AAPC CPB PACKAGE DEAL WITH ALL SECTIONS CORRECTLY ANSWERED A PASS IS GUARANTEED 2024.

AAPC CPB Chapter 11 Practical Question Guide 2024.Use CPB Chapter 11_Case to answer questions 1 & 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. The provider must accept assignment II. Provider name conflict III. ...

AAPC CPB Chapter 10 Review Study Questions 2024. What 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...

AAPC CPB Chapter 9 Review Practice Questions 2024.A patient with ABC insurance is seen on May 1st, and the claim is submitted on July 15 of the same year. Has the claim met the timely filing deadline? a. Yes. All payers have the same timely filing deadline of one year from date of service. b. ...

AAPC CPB Chapter 7 Review Study Exam Test 2024. Who were the NCCI edits originally developed to be used by? a. Commercial Carriers b. Medicare Administrative Contractors c. Self-pay patients d. Medicare beneficiaries - correct answer b. Medicare Administrative Contractors The NCCI edits ha...

AAPC CPB Chapter 6 Review Exam Questions 2024. Patient is given 15 mg of methotrexate sodium IM for rheumatoid arthritis given from 5 mg vials. What HCPCS Level II code and unit(s) is reported? a. J8610 x 6 b. J9260 c. J9250 x 5 d. J9250 x 3 - correct answer d. J9250 x 3 Look in the HCPCS ...

AAPC CPB Chapter 4 Study Questions 2024.Acute - correct answer A condition with a rapid and short course. Anatomical - correct answer Body site. And - correct answer Can mean either "and" or "or" when it is in the code description. Brackets [ ] - correct answer Symbol to enclose...

AAPC CPB Chapter 4 Review Questions 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 ...

AAPC CPB Chapter 1-5 Complete Questions With Answers 2024. Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordinat...

AAPC CPB Chapter 1 Review Practice Test 2024.FCA - correct answer False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the governme...

AAPC CPB - Chapter 14 Review Study Guide Questions 2024.__________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - correct answer d. OSHA For OSHA, which employees are included as healthcare workers? I. medical...

AAPC CPB - Chapter 14 Advanced Questions 2024. What type of state worker's compensation coverage allows an employer to set aside money to cover medical expenses and other related benefits for its employees? a. State insurance fund b. Self-insurance plans c. Commercial workers' compensati...

AAPC CPB - Chapter 13 Review Test Questions 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. ...

AAPC CPB - Chapter 13 Quiz Correctly Answered 2024.Which of the following denials is one of the leading reasons a claim is denied and can be prevented by accurate intake information being collected every time? a. Medical necessity b. Coordination of Benefits c. Request for medical records not r...

AAPC CPB - Chapter 12 Review Study Guide 2024.The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - correct answer c. copay. Blue Cross/Blue Shield identifies the individual ...

AAPC CPB - Chapter 12 Quiz with Complete Answers 2024. Which type of insurance plan is a federal and state program that provides coverage to the low-income population? a. Medicare b. HMO c. Medicaid d. PPO - correct answer c. Medicaid What is the correct action when a claim has been submit...

AAPC CPB - Chapter 11 Review Practice Test 2024. 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...

AAPC CPB - Chapter 11 Quiz 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 f...

AAPC CPB - Chapter 10 Review Study Questions 2024.Which statement is TRUE regarding the Prompt Payment Act? a. Patients are required to pay patient balances within 30 days. b. Patient balances are dismissed if a statement is not sent to the patient within 30 days. c. Federal agencies are not re...

AAPC CPB - Chapter 10 Quiz Clearly Answered 2024. What 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 Wh...

AAPC CPB - Chapter 9 Review Test 2024.A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code - correct answer a. R...

AAPC CPB - Chapter 9 Quiz With Complete Answers 2024.When a claim has been paid, an EOB is sent to: a. the clearinghouse. b. the patient. c. the provider. d. the insurance company. - correct answer b. the patient. Cost based fee schedules are developed using which of the following: a. R...

AAPC CPB - Chapter 8 Review Practice Questions 2024.Which statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the procedure. b. Condition codes are listed in the order of occurrence instead of...

AAPC CPB - Chapter 8 Quiz With Answers 2024.Prior authorization is reported in Item 23. What other information can be reported in this area of the CMS-1500 claim form? a. Unlisted CPT® code(s) b. mammography pre-certification number c. patient identification number d. patient account number -...

AAPC CPB - Chapter 8 Practical Application Correctly Answered 2024. Using the information in CPB Chapter 8 Case 1 to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I Date of birth II Date of servi...

AAPC CPB - Chapter 7 Review Test Questions 2024. MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits - correct answer d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has...

AAPC CPB - Chapter 7 Quiz Correctly Answered Test 2024, A patient has a breast biopsy with placement of localization device (19083) with subsequent mastectomy (19301) at the same session after the biopsy is proven to be malignant. What modifier would be used for this scenario? a. 59 b. 58 c. 2...

AAPC CPB - Chapter 7 Practical Application Questions 2024. 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 migrain...

AAPC CPB - Chapter 6 Terminology Practice Test 2024.g - correct answer Grams IM - correct answer Intramuscular IV - correct answer Intravenous mcg - correct answer micrograms mg - correct answer milligrams ml - correct answer milliliters SQ - correct answer subcutaneous Advanced...

AAPC CPB - Chapter 6 Review Practice Test 2024.A 65 year-old patient is seen in her physician's office with a laceration on her forehead. The cut is not deep for a suture repair. The physician decides to repair the wound with tissue adhesive. How would this be billed? a. A4364 b. A4452 c. G0...

AAPC CPB - Chapter 6 Quiz Correctly Solved 2024. A female patient is getting a right and left breast mastectomy bra with integrated form breast prosthesis. What HCPCS Level II code is reported? a. L8002 b. L8002-50 c. L8001-50 d. L8000 - correct answer a. L8002 Patient is given 15 mg of m...

AAPC CPB - Chapter 6 Practical Application Questions Guide 2024.A patient is new to Medicare this year and sees his local family physician for his initial preventive physical for Medicare. What CPT or HCPCS Level II code is reported? a. 99397 b. 99387 c. G0402 d. G0438 - correct answer c. G040...

AAPC CPB - Chapter 5 Terminology Advanced Test 2024. Add-on Code - correct answer CPT code used to report a supplemental or additional procedure appended to a primary procedure (stand-alone) code. Add-on codes are recognized by the CPT symbol +used throughout the CPT code book Centers for Medica...

AAPC CPB - Chapter 5 Review Questions Correctly Answered 2024. Patient is seen for destruction of 2 skin lesions that were diagnosed as actinic keratosis (AK). Which of the following is the correct billing for removal of skin lesions? a. 17000, 17003, 17004-59 b. 17000, 17003-51 c. 17000, 1700...

AAPC CPB - Chapter 4 Review Test Guide Quiz 2024.What is the ICD-10-CM code for a sore throat? a. J02.8 b. J02.0 c. J02.9 d. J31.2 - correct answer c. J02.9 Patient is diagnosed with right bundle branch block. What ICD-10-CM code is reported? a. I45.10 b. I45.19 c. I45.5 d. I45.9 - co...

AAPC CPB - Chapter 4 Quiz Correctly Answered 2024. What is/are the correct code(s) for a patient with acute on chronic maxillary sinusitis? a. J01.00, J32.0 b. J01.00 c. J32.0, J01.00 d. J01.01 - correct answer a. J01.00, J32.0 Which sections of ICD-10-CM does a biller use to code for a p...

AAPC CPB - Chapter 4 Practical Application Study Questions 2024.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 i...

AAPC CPB - Chapter 3 Review Questions 2024. What information can be released based on this Disclosure form? AAPC Physician Practice are authorized to make the disclosure. The type of information to be used or disclosed is as follows: ____ Problem list ____ Medication list ____ List of alle...

AAPC CPB - Chapter 3 Quiz Correctly Answered 2024.Listed below are examples of patient reminders for appointments. Which one is HIPAA compliant? a. "This is the obstetrical office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." b. "This is Dr. ...

AAPC CPB - CHAPTER 3 QUESTIONS CORRECTLY ANSWERED 2024. Which of the following does NOT qualify a patient for coverage under Medicare? a. End Stage Renal Disease (ESRD) b. Age 65 or older c. Under age 65 with disabilities d. Low income individual - correct answer d. Low income individual T...

AAPC CPB - Chapter 3 Practical Application QUESTIONS 2024. Use the CPB Chapter 3_Case to answer questions 1 & 2. 1. Susan smith arrives at her in-network primary care physician's office for her annual preventive visit. What is her copay? a. $15.00 b. $50.00 c. $75.00 d. The patient doe...

AAPC CPB - Chapter 2 Terminology Pre-Test Exam 2024. Accountable Care Organization (ACO) - correct answer A healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for assigned p...

AAPC CPB - Chapter 2 Review Study Questions 2024.What is the largest health program in the United States? a. Blue Cross Blue Shield b. Medicare c. Medicaid d. TRICARE - correct answer b. Medicare Which of the following services is NOT covered under Medicare Part B? a. Cardiovascular dise...

AAPC CPB - Chapter 2 Quiz With Complete Answers 2024. A patient presents to be seen in the office. He does not pay at the time the services are rendered as the provider is his primary care provider, or gatekeeper. The large group practice has 800 covered members under this plan as is paid on a mont...

AAPC CPB - CHAPTER 2 QUESTIONS CLEARLY ANSWERED 2024.Why must a provider obtain an NPI number? I. To submit claims II. To prove that he is licensed III. To be HIPAA compliant IV. To guarantee payment by a health plan a. I, II, III b. II, III, IV c. I, II, III, IV d. I, III - correct answer...

AAPC CPB - Chapter 1 Review Question Test 2024. What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - correct answer c. Protected Health Information A new radiology company opens ...

AAPC CPB - Chapter 1 Quiz Correctly Updated 2024. Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination of be...

AAPC CPB - CHAPTER 1 QUESTIONS COMPLETE EXAM 2024. Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination of b...

AAPC Chapter 14 Practical Application With Updated Answers 2024.Use CPB Chapter 14_Case to answer questions 1 & 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. Insured's name II. Secondary insurance III. Primary...

AAPC Chapter 13 Practical Application Test Questions 2024.Use CPB Chapter 13_Case to answer questions 1 & 2. What is incorrect on this claim? I. Birth date II. Date of service III. CPT code(s) IV. ICD-10-CM code V. HCPCS code A. II only B. I and V C. V only D. There are no errors on...

AAPC Chapter 1 CPB Exam Questions2024. 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 - correct a...