Medical billing cpb exam - Study guides, Class notes & Summaries

©BRIGHTSTARS EXAM SOLUTIONS 10/21/2024 9:24 PM CPB Test Prep Exam Questions And Answers 100% Pass. One of the most severe penalties that can be associated with violations of the Social Security Act is exclusion from federal health care plans. Which of the following statements is true of excluded individuals? a. Physicians that have been excluded can bill the patient for services but cannot bill federal health plans. b. Physicians that have been excluded can refer their patients to othe...

AAPC CPB Practice Exam (500 Questions, All Answered Correctly) Updated 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 bef...

AAPC CPB FINAL EXAM LATEST QUESTIONS AND ANSWERS WELL VERIFIED GRADED A+ 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 abuse - ANSWER-misusing any information on the claim, charging excessively for services or supplies, billing for services not medically necessary, failure to maintai...

AAPC CPB Final Exam, Questions And Answers. Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: Correct Answer: covered entity Which of the following is not a covered entity in the Privacy Rule Correct Answer: healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is p...

CPB Final Exam Questions and Answers (Graded A)CPB Final Exam Questions and Answers (Graded A)A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? - ANSWER-Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? - ANSWER-An office receives a c...

©BRIGHTSTARS EXAM SOLUTIONS 10/21/2024 9:24 PM CPB Certification Exam Prep (based off Practice Exam #2) Questions And Answers 100% Pass. What organization is responsible in evaluating the medical necessity, appropriateness, and efficiency of the use of healthcare services and procedures? A. Utilization Review Organization B. Managed Care Organization C. Quality Assurance Organization D. External Quality, Review, Organization - answerA. Utilization Review Organization Which of the fol...

2023 AAPC CPB Final Exam Questions and Answers (2022/2023) (Verified Answers) AGRADE Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: Correct Answer: covered entity Which of the following is not a covered entity in the Privacy Rule Correct Answer: healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authori...

AAPC CPB Final Exam Study Guide Solutions 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 to ins co - ANSWER-A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release ...

CPB Practice Exam A Questions and Answers (100% Pass) The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by highest outstanding balance. Based on the A/R report provided, which payer type and aging category would be one of the top priorities on which to focus collection efforts? - Answer️️ -workers' compensation, 121+ days Using the fee schedule and the payment policy provided, what is the expected reimbursement (including patient res...

Mock CPB Exam Practice Questions and Answers Court decisions that establish a standard use legal decisions to serve as authoritative rules or patterns in future similar cases. The legal term for standard is ______. a. decision b. example c. precedent d. statute - ANSWER-precedent Which is established in advance and based on reported health care charges from which a predetermined per diem rate is determined? a. prospective cost-based rate b. retrospective reasonable cost system c. pro...