Review for cpb exam - Study guides, Class notes & Summaries

CPB Exam Review Ch 8, Questions and answers, VERIFIED/ Adjudication - -Determination of the insurers payment amount after the members insurance benefits have been applied. Which Item on the CMS-1500 claim form contains information regarding Medigap? - -9, 9a, 9d What is the correct format to enter the date of birth on a paper CMS-1500 claim form? - - MM/DD/CCYY For patients who have Medicare primary and secondary insurance, how is the secondary insurance filed? - -if it is a cross-ove...

AAPC CPB - Chapter 5 Practical ApplicationA patient comes into the office for follow up of neck pain. The provider documents an expanded problem focused history, a problem focused exam and medical decision making of low complexity. What E/M code is reported for this visit? a. 99212 b. 99213 c. 99202 d. 99201 - correct answer b. 99213 A patient sees his primary care doctor for calluses on his feet. The provider uses a scalpel to pare down six calluses (benign hyperkeratotic lesions) on h...

AAPC Chapter 1 CPB: Exam Review Questions and answers/ A physician received office space at a reduced rate for referring patients to the hospital's outpatient physical therapy center. What Law does this violate? 1. Anti-kickback Statute 2. Stark Law 3. False Claims Act 4. Truth in Lending Act - -Anti-Kickback Statute Rationale: The anti-kickback Laws states that anyone who knowingly or willing accept or offer any items or services to induce referral is a violation of the law. Feder...

TABLE OF CONTENTS Introduction What is Medical Billing and Coding? Working in Medical Billing and Coding Medical Coding Certification Medical Billing Certification Learn More About Medical Coding Medical Coding Vocabulary & Key Terms ICD-9 & ICD-9-CM Using ICD-9-CM ICD-10-CM Using ICD-10-CM Intro to CPT Using CPT CPT Modifiers Human Anatomy and Medical Terminology HCPCS Codes HCPCS Modifiers Crosswalking Electronic vs. Paper Coding Medical Coding Review Introduction to Medic...

AAPC CPB Chapter 4 Review Exam Rated A+ 2024. How many chapters does ICD-10-CM contain? a. 17 b. 19 c. 22 d. 20 - correct answer c. 22 What is/are the correct code(s) for a patient with type 1 diabetic neuropathy? a. E11.40 b. E90.40 c. E10.9, G62.9 d. E10.40 - correct answer d. E10.40 What are the correct codes for benign hypertensive heart disease and stage 3a chronic kidney disease? a. I10, I11.9, I12.9, N18.31 b. I13.10, N18.31 c. N18.31, I13.10 d. I13.0, N18.31 - co...

AAPC CPB Chapter 13 Review Exam Semester 1 2024. Which denial occurs when the claim is a liability case and was submitted to the health insurance? a. Coordination of Benefits b. Request for medical records c. Claim not covered by insurer d. Claim covered by other insurer - correct answer d. Claim covered by other insurer Similar to a coordination of benefits denial, a claim covered by other insurer denial occurs when the claim is a liability case such as auto or work-related accident. ...

CPB Exam Review Questions and answers, rated A+ A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? - -Mother Which managed care plan has the patient receiving care from participating providers (network provider) and the providers are only paid for services provided? - -Exclusive Provider Organization Which TRICARE plan is similar to an HMO plan - ...

ABCP PBSE EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ Calcium binds to ______ in banked blood, reducing calcium levels in the blood - -ACD (citrate) Acute Aneurysm (dissection) mimics - -Acute MI Acute renal failure will not be caused by - -Hypervolemia O2 sat. is based on or effected by - -PO2 Leukocytes are ____ compared to platelets - -Larger When are serum glucose levels the highest? - -During rewarding phase of CPB What is the maximum electrical leakage allowable? - -100 uamps Wha...

©BRIGHTSTARS EXAM SOLUTIONS 10/21/2024 9:24 PM CPB Certification Exam Prep (based off Practice Exam #2) Questions And Answers 100% Pass. What organization is responsible in evaluating the medical necessity, appropriateness, and efficiency of the use of healthcare services and procedures? A. Utilization Review Organization B. Managed Care Organization C. Quality Assurance Organization D. External Quality, Review, Organization - answerA. Utilization Review Organization Which of the fol...