1 Exam (elaborations) My AAPC CPB - Chapter 12 Review Practice Questions 2024. 2 Exam (elaborations) AAPC CPB - Chapter 9 Practical Application Questions 2024. 3 Exam (elaborations) AAPC CPB - Practice Exam B Guide 2024. 4 Exam (elaborations) AAPC CPB - Chapter 2 Terminology Q& A 2024. 5 Exam (...
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AAPC CPB Final Exam Prediction ed entity - ANSWER Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - ANSWER Which of the following is not a covered entity in the Privacy Rule release reqt to ins co...
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Add to cartAAPC CPB Final Exam Prediction ed entity - ANSWER Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - ANSWER Which of the following is not a covered entity in the Privacy Rule release reqt to ins co...
AAPC CPB Final Study Guide 2024. covered entity - ANSWER Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - ANSWER Which of the following is not a covered entity in the Privacy Rule release reqt t...
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Add to cartAAPC CPB Final Study Guide 2024. covered entity - ANSWER Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - ANSWER Which of the following is not a covered entity in the Privacy Rule release reqt t...
AAPC CPB Exam 2024.Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWER covered entity Which of the following is not a covered entity in the Privacy Rule - ANSWER healthcare consulting firm A request for medical records...
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Add to cartAAPC CPB Exam 2024.Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWER covered entity Which of the following is not a covered entity in the Privacy Rule - ANSWER healthcare consulting firm A request for medical records...
AAPC CPB Exam 2024.Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWER covered entity Which of the following is not a covered entity in the Privacy Rule - ANSWER healthcare consulting firm A request for medical records...
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Add to cartAAPC CPB Exam 2024.Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWER covered entity Which of the following is not a covered entity in the Privacy Rule - ANSWER healthcare consulting firm A request for medical records...
AAPC CPB Chapter 8 Questions 2024. Medicare provides a list of questions to ask beneficiaries that helps determine if Medicare is primary or secondary. Where can this information be found? -ANSWER The questions provided by Medicare to help determine if Medicare is primary or secondary are listed in...
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Add to cartAAPC CPB Chapter 8 Questions 2024. Medicare provides a list of questions to ask beneficiaries that helps determine if Medicare is primary or secondary. Where can this information be found? -ANSWER The questions provided by Medicare to help determine if Medicare is primary or secondary are listed in...
AAPC CPB Practice Questions 2024. 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 i...
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Add to cartAAPC CPB Practice Questions 2024. 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 i...
AAPC CPB Practice Questions 2024. 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 i...
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Add to cartAAPC CPB Practice Questions 2024. 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 i...
AAPC CPB - Chapter 5 Review Study Questions 2024. Patient is seen for destruction of 2 skin lesions that were diagnosed as actinic keratosis (AK). Which of the following is the correct billing for removal of skin lesions? a. 17000, 17003, 17004-59 b. 17000, 17003-51 c. 17000, 17003 d. 17004, ...
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Add to cartAAPC CPB - Chapter 5 Review Study Questions 2024. Patient is seen for destruction of 2 skin lesions that were diagnosed as actinic keratosis (AK). Which of the following is the correct billing for removal of skin lesions? a. 17000, 17003, 17004-59 b. 17000, 17003-51 c. 17000, 17003 d. 17004, ...
AAPC CPB CHAPTER 2 Questions 2024.Under the Patient Protection and Affordable Care Act(ACA), what is banned? Coverage for children under the age of 26 Patient appeal rights Expanded preventative health services Lifetime limits -ANSWER Lifetime limits A patient has receipts for her dental clea...
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Add to cartAAPC CPB CHAPTER 2 Questions 2024.Under the Patient Protection and Affordable Care Act(ACA), what is banned? Coverage for children under the age of 26 Patient appeal rights Expanded preventative health services Lifetime limits -ANSWER Lifetime limits A patient has receipts for her dental clea...
AAPC CPB - Chapter 9 Review Study Guide Quiz 2024. A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code -ANSWER...
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Add to cartAAPC CPB - Chapter 9 Review Study Guide Quiz 2024. A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code -ANSWER...
AAPC CPB - Chapter 11 Review Test 2024. Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice E...
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Add to cartAAPC CPB - Chapter 11 Review Test 2024. Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice E...
AAPC CPB - Chapter 6 Review Exam Questions 2024.A 65 year-old patient is seen in her physician's office with a laceration on her forehead. The cut is not deep for a suture repair. The physician decides to repair the wound with tissue adhesive. How would this be billed? a. A4364 b. A4452 c. G01...
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Add to cartAAPC CPB - Chapter 6 Review Exam Questions 2024.A 65 year-old patient is seen in her physician's office with a laceration on her forehead. The cut is not deep for a suture repair. The physician decides to repair the wound with tissue adhesive. How would this be billed? a. A4364 b. A4452 c. G01...
AAPC CPB - Chapter 13 Practice Questions 2024. On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. I...
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Add to cartAAPC CPB - Chapter 13 Practice Questions 2024. On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. I...
AAPC CPB - Chapter 7 Exam 2024. MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits -ANSWER d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM indicator of 0 - wh...
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Add to cartAAPC CPB - Chapter 7 Exam 2024. MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits -ANSWER d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM indicator of 0 - wh...
AAPC CPB - Chapter 3 Questions 2024. What information can be released based on this Disclosure form? AAPC Physician Practice are authorized to make the disclosure. The type of information to be used or disclosed is as follows: ____ Problem list ____ Medication list ____ List of allergies ...
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Add to cartAAPC CPB - Chapter 3 Questions 2024. What information can be released based on this Disclosure form? AAPC Physician Practice are authorized to make the disclosure. The type of information to be used or disclosed is as follows: ____ Problem list ____ Medication list ____ List of allergies ...
AAPC CPB - Chapter 11 Pre-Test Questions 2024.Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Pract...
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Add to cartAAPC CPB - Chapter 11 Pre-Test Questions 2024.Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Pract...
AAPC CPB - Chapter 14 Questions & Answers 2024. _________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA -ANSWER d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maint...
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Add to cartAAPC CPB - Chapter 14 Questions & Answers 2024. _________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA -ANSWER d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maint...
AAPC CPB Chapter 11 Practical Questions 2024. Use CPB Chapter 11_Case to answer questions 1 & 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. The provider must accept assignment II. Provider name conflict III. Med...
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Add to cartAAPC CPB Chapter 11 Practical Questions 2024. Use CPB Chapter 11_Case to answer questions 1 & 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. The provider must accept assignment II. Provider name conflict III. Med...
AAPC CPB - Chapter 11 Exam 2024.Which coverage under TRICARE is a Medicare wrap around plan? a. TRICARE for Life b. TRICARE Reserve Select c. TRICARE Prime d. CHAMPVA -ANSWER a. TRICARE for Life A patient has Medicare and a Medigap policy. Box 13, signature on file, is checked off on the el...
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Add to cartAAPC CPB - Chapter 11 Exam 2024.Which coverage under TRICARE is a Medicare wrap around plan? a. TRICARE for Life b. TRICARE Reserve Select c. TRICARE Prime d. CHAMPVA -ANSWER a. TRICARE for Life A patient has Medicare and a Medigap policy. Box 13, signature on file, is checked off on the el...
AAPC CPB - Chapter 2 Advanced Test 2024.What is the largest health program in the United States? a. Blue Cross Blue Shield b. Medicare c. Medicaid d. TRICARE - ANSWER b. Medicare Which of the following services is NOT covered under Medicare Part B? a. Cardiovascular disease screening b....
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Add to cartAAPC CPB - Chapter 2 Advanced Test 2024.What is the largest health program in the United States? a. Blue Cross Blue Shield b. Medicare c. Medicaid d. TRICARE - ANSWER b. Medicare Which of the following services is NOT covered under Medicare Part B? a. Cardiovascular disease screening b....
AAPC CPB - Chapter 14 Exam 2024.__________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - ANSWER d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maintenance staff I...
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Add to cartAAPC CPB - Chapter 14 Exam 2024.__________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - ANSWER d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maintenance staff I...
AAPC CPB - Chapter 14 Practice Questions 2024. __________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - ANSWER d. OSHA Response Feedback: OSHA sets standards and directives that are directly applicable to ...
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Add to cartAAPC CPB - Chapter 14 Practice Questions 2024. __________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA - ANSWER d. OSHA Response Feedback: OSHA sets standards and directives that are directly applicable to ...
AAPC CPB - Chapter 8 Study Guide 2024.National provider identifier (NPI) numbers are issued to individual practitioners as well as other entities. Which of the following is not issued an NPI? a. Facilities b. DME suppliers c. Healthcare organizations d. Health insurance companies - ANSWER d. H...
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Add to cartAAPC CPB - Chapter 8 Study Guide 2024.National provider identifier (NPI) numbers are issued to individual practitioners as well as other entities. Which of the following is not issued an NPI? a. Facilities b. DME suppliers c. Healthcare organizations d. Health insurance companies - ANSWER d. H...
AAPC CPB - Chapter 9 Review Guide 2024. When a claim has been paid, an EOB is sent to: a. the clearinghouse. b. the patient. c. the provider. d. the insurance company. - ANSWER b. the patient. Cost based fee schedules are developed using which of the following: a. RBRVS methodology b. ...
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Add to cartAAPC CPB - Chapter 9 Review Guide 2024. When a claim has been paid, an EOB is sent to: a. the clearinghouse. b. the patient. c. the provider. d. the insurance company. - ANSWER b. the patient. Cost based fee schedules are developed using which of the following: a. RBRVS methodology b. ...
AAPC CPB - Chapter 4 Practice Test 2024. What is the ICD-10-CM code for a sore throat? a. J02.8 b. J02.0 c. J02.9 d. J31.2 - ANSWER c. J02.9 Patient is diagnosed with right bundle branch block. What ICD-10-CM code is reported? a. I45.10 b. I45.19 c. I45.5 d. I45.9 - ANSWER a. I45.10 ...
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Add to cartAAPC CPB - Chapter 4 Practice Test 2024. What is the ICD-10-CM code for a sore throat? a. J02.8 b. J02.0 c. J02.9 d. J31.2 - ANSWER c. J02.9 Patient is diagnosed with right bundle branch block. What ICD-10-CM code is reported? a. I45.10 b. I45.19 c. I45.5 d. I45.9 - ANSWER a. I45.10 ...
AAPC CPB - Chapter 1 Questions Correctly Answered 2024. Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination...
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Add to cartAAPC CPB - Chapter 1 Questions Correctly Answered 2024. Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination...
AAPC CPB - Chapter 14 Final 2024. What type of state worker's compensation coverage allows an employer to set aside money to cover medical expenses and other related benefits for its employees? a. State insurance fund b. Self-insurance plans c. Commercial workers' compensation insurance d...
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Add to cartAAPC CPB - Chapter 14 Final 2024. What type of state worker's compensation coverage allows an employer to set aside money to cover medical expenses and other related benefits for its employees? a. State insurance fund b. Self-insurance plans c. Commercial workers' compensation insurance d...
AAPC CPB - Chapter 12 Practice Questions 2024. The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - ANSWER c. copay. Blue Cross/Blue Shield identifies the individual or emp...
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Add to cartAAPC CPB - Chapter 12 Practice Questions 2024. The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - ANSWER c. copay. Blue Cross/Blue Shield identifies the individual or emp...
AAPC CPB Chapter 1 Review Test Guide 2024. FCA - ANSWER False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-repres...
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Add to cartAAPC CPB Chapter 1 Review Test Guide 2024. FCA - ANSWER False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-repres...
AAPC CPB - Chapter 2 Terminology Q& A 2024. Accountable Care Organization (ACO) -ANSWER A healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for assigned population of patie...
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Add to cartAAPC CPB - Chapter 2 Terminology Q& A 2024. Accountable Care Organization (ACO) -ANSWER A healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for assigned population of patie...
AAPC CPB - Practice Exam B Guide 2024. 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. Copayment B. Deductible C. Secondary Payment D. Coinsurance - ANSWER ...
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Add to cartAAPC CPB - Practice Exam B Guide 2024. 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. Copayment B. Deductible C. Secondary Payment D. Coinsurance - ANSWER ...
AAPC CPB - Chapter 9 Practical Application Questions 2024.Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: 384594 Payer: HEALTHSPRINGMEDICARE Submis...
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Add to cartAAPC CPB - Chapter 9 Practical Application Questions 2024.Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: 384594 Payer: HEALTHSPRINGMEDICARE Submis...
My AAPC CPB - Chapter 12 Review Practice Questions 2024. The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - ANSWER c. copay. Blue Cross/Blue Shield identifies the individ...
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Add to cartMy AAPC CPB - Chapter 12 Review Practice Questions 2024. The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - ANSWER c. copay. Blue Cross/Blue Shield identifies the individ...
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