AAPC CPB - Chapter 2 Quiz with 100%
Correct Answers
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 m...
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
AAPC CPB - Chapter 2 Quiz with 100%
Correct Answers
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 of members covered and their ages. What type of plan is this?
a. PPO
b. Capitation
c. Fee-for-service
d. Indemnity - Answer✔️✔️-b. Capitation
Which insurance is a healthcare benefit program for military personnel in
all seven uniformed branches?
Certified Professional Biller By: American Academy of Professional Coders(AAPC)
d. BCBS - Answer✔️✔️-c. TRICARE
This type of insurance is paid for by employers for employees and takes
advantage of purchasing power of having large member numbers.
a. Individual health plan
b. Group health plan
c. Medicare
d. Medicaid - Answer✔️✔️-b. Group health plan
A family practitioner sees a Medicare patient and bills a 99213. This
provider has opted-out of Medicare. His fee for the service is $125.00.
Medicare's approved amount is $73.08, and the patient has met $0 of his
deductible. What can the provider bill the patient?
a. $125.00
b. $73.08
c. $14.62
d. $58.46 - Answer✔️✔️-a. $125.00
Why must a provider obtain an NPI number?
2
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