AAPC CPB TEST BANK QUESTIONS WITH COMPLETE SOLUTIONS 2022| GRADED A
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Course
AAPC CPB
Institution
AAPC CPB
AAPC CPB TEST BANK
QUESTIONS WITH COMPLETE
SOLUTIONS 2022| GRADED
A
AAPC CPB Test Bank Questions With
Complete Solutions 2022| 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. Us...
,AAPC CPB Test Bank Questions With
Complete Solutions 2022| 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 billing?
A. Joe, because he is the male head of the household.
B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd.
C. Mary, because her birth year is before Joe's birth year.
D. Joe, because his birth month and day are before Mary's birth month and day.
Correct Answer: D. Joe, because his birth month and day are before Mary's birth
month and day.
Which type of managed care insurance allows patients to self-refer to out-of-
network providers and pay a higher co-insurance/copay amount?
I. HMO
II. PPO
III. EPO
IV. POS
V. Capitation
A. II
B. IV
C. II and IV
D. II, III, and V Correct Answer: C. II and IV
A patient covered by a PPO is scheduled for knee replacement surgery. The biller
contacts the insurance carrier to verify benefits and preauthorize the procedure.
The carrier verifies the patient has a $500 deductible which must be met. After the
deductible, the PPO will pay 80% of the claim. The contracted rate for the
procedure is $2,500. What is the patient's responsibility?
A. $400
B. $500
C. $900
D. $1,600 Correct Answer: C. $900
,When a nonparticipating provider files a claim for a patient to BC/BS, how is the
payment processed?
A. The payment is sent to the patient and the patient must pay the provider.
B. The payment is sent to the provider if the provider agrees to accept assignment.
C. The payment is sent to the provider regardless if he accepts assignment.
D. The claim is not paid because the provider is not participating in the plan.
Correct Answer: A. The payment is sent to the patient and the patient must pay the
provider.
Which of the following TRICARE options is/are available to active duty service
members?
A. TRICARE Select
B. TRICARE Prime
C. TRICARE For Life
D. TRICARE Young Adult Correct Answer: B. TRICARE Prime
A Medicare card will list which of the following:
I. Effective date of coverage
II. Home address
III. Telephone Number
IV. Entitled to Part A and/or Part B
V. When coverage ends
VI. Name of Primary Care Physician
A. I - VI
B. I, IV
C. I-III, VI
D. I, II, IV, V Correct Answer: B. I, IV
In which of the following scenarios is Medicare the secondary payer?
I. A 65 year-old patient who is collecting her deceased spouse's Medicare benefits
and has a supplemental insurance
II. A 72 year-old patient who participates in the group health insurance of his
employer
, III. A 66 year-old patient is injured at work and the employer does not offer health
insurance as a benefit of employment
IV. A 55 year-old patient who is on disability through Social Security and qualifies
for Medicaid and Medicare
A. I-IV
B. II and III
C. I and IV
D. None Correct Answer: B. II and III
When a patient has Medicare primary and AARP as Medigap, what is entered on
the CMS-1500 claim form in item 9d for the Insurance Plan Name or Program
Name for Medicare to cross over the claim?
A. Plan name followed by "MEDIGAP"
B. Plan Payer ID followed by "MEDIGAP"
C. COBA Medigap claim-based identifier (ID)
D. Leave blank Correct Answer: C. COBA Medigap claim-based identifier (ID)
Which guidelines must all billing personnel be knowledgeable about in order to
ensure compliance with Medicaid programs?
A. Federal guidelines
B. State guidelines
C. Both A and B
D. None Correct Answer: C. Both A and B
Which of the following services is covered by Early and Periodic Screening,
Diagnostic, and Treatment (EPSDT)?
A. Family planning
B. Obstetric care
C. Pediatric checkups
D. Emergency department visits Correct Answer: C. Pediatric checkups
A female patient who was involved in an auto accident presents to the emergency
department (ED) for evaluation. She does not have any complaints. The provider
evaluates her and determines there are no injuries. The provider informs the patient
to come back to the ED or see her primary care physician if she develops any
symptoms. How is the claim processed for this encounter?
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