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Exam (elaborations)

AAPC CPB Latest Questions And Answers Rated 100% Correct

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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 deductible is the amount a policyholder pays for health care services before the health insurance begins to ...

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  • September 24, 2024
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AAPC CPB Latest Questions And Answers
Rated 100% Correct
HRA


-:- Health Reimbursement Account




What part of Medicare pays for prescriptions


-:- Part D




What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or

a PPO insurance plans to its members?


-:- Triple Option Plan




HIPAA


-:- Health Insurance Portability and Accountability Act of 19 96




Fraud (CMS defines)


-:- Making false stmts or misrepresenting facts to obtain an undeserved benefit

or payment from a federal healthcare program. Ie. misusing codes on claims,

billing for services not medically necessary, higher fees charged, etc




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