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

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, 17003 d. 17004, 17003 - correct answer c. 17000, 17003 Sally is a 45-year-old female, established patient seen for an annual gynecological exam. The physician performs a comprehensive history and a de...

CPB Final Exam Review Questions and answers, VERIFIED/ Electronic data interchange - -EDI Treatment, payment and operations - -TPO Conditions of participation - -COP False claim act - -FCA Health information portability and accountability act - -HIPAA Preferred provider organization - -PPO Truth in lending act - -TILA Health maintenance organization - -HMO Release of information - -ROI Office of civil rights - -OCR Protected health information - -PHI Health and human services - -HH...

AAPC CPB - Chapter 6 Review Exam Questions 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. G0168 d. C1765 -ANSWER c. G0168 What is the HCPCS Level II code for the replacement of a cochlear implant transmitting coil? a. L8614 b. L8615 c. L8617 d. L8618 -ANSWER c. L8617 What is the ...

AAPC CPB - Practice Exam C. Questions and answers, graded A+ ____________ is incorporated by CMS into the NCCI program to limit the number of times a service or procedure can be reported by a physician on the same date of service to a patient. A. Outpatient Code Editor (OCE) B. Medically Unlikely Edits (MUE) C. Physician Fee Schedule D. National Coverage Determination (NCD) - -B. Medically Unlikely Edits (MUE) A "reasonable" charge in UCR is: A. What Medicare deems reasonable B...

AAPC CPB Chapter 10 Review Exam 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 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 se...

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...

AAPC CPB Chapter 7 Review Exam Questions Correctly Answered 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 have column 1 and Column 2 codes and provide an indicator to determine whether a modifier is allowed to be used. Which indicator is used to tell the biller a modifier is never allowed?...

AAPC CPB Exam Review Questions and answers, rated A+ 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 deductible is the amount a policyholder pays for health care services before the health insurance begins to pay. Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? - -Me...

CPB Final Exam Review Questions and answers, rated A+ A female patient is covered by her employer and her husbands insurance plan. Which is primary? - - The patient's insurance because she is the primary subscriber. A hospital records transporter loses charts when they fall off the truck while in route to a new facility. What type of violation is this? - -a breach A Medicare beneficiary needing to fill a prescription would utilize what Part of their Medicare benefits? - -Part D A new ...