AAPC CPB - CHAPTER 2: QUESTIONS WITH CORRECT ANSWERS
1 view 0 purchase
Course
CPB
Institution
CPB
AAPC CPB - CHAPTER 2: QUESTIONS
WITH CORRECT ANSWERS
Why must a provider obtain an NPI number?
I. To submit claims
II. To prove that he is licensed
III. To be HIPAA compliant
IV. To guarantee payment by a health plan
a. I, II, III
b. II, III, IV
c. I, II, III, IV
d. I, III - ANSWER-d. I, ...
(Capitation payments are used by managed care organizations (MCOs) to control healthcare costs by
putting the physicians at financial risk for services provided to patients. Payments are based on a per-
person rate, rather than a fee-for-service rate.)
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
(Providers that opt-out of Medicare are not limited to any specific charge limit on their patients. The
patient is responsible for payment in full for services as Medicare will not pay any amount to either the
patient or provider in this situation.)
What are the options for a provider with regards to participation with Medicare?
Page 3/20
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Emillect. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
