CPB

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...

CPB chapter 2 review Questions and Answers (100% Pass) Medicare coverage provides hospital coverage and voluntary medical insurance to A.certain individuals of low-income B.persons age 65 or older C.certain disabled individuals under age 65 - Answer️️ -B and C When a patient is enrolled in an HMO, which options below are the responsibilities of the primary care physician (PCP)? I. Manage the member's treatment II. Be the only provider for all of the patient's healthcare III. Pro...

AAPC CPB - Chapter 4 Review Questions and Answers What is the ICD-10-CM code for a sore throat? a. J02.8 b. J02.0 c. J02.9 d. J31.2 - Answer️️ -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 - Answer️️ -a. I45.10 Patient is diagnosed with a pressure ulcer of the heel. What ICD-10-CM code is reported? ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: Ame...

AAPC CPB - Chapter 14 Review Questions and Answers __________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - Answer️️ -d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maintenance staff III . housekeeping IV. food service staff V. administrative staff a. I only ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: American A...