Aapc cpb chapter 12 Study guides, Class notes & Summaries

AAPC CPB - Chapter 12 Review Questions and answers, rated A+ 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. - -c. copay. Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - -c. Subscriber What information can be found on the Blue Cross/Blue Shield insurance ...

AAPC CPB Chapter 3 ReviewWhat is a claim that is sent for reimbursement that contains all the required data elements to process the claim referred to as? a. Submitted b. Adjudicated c. Clean Claim d. Medically necessary c. Clean Claim HIPAA Section 164.508 states that covered entities may not use or disclose protected information without a valid authorization. In what circumstances can a practice NOT release protected information with a signed authorization? a. Records sent to a p...

AAPC CPB - Chapter 12 2024 Questions And Answers | 100% Verified

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 submitted to BCBS but the provider has not received a response? a. Automatically refile the claim. b. Check claim status with the local BCBS carrier. c. Write-off the balance. d. Transfer the charges ...

AAPC CPB - Chapter 12 Review | Questions with 100% Correct Answers | New Update 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. - Answer ️️ -c. copay. Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - Answer ️️ -c. Subscriber What information can...

AAPC CPB Chapter 11-14 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 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 bil...

AAPC CPB Chapter 10 ReviewWhat 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 sent to the patient from ...

AAPC CPB - Chapter 12 Practice Questions 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. - ANSWER c. copay. Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - ANSWER c. Subscriber What information can be found on the Blue Cross/Blue Shield insurance...

AAPC CPB Chapter 11-14 Final Exam Practice Questions 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 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 o...

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