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AAPC CPB Chapter 11 Review Question And Answers 2024 update. $11.49   Add to cart

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AAPC CPB Chapter 11 Review Question And Answers 2024 update.

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AAPC CPB Chapter 11 Review Question And Answers 2024 update.AAPC CPB Chapter 11 Review Question And Answers 2024 update.AAPC CPB Chapter 11 Review Question And Answers 2024 update.AAPC CPB Chapter 11 Review Question And Answers 2024 update.AAPC CPB Chapter 11 Review Question And Answers 2024 update...

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  • September 5, 2024
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AAPC CPB Chapter 11 Review Question
And Answers 2024 update

A IMedicare Ipatient Ipresents Iwith Ian Iinjury Isustained Iat Ihis Ipart-time Ijob. IHis Iinjury Istatus Iis
Iverified Iby Ihis Icompany. IAfter Iservices Iare Irendered, Iin Iwhat Iorder Iare Ithe Iclaims Isubmitted?




a. IThe Iworker's Icompensation Iis Iprimary, Iand IMedicare Iis Isecondary



b. IEither Imay Ibe Ifiled Ifirst, Iwhichever Ipays Ibetter



c. IMedicare Iis Iprimary, Iand IWorker's Icompensation Iis Isecondary



d. IThe Ipatient Imust Ipay Ifor Iservices Iand Ifiles Iclaims Ihimself I- Icorrect IAnswers I✔✔ I-a. IThe Iworker's
Icompensation Iis Iprimary, Iand IMedicare Iis Isecondary




Rationale: IIf Ian Iindividual Iis Ientitled Ito IMedicare Iand Iis Icovered Iunder IWorkers' ICompensation
Ibecause Iof Ia Ijob-related Iillness Ior Iinjury, IWorkers' ICompensation Iis Ithe Iprimary Ifor Ihealthcare
Iitems Ior Iservices Ire-lated Ito Ijob-related Iillness Ior Iinjury Iclaims.


Which Icoverage Iunder ITRICARE Iis Ia IMedicare Iwrap Iaround Iplan?



a. ITRICARE Ifor ILife

b. ITRICARE IReserve ISelect

c. ITRICARE IPrime

d. ICHAMPVA I- Icorrect IAnswers I✔✔ I-a. ITRICARE Ifor ILife

,TRICARE Ifor ILife Iis Ia IMedicare-wrap Iaround Icoverage Ifor ITRICARE Ieligible Ibeneficiaries Iwho Ihave
IMedicare IPart IA Iand IB. IEnrollment Iis Iautomatic Iif Ithe Imember Ihas IMedicare IPart IA Iand IB, Ibut Iyou
Imust Ipay IMedicare IPart IB Ipremiums. ITRICARE Ifor ILife Ipays Iafter IMedicare Iin Ithe IU.S. Iand IU.S.
ITerritories Ibut Iis Ithe Ifirst Ipayer Iin Iall Iother Ioverseas Iareas.


A I21 Iyear-old Ipatient Ipresents Ifor Ifillings Ifor Itwo Iif Ihis Iteeth. IAre Ithese Iservices Icovered Iunder
IEPSDT?




a. INo, Ibecause Ithese Itypes Iof Iservices Iare Inot Icovered.



b. IYes, Iif Ithe Ipatient Ilives Iin Ia Istate Ithat Icovers Idental Iservices.



c. INo, Ibecause Ithe Ipatient Iis Inot Iunder Ithe Iage Iof I21.



d. IYes, Iall Iservices Iare Icovered Iunder IMedicaid. I- Icorrect IAnswers I✔✔ I-c. INo, Ibecause Ithe Ipatient Iis
Inot Iunder Ithe Iage Iof I21.




The IEPSDT Ibenefit Iprovides Icomprehensive Iand Ipreventive Ihealthcare Iservices Ifor Ienrolled Ichildren
Iunder Ithe Iage Iof I21.


A Ipatient Ihas IMedicare Iand Ia IMedigap Ipolicy. IBox I13, Isignature Ion Ifile, Iis Ichecked Ioff Ion Ithe
Ielectronic Iclaim Isubmission. IAn IEOMB Iis Ireceived Iwith Iremittance Inotice IMA19. IWhat Idoes Ithe
Ioffice Ineed Ito Ido?




a. INothing. IThis Imeans Ithe Iclaim Ihas Ibeen Icrossed Iover Ito Ithe IMedigap Iplan.



b. IThe Ibiller Imust Ifile Ithe Isecondary Iinsurance Ias Ithe Icross-over Iclaim Iis Inot Igoing Ito Ibe Isent Idue
Ito Imissing Iinformation.




c. IThe Ibiller Imust Icheck Ithe Iclaim Ifiled Ifor Imissing Iinformation, Iadd Ithe Imissing Iinformation, Iand
Isend Iback Ito IMedicare Ifor Iprocessing.

, d. INothing. IThe Inotice Imeans Ithat Ithe Ipatient Iis Iresponsible Ifor Ithe Ibill. I- Icorrect IAnswers I✔✔ I-b.
IThe Ibiller Imust Ifile Ithe Isecondary Iinsurance Ias Ithe Icross-over Iclaim Iis Inot Igoing Ito Ibe Isent Idue Ito
Imissing Iinformation.




When Iinformation Iis Imissing Ior Iincorrect Iin Iblock I9, IMACs Ido Inot Iforward Ia Itransaction Irecord Ito
Ithe IMedigap Icarrier Iand Ithe Ifollowing Iremittance Inotice Iis Isent Ion Ithe IEOMB: IMA19—Information
Iwas Inot Isent Ito Ithe IMedigap Iinsurer Idue Ito Iincorrect/invalid Iinformation Iyou Isubmitted Iconcerning
Ithe Iinsurer. IPlease Iverify Iyour Iinformation Iand Isubmit Iyour Isecondary Iclaim Idirectly Ito Ithat Iinsurer.


What Iis Itrue Iregarding IMedigap Ipolicies?



a. IThey Icover Ieverything Ithat IMedicare Idoes Inot.



b. IThey Icover Ideductibles, Icopayments, Iand Icoinsurances Iusually.



c. IAll IMedigap Ipolicies Iare Ithe Isame Iand Ioffer Ithe Isame Icoverage.



d. IMedigap Ipolicies Imust Icover Ipatients Iif Ithey Iinjured Ioutside Ithe IUnited IStates. I- Icorrect IAnswers
I✔✔ I-b. IThey Icover Ideductibles, Icopayments, Iand Icoinsurances Iusually.




Medigap Irefers Ito Ia IMedicare Isupplemental Ipolicy Ithat Iis Isold Iby Iprivate Iinsurance Icompanies Ito
Ihelp Icover Isome Iof Ithe Icosts Ithat Ioriginal IMedicare Idoes Inot Icover, Ilike Ideductibles, Icopayments,
Iand Icoinsurances.


Using Ithe Iportion Iof Ithe Ischedule Iabove, Iwhat Iis Itrue Iabout Ithe Icodes?



a. ICode I12032 Ihas Irestricted Icoverage.



b. ICode I12035 Imay Ibe Ibilled Iwith Imodifier I50.

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