Aapc cpb chapter 1 Study guides, Class notes & Summaries
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AAPC CPB Chapter 13 Review Questions 2024.
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AAPC CPB Chapter 13 Review Questions 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. 
 
Wha...
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AAPC CPB Chapter 11-14 with complete solution
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AAPC CPB Chapter 11-14 with complete solution
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AAPC CPB Chapter 1 Review questions & answers 2024/2025
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AAPC CPB Chapter 1 ReviewFCA - 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 government 
-over-representing the amount of a delivered product 
....or.... 
-under-stating an obligation to the government 
 
Minimum Necessary Standard. What should be sent if records are being requested?? - correct answer The ? req...
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AAPC CPB Chapter 11-14 Questions & answers
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AAPC CPB Chapter 11-14 Questions & answers
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AAPC CPB Chapter 12 Practical Application fully solved graded A+
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AAPC CPB Chapter 12 Practical ApplicationUse CPB Chapter 12_Case 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. Type of Insurance 
II. Primary insurance policy number 
III. Primary group number 
IV. Federal Tax ID number 
V. Billing provider and NPI 
 
A. I and II 
B. II and IV 
C. III and V 
D. There are no errors on this claim. - correct answer A. I and II 
 
Response Feedback: 
 
The...
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AAPC CPB Chapter 11 Review Practice Questions 2024.
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AAPC CPB Chapter 11 Review Practice Questions 2024. 
A Medicare patient presents with an injury sustained at his part-time job. His injury status is verified by his company. After services are rendered, in what order are the claims submitted? 
 
a. The worker's compensation is primary, and Medicare is secondary 
 
b. Either may be filed first, whichever pays better 
 
c. Medicare is primary, and Worker's compensation is secondary 
 
d. The patient must pay for services and files claims him...
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AAPC CPB Chapter 11-14 Study Guide Exam Questions And Verified Answers 2024.
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Which coverage under TRICARE is a Medicare wrap around plan? 
 
a. TRICARE for Life 
b. TRICARE Reserve Select 
c. TRICARE Prime 
d. CHAMPVA - 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 to the Medigap plan. 
b. The biller must file the secondary in...
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AAPC CPB Chapter 12 Practical Application Questions 2024.
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AAPC CPB Chapter 12 Practical Application Questions 2024. 
Use CPB Chapter 12_Case 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. Type of Insurance 
II. Primary insurance policy number 
III. Primary group number 
IV. Federal Tax ID number 
V. Billing provider and NPI 
 
A. I and II 
B. II and IV 
C. III and V 
D. There are no errors on this claim. - correct answer A. I and II 
 
Respons...
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AAPC CPB Chapter 1 Review Test Guide 2024.
- Exam (elaborations) • 11 pages • 2024
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AAPC CPB Chapter 1 Review Test Guide 2024. 
FCA - 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 government 
-over-representing the amount of a delivered product 
....or.... 
-under-stating an obligation to the government 
 
Minimum Necessary Standard. What should be sent if records are being requested?? - ANSWER The ? ...
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AAPC CPB Chapter 1 questions with answers 2024/2025
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AAPC CPB Chapter 1Eight 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 benefits 
d. Physician unique identifier number 
d. Physician unique identifier number 
 
 
We have an expert-written solution to this problem! 
HIPAA of 1996 includes a Security Rule that is established to provide what national standa...
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