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AAPC CPB Final Exam Review Questions and answers/ / 2024-25 Exam board exam predictions. APPROVED/
[Show more]AAPC CPB Final Exam Review Questions and answers/ / 2024-25 Exam board exam predictions. APPROVED/
[Show more]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 Unl...
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Add to cartAAPC 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 Unl...
AAPC CPB: Questions and answers, 
graded A+ 
HRA - -Health Reimbursement Account 
What part of Medicare pays for prescriptions - -Part D 
What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO 
insurance plans to its members? - -Triple Option Plan 
HIPAA -...
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Add to cartAAPC CPB: Questions and answers, 
graded A+ 
HRA - -Health Reimbursement Account 
What part of Medicare pays for prescriptions - -Part D 
What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO 
insurance plans to its members? - -Triple Option Plan 
HIPAA -...
CPB EXAM QUESTIONS & Answers, 
rated A+ 
1. The biller at a medical practice has identified $575 in Medicare overpayments. After verification, they 
are presented to the office manager, who tells the biller not to write the refund check. The medical 
practice is going to put the money in their ge...
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Add to cartCPB EXAM QUESTIONS & Answers, 
rated A+ 
1. The biller at a medical practice has identified $575 in Medicare overpayments. After verification, they 
are presented to the office manager, who tells the biller not to write the refund check. The medical 
practice is going to put the money in their ge...
CPB Practice EXAM B: 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. Copayment 
B. Deductible 
C. Secondary Payment 
D. Coinsuran...
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Add to cartCPB Practice EXAM B: 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. Copayment 
B. Deductible 
C. Secondary Payment 
D. Coinsuran...
CPB Exam Study Guide, Questions and 
answers, rated A+ 
What is a drawback of an HMO? - -- Providers have an incentive to keep treatment costs at a 
minimum 
- The HMP administrators determine what services are reimbursed and what is not. 
- The Provider is now a gatekeeper to the patient's med...
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Add to cartCPB Exam Study Guide, Questions and 
answers, rated A+ 
What is a drawback of an HMO? - -- Providers have an incentive to keep treatment costs at a 
minimum 
- The HMP administrators determine what services are reimbursed and what is not. 
- The Provider is now a gatekeeper to the patient's med...
AAPC CPB - Practice Exam B. 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. Copayment 
B. Deductible 
C. Secondary Payment 
D...
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Add to cartAAPC CPB - Practice Exam B. 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. Copayment 
B. Deductible 
C. Secondary Payment 
D...
CPB Exam Questions and answers. 
Rated A+ 
When a provider chooses not to participate in the Medicare program and does not accept assignment 
on claims, the maximum amount the provider can charge is _______ percent of the approved fee 
schedule amount for non-participating providers. 
A. 115 
B....
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Add to cartCPB Exam Questions and answers. 
Rated A+ 
When a provider chooses not to participate in the Medicare program and does not accept assignment 
on claims, the maximum amount the provider can charge is _______ percent of the approved fee 
schedule amount for non-participating providers. 
A. 115 
B....
Review for CPB Exam Questions and 
answers, graded A+ 
To report co-management, Which below must be true? - -A. Co-management only applies to 
doctors in the same clinic. 
B. Two physicians must be performing the surgical procedure. 
C. Two doctors must be managing the Post-op Care. 
D. Non of the...
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Add to cartReview for CPB Exam Questions and 
answers, graded A+ 
To report co-management, Which below must be true? - -A. Co-management only applies to 
doctors in the same clinic. 
B. Two physicians must be performing the surgical procedure. 
C. Two doctors must be managing the Post-op Care. 
D. Non of the...
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...
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Add to cartAAPC 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...
CPB Chapter One. Questions and 
answers, rated A+ 
Abuse - -An action that results in unnecessary costs to a federal healthcare program, either directly 
or indirectly. 
Anit-Kickback - -Knowingly and willfully offering or accepting rewards or remuneration for services 
that are billable to a fed...
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Add to cartCPB Chapter One. Questions and 
answers, rated A+ 
Abuse - -An action that results in unnecessary costs to a federal healthcare program, either directly 
or indirectly. 
Anit-Kickback - -Knowingly and willfully offering or accepting rewards or remuneration for services 
that are billable to a fed...
CPB Exam Review Questions and 
answers, rated A+ 
A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both 
his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? - -Mother 
Which managed care plan has the patient rec...
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Add to cartCPB Exam Review Questions and 
answers, rated A+ 
A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both 
his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? - -Mother 
Which managed care plan has the patient rec...
AAPC CPB - CHAPTER 3: QUESTIONS & 
Answers. Verified/ 
Which of the following does NOT qualify a patient for coverage under Medicare? 
a. End Stage Renal Disease (ESRD) 
b. Age 65 or older 
c. Under age 65 with disabilities 
d. Low income individual - -d. Low income individual 
The insurance claim ...
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Answers. Verified/ 
Which of the following does NOT qualify a patient for coverage under Medicare? 
a. End Stage Renal Disease (ESRD) 
b. Age 65 or older 
c. Under age 65 with disabilities 
d. Low income individual - -d. Low income individual 
The insurance claim ...
CPB PRACTICE EXAM QUESTIONS AND 
ANSWERS/ VERIFIED/ 
WHO IS COVERED BY CHAMPVA? 
A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES 
B) ACTIVE DUTY MILITARY AND THEIR FAMILIES 
C) RETIRED MILITARY AND THEIR FAMILIES 
D) ACTIVE DUTY MILITARY OVER THE AGE OF 65 - -A) VETERANS WITH ...
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ANSWERS/ VERIFIED/ 
WHO IS COVERED BY CHAMPVA? 
A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES 
B) ACTIVE DUTY MILITARY AND THEIR FAMILIES 
C) RETIRED MILITARY AND THEIR FAMILIES 
D) ACTIVE DUTY MILITARY OVER THE AGE OF 65 - -A) VETERANS WITH ...
AAPC CPB Practice Exam Questions 
and answers, graded A+ 
Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on 
February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary 
insurance for their children for bill...
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Add to cartAAPC CPB Practice Exam Questions 
and answers, graded A+ 
Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on 
February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary 
insurance for their children for bill...
AAPC CPB Final Exam Review 
Questions and answers/ 
Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy 
Rule to be a: - -covered entity 
Which of the following is not a covered entity in the Privacy Rule - -healthcare consulting firm 
A request...
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Add to cartAAPC CPB Final Exam Review 
Questions and answers/ 
Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy 
Rule to be a: - -covered entity 
Which of the following is not a covered entity in the Privacy Rule - -healthcare consulting firm 
A request...
AAPC CPB - Practice Exam A: Questions 
and answers, rated A+ 
Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on 
February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary 
insurance for their children for ...
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Add to cartAAPC CPB - Practice Exam A: Questions 
and answers, rated A+ 
Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on 
February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary 
insurance for their children for ...
CPB Final Exam Questions and answers, 
rated A+ 
A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one 
patient to justify services on multiple other patients' claims. The office manager brought the civil suit. 
What type of case is this? - -Qui T...
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Add to cartCPB Final Exam Questions and answers, 
rated A+ 
A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one 
patient to justify services on multiple other patients' claims. The office manager brought the civil suit. 
What type of case is this? - -Qui T...
CPB Exam Study Guide. Questions and 
answers, rated A+ 
What is the drawback of an HMO? - -A. Providers have an incentive to keep treatment cost at a 
minimum. 
B. The HMO administrators determine what services are reimbursed and what is not. 
C. The provider is now a gatekeeper to the patient's ...
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Add to cartCPB Exam Study Guide. Questions and 
answers, rated A+ 
What is the drawback of an HMO? - -A. Providers have an incentive to keep treatment cost at a 
minimum. 
B. The HMO administrators determine what services are reimbursed and what is not. 
C. The provider is now a gatekeeper to the patient's ...
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 
...
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Add to cartCPB 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 
...
CPB Practice Exam A: Questions and 
answers, rated A+ 
The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by 
highest outstanding balance. Based on the A/R report provided, which payer type and aging category 
would be one of the top priorities on ...
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Add to cartCPB Practice Exam A: Questions and 
answers, rated A+ 
The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by 
highest outstanding balance. Based on the A/R report provided, which payer type and aging category 
would be one of the top priorities on ...
AAPC CPB - Chapter 1 Review 
Questions and answers, rated A+ 
What does the acronym PHI stand for? 
a. Patient Healthcare Information 
b. Patient History of Illness 
c. Protected Health Information 
d. Protected Healthcare Index - -c. Protected Health Information 
A new radiology company opens in to...
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Questions and answers, rated A+ 
What does the acronym PHI stand for? 
a. Patient Healthcare Information 
b. Patient History of Illness 
c. Protected Health Information 
d. Protected Healthcare Index - -c. Protected Health Information 
A new radiology company opens in to...
CPB Final Exam questions and answers, 
rated A+ 
EPO - -...provides benefits to subscribers who are required to receive services from network 
providers 
IDS - -...organizations of affiliated providers sites that offer joint healthcare services to subscribers 
HMO - -...providers comprehensive hea...
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rated A+ 
EPO - -...provides benefits to subscribers who are required to receive services from network 
providers 
IDS - -...organizations of affiliated providers sites that offer joint healthcare services to subscribers 
HMO - -...providers comprehensive hea...
AAPC CPB - CHAPTER 1: QUESTIONS & 
Answers, VERIFIED./ 
Eight 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 ...
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Answers, VERIFIED./ 
Eight 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 ...
CPB Exam B: 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? - -Deductible 
Which type of insurance covers physicians and other...
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Add to cartCPB Exam B: 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? - -Deductible 
Which type of insurance covers physicians and other...
AAPC CPB - Chapter 2 Review 
Questions and answers. Rated A+ 
What is the largest health program in the United States? 
a. Blue Cross Blue Shield 
b. Medicare 
c. Medicaid 
d. TRICARE - -b. Medicare 
Which of the following services is NOT covered under Medicare Part B? 
a. Cardiovascular disease scr...
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Add to cartAAPC CPB - Chapter 2 Review 
Questions and answers. Rated A+ 
What is the largest health program in the United States? 
a. Blue Cross Blue Shield 
b. Medicare 
c. Medicaid 
d. TRICARE - -b. Medicare 
Which of the following services is NOT covered under Medicare Part B? 
a. Cardiovascular disease scr...
AAPC CPB - Chapter 9 Questions and 
answers, graded A+ 
When a claim has been paid, an EOB is sent to: 
a. the clearinghouse. 
b. the patient. 
c. the provider. 
d. the insurance company. - -b. the patient. 
Cost based fee schedules are developed using which of the following: 
a. RBRVS methodology ...
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Add to cartAAPC CPB - Chapter 9 Questions and 
answers, graded A+ 
When a claim has been paid, an EOB is sent to: 
a. the clearinghouse. 
b. the patient. 
c. the provider. 
d. the insurance company. - -b. the patient. 
Cost based fee schedules are developed using which of the following: 
a. RBRVS methodology ...
CPB PRACTICE EXAM 1: Questions and 
answers, rated A+ 
________________________ is a legal proceeding involving a person that is unable to repay outstanding 
outstanding debts. 
A. Collection Agency 
B. Bankruptcy 
C. Dismissal of patient 
D. Bad debt - -B. Bankruptcy 
According to Chapter 30 of t...
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answers, rated A+ 
________________________ is a legal proceeding involving a person that is unable to repay outstanding 
outstanding debts. 
A. Collection Agency 
B. Bankruptcy 
C. Dismissal of patient 
D. Bad debt - -B. Bankruptcy 
According to Chapter 30 of t...
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 ...
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Add to cartAAPC 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 ...
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 ...
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Add to cartAAPC 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 ...
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 c...
Preview 2 out of 15 pages
Add to cartAAPC 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 c...
AAPC CPB - Chapter 7 Review 
Questions and answers, rated A+ 
MUE is the acronym for: 
a. Medicare Unlikely Edits 
b. Medically Unnecessary Edits 
c. Medicare Unnecessary Edits 
d. Medically Unlikely Edits - -d. Medically Unlikely Edits 
Based on NCCI edits, when a procedure is bundled and has a CCM...
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Questions and answers, rated A+ 
MUE is the acronym for: 
a. Medicare Unlikely Edits 
b. Medically Unnecessary Edits 
c. Medicare Unnecessary Edits 
d. Medically Unlikely Edits - -d. Medically Unlikely Edits 
Based on NCCI edits, when a procedure is bundled and has a CCM...
AAPC CPB - Chapter 14 Review: 
Questions and answers, rated A+ 
__________ sets standards and directives to protect workers against transmission of infectious agents. 
a. HIPAA 
b. JCAHO 
c. NCHS 
d. OSHA - -d. OSHA 
For OSHA, which employees are included as healthcare workers? 
I. medical staff 
I...
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Questions and answers, rated A+ 
__________ sets standards and directives to protect workers against transmission of infectious agents. 
a. HIPAA 
b. JCAHO 
c. NCHS 
d. OSHA - -d. OSHA 
For OSHA, which employees are included as healthcare workers? 
I. medical staff 
I...
AAPC CPB - Chapter 8 Practical 
Application: Questions and answers, 
rated A+ 
Using the information in CPB Chapter 8 Case 1 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 Date of birth 
II D...
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Add to cartAAPC CPB - Chapter 8 Practical 
Application: Questions and answers, 
rated A+ 
Using the information in CPB Chapter 8 Case 1 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 Date of birth 
II D...
CPB Chapter 12: BC/BS: Questions and 
answers, VERIFIED/ 
QUIZ - -QUIZ 
When a provider signs a contract to be a participating provider with an insurance payer they are 
agreeing to: 
a. Only see patients that are enrolled with that insurance company. 
b. Bill the patient for the total amount the ...
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answers, VERIFIED/ 
QUIZ - -QUIZ 
When a provider signs a contract to be a participating provider with an insurance payer they are 
agreeing to: 
a. Only see patients that are enrolled with that insurance company. 
b. Bill the patient for the total amount the ...
AAPC CPB - Chapter 10 Review 
Questions and answers, rated A+ 
Which statement is TRUE regarding the Prompt Payment Act? 
a. Patients are required to pay patient balances within 30 days. 
b. Patient balances are dismissed if a statement is not sent to the patient within 30 days. 
c. Federal agencies...
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Questions and answers, rated A+ 
Which statement is TRUE regarding the Prompt Payment Act? 
a. Patients are required to pay patient balances within 30 days. 
b. Patient balances are dismissed if a statement is not sent to the patient within 30 days. 
c. Federal agencies...
AAPC CPB - Chapter 4 Review 
Questions and answers, VERIFIED/ 
What is the ICD-10-CM code for a sore throat? 
a. J02.8 
b. J02.0 
c. J02.9 
d. J31.2 - -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 - -a. I45....
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Add to cartAAPC CPB - Chapter 4 Review 
Questions and answers, VERIFIED/ 
What is the ICD-10-CM code for a sore throat? 
a. J02.8 
b. J02.0 
c. J02.9 
d. J31.2 - -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 - -a. I45....
AAPC CPB - Chapter 12 Questions and 
answers, rated A+ 
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 - -c. Medicaid 
What is the correct action when a claim has been submitted to BCBS but...
Preview 1 out of 3 pages
Add to cartAAPC CPB - Chapter 12 Questions and 
answers, rated A+ 
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 - -c. Medicaid 
What is the correct action when a claim has been submitted to BCBS but...
AAPC CPB Chapter 1 Review Questions 
and answers, rated A+ 
FCA - -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 ...
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and answers, rated A+ 
FCA - -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 ...
AAPC CPB Chapter 11 Practical, 
Questions and answers, graded A+ 
Use CPB Chapter 11_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. The provider must accept assignment 
II. Provider name ...
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Add to cartAAPC CPB Chapter 11 Practical, 
Questions and answers, graded A+ 
Use CPB Chapter 11_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. The provider must accept assignment 
II. Provider name ...
AAPC CPB - Chapter 2 Questions and 
answers, rated A+ 
A patient presents to be seen in the office. He does not pay at the time the services are rendered as the 
provider is his primary care provider, or gatekeeper. The large group practice has 800 covered members 
under this plan as is paid on a...
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Add to cartAAPC CPB - Chapter 2 Questions and 
answers, rated A+ 
A patient presents to be seen in the office. He does not pay at the time the services are rendered as the 
provider is his primary care provider, or gatekeeper. The large group practice has 800 covered members 
under this plan as is paid on a...
AAPC CPB - Chapter 14 Questions and 
answers, rated A+ 
What type of state worker's compensation coverage allows an employer to set aside money to cover 
medical expenses and other related benefits for its employees? 
a. State insurance fund 
b. Self-insurance plans 
c. Commercial workers' compe...
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Add to cartAAPC CPB - Chapter 14 Questions and 
answers, rated A+ 
What type of state worker's compensation coverage allows an employer to set aside money to cover 
medical expenses and other related benefits for its employees? 
a. State insurance fund 
b. Self-insurance plans 
c. Commercial workers' compe...
AAPC CPB - Chapter 4 Questions and 
answers, rated A+ 
What is/are the correct code(s) for a patient with acute on chronic maxillary sinusitis? 
a. J01.00, J32.0 
b. J01.00 
c. J32.0, J01.00 
d. J01.01 - -a. J01.00, J32.0 
Which sections of ICD-10-CM does a biller use to code for a physician's off...
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answers, rated A+ 
What is/are the correct code(s) for a patient with acute on chronic maxillary sinusitis? 
a. J01.00, J32.0 
b. J01.00 
c. J32.0, J01.00 
d. J01.01 - -a. J01.00, J32.0 
Which sections of ICD-10-CM does a biller use to code for a physician's off...
AAPC CPB Chapter 12 Practical 
Application/ Questions and answers, 
rated A+ 
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...
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Add to cartAAPC CPB Chapter 12 Practical 
Application/ Questions and answers, 
rated A+ 
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...
AAPC CPB - Chapter 13 Review 
Questions and answers, rated A+ 
On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with 
CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? 
a. Not medically necessary 
b. Invalid CPT cod...
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Add to cartAAPC CPB - Chapter 13 Review 
Questions and answers, rated A+ 
On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with 
CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? 
a. Not medically necessary 
b. Invalid CPT cod...
AAPC CPB - CHAPTER 2: QUESTIONS & 
Answers, rated A+ 
Why must a provider obtain an NPI number? 
I. To submit claims 
II. To prove that he is licensed 
III. To be HIPAA compliant 
IV. To guarantee payment by a health plan 
a. I, II, III 
b. II, III, IV 
c. I, II, III, IV 
d. I, III - -d. I, III 
A ...
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Add to cartAAPC CPB - CHAPTER 2: QUESTIONS & 
Answers, rated A+ 
Why must a provider obtain an NPI number? 
I. To submit claims 
II. To prove that he is licensed 
III. To be HIPAA compliant 
IV. To guarantee payment by a health plan 
a. I, II, III 
b. II, III, IV 
c. I, II, III, IV 
d. I, III - -d. I, III 
A ...
AAPC CPB - Chapter 9 Review 
Questions and answers, rated A+ 
A ______ indicates the location or type of service provided for an inpatient and is reported with 
_______. 
a. Revenue code; four-digit code 
b. Revenue code; three-digit code 
c. CPT code; five-digit code 
d. MSDRG code; three-digit co...
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Add to cartAAPC CPB - Chapter 9 Review 
Questions and answers, rated A+ 
A ______ indicates the location or type of service provided for an inpatient and is reported with 
_______. 
a. Revenue code; four-digit code 
b. Revenue code; three-digit code 
c. CPT code; five-digit code 
d. MSDRG code; three-digit co...
AAPC CPB - Chapter 10 Questions and 
answers, rated A+ 
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 - -d. Determine and understand why the 
claim was denied 
Which of the...
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Add to cartAAPC CPB - Chapter 10 Questions and 
answers, rated A+ 
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 - -d. Determine and understand why the 
claim was denied 
Which of the...
AAPC CPB Medical Billing Chapter 1 
Intro to Healthcare, Questions and 
answers, rated A+ 
Stablization Act - 1942 - -1. Wages and price controls were placed on employers 
2. Congress limited the wages that could be offered, but allowed the adoption of employee insurance 
plans 
Internal Revenue ...
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Add to cartAAPC CPB Medical Billing Chapter 1 
Intro to Healthcare, Questions and 
answers, rated A+ 
Stablization Act - 1942 - -1. Wages and price controls were placed on employers 
2. Congress limited the wages that could be offered, but allowed the adoption of employee insurance 
plans 
Internal Revenue ...
CPB Chapter 9: Billing. Questions and 
answers, graded A+ 
QUIZ - -QUIZ 
Cost based fee schedules are developed using which of the following: 
a. RBRVS methodology 
b. total costs of every procedure or service listed in the CPT® 
c. total cost of all of the procedures the physician will perform 
d...
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Add to cartCPB Chapter 9: Billing. Questions and 
answers, graded A+ 
QUIZ - -QUIZ 
Cost based fee schedules are developed using which of the following: 
a. RBRVS methodology 
b. total costs of every procedure or service listed in the CPT® 
c. total cost of all of the procedures the physician will perform 
d...
AAPC CPB - Chapter 4 Practical 
Application: Questions and answers. 
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 t...
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Add to cartAAPC CPB - Chapter 4 Practical 
Application: Questions and answers. 
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 t...
AAPC CPB - Chapter 9 Practical 
Application Questions and answers, 
VERIFIED/ 
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: HEALTH...
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Add to cartAAPC CPB - Chapter 9 Practical 
Application Questions and answers, 
VERIFIED/ 
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: HEALTH...
AAPC CPB Chapter 1-5. Questions and 
answers, rated A+ 
Eight 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...
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Add to cartAAPC CPB Chapter 1-5. Questions and 
answers, rated A+ 
Eight 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...
CPB CHAPTER 1 REVIEW Questions 
and answers, rated A+ 
ABUSE - -AN ACTION THAT RESULTS IN UNNECESSARY COSTS TO A FEDERAL HEALTHCARE 
PROGRAM, EITHER DIRECTLY OR INDIRECTLY 
CONDITIONS OF PARTICIPATION (CoP) - -CONDITIONS THAT HEALTHCARE ORGANIZATIONS MUST 
MEET IN ORDER TO PARTICIPATE WITH THE PL...
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Add to cartCPB CHAPTER 1 REVIEW Questions 
and answers, rated A+ 
ABUSE - -AN ACTION THAT RESULTS IN UNNECESSARY COSTS TO A FEDERAL HEALTHCARE 
PROGRAM, EITHER DIRECTLY OR INDIRECTLY 
CONDITIONS OF PARTICIPATION (CoP) - -CONDITIONS THAT HEALTHCARE ORGANIZATIONS MUST 
MEET IN ORDER TO PARTICIPATE WITH THE PL...
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...
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Add to cartCPB 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...
CPB Chapter 1: Questions and answers, 
rated A+ 
An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly? 
- -Abuse 
Knowingly and willfully offering or accepting rewards or remuneration for services that are billable to a 
federal healthcare pla...
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Add to cartCPB Chapter 1: Questions and answers, 
rated A+ 
An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly? 
- -Abuse 
Knowingly and willfully offering or accepting rewards or remuneration for services that are billable to a 
federal healthcare pla...
CPB Exam Review Ch 8, Questions and 
answers, VERIFIED/ 
Adjudication - -Determination of the insurers payment amount after the members insurance 
benefits have been applied. 
Which Item on the CMS-1500 claim form contains information regarding Medigap? - -9, 9a, 9d 
What is the correct format to ...
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Add to cartCPB Exam Review Ch 8, Questions and 
answers, VERIFIED/ 
Adjudication - -Determination of the insurers payment amount after the members insurance 
benefits have been applied. 
Which Item on the CMS-1500 claim form contains information regarding Medigap? - -9, 9a, 9d 
What is the correct format to ...
CPB Chapter 2 Questions and answers, 
VERIFIED/ 
A group of primary care physicians has a contract with an HMO to provide care to enrollees.They have a 
patient in need of mental health services, for which the HMO pays on a fee-for-service basis as an 
exception to the normal contract. What is th...
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Add to cartCPB Chapter 2 Questions and answers, 
VERIFIED/ 
A group of primary care physicians has a contract with an HMO to provide care to enrollees.They have a 
patient in need of mental health services, for which the HMO pays on a fee-for-service basis as an 
exception to the normal contract. What is th...
AAPC CPB Chapter 2, Questions and 
answers, rated A+ 
Individual Health Plans - -Purchased by individuals, for themselves and/or their families 
+Not part of a group plan 
+Usually purchased by the self-employed or by those that are employed but are not offered group 
insurance by their employers ...
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Add to cartAAPC CPB Chapter 2, Questions and 
answers, rated A+ 
Individual Health Plans - -Purchased by individuals, for themselves and/or their families 
+Not part of a group plan 
+Usually purchased by the self-employed or by those that are employed but are not offered group 
insurance by their employers ...
AAPC CPB Ch 2 exam review Questions 
and answers, VERIFIED/ 
What components make up the Medicare Physician Fee Schedule? 
Relative value units for physician work, practice expense, and professional liability insurance; the 
Geographical Practice Cost Index; and the conversion factor. 
Medicare us...
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Add to cartAAPC CPB Ch 2 exam review Questions 
and answers, VERIFIED/ 
What components make up the Medicare Physician Fee Schedule? 
Relative value units for physician work, practice expense, and professional liability insurance; the 
Geographical Practice Cost Index; and the conversion factor. 
Medicare us...
AAPC CPB Chapter 9 Review Questions 
and answers, verified/ 
A patient with ABC insurance is seen on May 1st, and the claim is submitted on July 15 of the same year. 
Has the claim met the timely filing deadline? 
a. Yes. All payers have the same timely filing deadline of one year from date of ser...
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Add to cartAAPC CPB Chapter 9 Review Questions 
and answers, verified/ 
A patient with ABC insurance is seen on May 1st, and the claim is submitted on July 15 of the same year. 
Has the claim met the timely filing deadline? 
a. Yes. All payers have the same timely filing deadline of one year from date of ser...
AAPC CPB - Chapter 7 Practical 
Application Questions and answers, 
verified/ 
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 ...
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Add to cartAAPC CPB - Chapter 7 Practical 
Application Questions and answers, 
verified/ 
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 ...
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