100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
AAPC CPB Practice Exam Questions and Correct Answers | Latest Update $13.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. AAPC CPB
  4.  
  5. AAPC CPB

Exam (elaborations)

AAPC CPB Practice Exam Questions and Correct Answers | Latest Update
 9 views  0 purchase
  • Course
  • AAPC CPB
  • Institution
  • AAPC CPB

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 househo...

[Show more]

Preview 4 out of 147  pages

Document information

  • September 24, 2024
  • 147
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • aapc cpb practice exam questions and correct answ
  • joe and mary are a married couple and both carry i

Written for

  • AAPC CPB
  • AAPC CPB

Seller

avatar-seller
ExamArsenal

Reviews received

Content preview

1 | P a g e | © copyright 2024/2025 | Grade A+




AAPC CPB Practice Exam Questions
and Correct Answers | Latest
Update
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.


→ ::- 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


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


II. PPO

III. EPO

IV. POS

V. Capitation




A. II

B. IV

C. II and IV

D. II, III, and V


→ ::- 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


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


D. $1,600


→ ::- 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.


→ ::- 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


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- 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


→ ::- B. I, IV




In which of the following scenarios is Medicare the secondary payer?




Master01 | September, 2024/2025 | Latest update

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamArsenal. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67866 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.99
  • (0)
  Add to cart