Aapc cpb chapter 4 review - Study guides, Class notes & Summaries

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 insurance policy number IV. Date of birth V. Date of injury VI. Relationship to the insured VII. Place of service VIII. CPT codes IX. Modifier use X. Diagnosis code A. I, III, VI, and X B. I, II, VI, and VII C. III, IV, V, VIII, and IX D. None of the a...

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 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 CPB - Chapter 8 Review National provider identifier (NPI) numbers are issued to individual practitioners as well as other entities. Which of the following is not issued an NPI? a. Facilities b. DME suppliers c. Healthcare organizations d. Health insurance companies - correct answer d. Health insurance companies 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 pro...

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 12 Practical Application Questions and Answers 100% Correct 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. A. I and II Resp...

AAPC CPB - Chapter 9 Practical Application Questions and Answers 2023 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: 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 taken on the claim for David...