AAPC CPB EXAM PACKAGE DEAL (COMPILED) WITH GRADED A+ SOLUTIONS!!

You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? - ANSWER Patient identification,...

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 billing? A. Joe, because he is the male head of the household. ...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWERScovered entity Which of the following is not a covered entity in the Privacy Rule - ANSWERShealthcare consulting firm A request for medical records is received for 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. Coinsurance - ANSWERSB. Deductible Which type of insurance...

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? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefit...

HRA - ANSWERSHealth Reimbursement Account What part of Medicare pays for prescriptions - ANSWERSPart D What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO insurance plans to its members? - ANSWERSTriple Option Plan HIPAA - ANSWERSHealth Insurance...

What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - ANSWERSc. Protected Health Information A new radiology company opens in town. The manager calls your practice and offers to pa...

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 of benefits d. Physician unique identifier number - ANS...

HIPPA OF 1996 includes a security rule that is established to provide what national stands for protecting and transmitting patient data. Which of the following is NOT true? A) The security rule applies to healthcare providers, health plans, and any covered entity involved in the care of a patient....

Stablization Act - 1942 - ANSWERS1. 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 Code - 1954 - ANSWERSStated employer contributions to employee health plans were exem...

What information can be released based on this Disclosure form? AAPC Physician Practice are authorized to make the disclosure. The type of information to be used or disclosed is as follows: ____ Problem list ____ Medication list ____ List of allergies ____ Immunization records ____ Most ...

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 of benefits d. Physician unique identifier number - ANS...

What is the largest health program in the United States? a. Blue Cross Blue Shield b. Medicare c. Medicaid d. TRICARE - ANSWERSb. Medicare Which of the following services is NOT covered under Medicare Part B? a. Cardiovascular disease screening b. Diabetes self-management c. Nutrition ...

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 monthly basis with a set amount that is based on the number...