, what actions should be t...

AAPC CPB - Chapter 7 Practical Application Exam Practice Questions and Answers Use CPB Chapter 7_Case to answer questions 1 & 2. A 40-year-old patient is trying Botox® for her chronic migraines. According to the policy, what are the symptom parameters that must be documented? a. The patient has chronic migraines more than 15 days per month, with headaches lasting 4 hours a day or longer. b. There are not specific documentation requirements for the use of Botox® for chronic migraines....

AAPC CPB - Chapter 4 Practical Application Practice Exam Questions and Answers (100% Pass) A patient was seen for a left ear infection. The provider diagnosed the patient with Swimmer's Ear in the left ear. The biller received a denial from XYZ Insurance Company stating H60.33 is an invalid diagnosis code. Why is this an invalid code? a. H60.33 requires an additional character; the code should be H60.332 b. H60.33 requires an additional character; the code should be H60.339 c. H60.33 is...