Aapc chapter 1 Study guides, Class notes & Summaries

AAPC CPB Chapter 10 ReviewWhat is the first step in working a denied claim? a. Resubmit the claim b. Contact the carrier c. Appeal the claim d. Determine and understand why the claim was denied - correct answer d. Determine and understand why the claim was denied The first step in working a denied claim is to understand why the claim has denied. Insurance carriers will use different denial codes on the remittance advice. Which of the following is a statement sent to the patient from ...

AAPC CPC - Chapter 1: Practical Application, Chapter 2 And 3 Review Exam 2024

AAPC chapter 1 exam Many coding professionals go on to find work as: - ANSWER Consultant A medical record contains information on all but what areas? - ANSWER Financial records Technicians who specialize in coding are called: - ANSWER Coding specialists EHR stands for: - ANSWER ...

AAPC CPB Chapter 11-14 Exam Correctly Answered 2024. Which coverage under TRICARE is a Medicare wrap around plan? a. TRICARE for Life b. TRICARE Reserve Select c. TRICARE Prime d. CHAMPVA - correct answer a. TRICARE for Life A patient has Medicare and a Medigap policy. Box 13, signature on file, is checked off on the electronic claim submission. An EOMB is received with remittance notice MA19. What does the office need to do? a. Nothing. This means the claim has been crossed over t...

AAPC CPC CHAPTER 1 REVIEW TEST SUBMISSION 2024 PHYSICIAN CODING FOR CPC PREPARATION ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+/ AAPC CPC / CERTIFIED PROFESSIONAL CODER – MEDICAL CODING CHAPTER 1 REVIEW 2024/2025 (BRAND NEW!!)

AAPC CPB - Chapter 13 Review Test (Answered 100% Correct) On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing b. Invalid CPT code for DOS CPT codes 11400 and 12031 were reported on a claim. The insurance carrier denied 12031 as bundled with 114...

Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice Expense (PE) X Conversion factor = Medicare payment d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment - b. Total RVU X Conversion factor = Medicare payment The total RVU is composed of which of the following ...

AAPC - CPC Chapter 1: The Business of Medicine – Final Exam Q’s and A’s

AAPC CPB - Chapter 13 Review Test Questions and Answers 2024. On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing - correct answer b. Invalid CPT code for DOS Response Feedback: Rationale: CPT™ code 10022 was deleted in 2019. CPT® codes should on...

C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal year ahead. Within the Work Plan, potential problem areas with claims submissions are listed and will be targeted with special scrutiny.) CORRECT ANSWER-What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG I...