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Exam (elaborations)

Medical Billing : CPB Chapter 2 Practice Questions and Answers

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Medical Billing : CPB Chapter 2 Practice Questions and Answers Which of the following statements is true regarding the key provisions of coverage under the Affordable Care Act (ACA)? a. Lifetime limits are not banned on any health plans issued. b. There are 30 covered preventive services for...

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  • October 30, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPB
  • CPB
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FIRST PUBLISH OCTOBER 2024




Medical Billing : CPB Chapter 2 Practice

Questions and Answers


Which of the following statements is true regarding the key provisions of coverage under the Affordable

Care Act (ACA)?




a.


Lifetime limits are not banned on any health plans issued.


b.


There are 30 covered preventive services for women.


c.


Children under the age of 21 may be eligible to be covered under their parent's health plan if they are in

college.


d.




Page 1/17

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Patients have the right to appeal a health plan's decision to deny payment for a claim or termination of

health coverage. - ANSWER✔✔-d.


Patients have the right to appeal a health plan's decision to deny payment for a claim or termination of

health coverage.


A Medicare patient is seen in the Internist's office for a check-up. The office bills Medicare, but the

patient receives the payment, and the office must collect their fee from the patient. The office, by state

law, can charge the patient a limiting charge that is 10 percent above the Medicare fee schedule amount.

What type of Medicare provider is this physician?




a.


Participating


b.


Non-participating


c.


Non-limiting


d.



Page 2/17

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Opt-out - ANSWER✔✔-b.


Non-participating


A patient is age 65 and Medicare eligible. The patient signs up for a Medicare Managed Care plan. When

the patient presents for care, where are claims sent?




a.


The patient


b.


The Medicare Administrative Contractor


c.


Both the Managed Care Plan and Medicare Administrative Contractor


d.


The Managed Care Plan - ANSWER✔✔-d.


The Managed Care Plan




Page 3/17

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