Cpb chapter 11 case 1 - Study guides, Class notes & Summaries
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AAPC CPB Chapter 12 Practical Application Questions and answers with verified content
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AAPC CPB Chapter 12 Practical Application Questions and answers with verified content 
Use CPB Chapter 12_Case to answer questions 1 and 2. 
 
After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? 
 
I. Type of Insurance 
II. Primary insurance policy number 
III. Primary group number 
IV. Federal Tax ID number 
V. Billing provider and NPI 
 
A. I and II 
B. II and IV 
C. III and V 
D. There are no errors on this claim. 
A. I and I...
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AAPC CPB - Chapter 9 Practical Application Questions and Answers 2023
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AAPC CPB - Chapter 9 Practical Application Questions and Answers 2023 
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: 
Payer: HEALTHSPRINGMEDICARE 
Submission Date: 11/19/XX 
Date of Service: 11/09/XX 
Charge: $557.00 
Provider: Post, Alexis 
 
According to this clearinghouse rejections report, what actions should be taken on the claim for David...
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AAPC CPB - Chapter 9 Practical Application questions and answers
- Exam (elaborations) • 9 pages • 2023
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AAPC CPB - Chapter 9 Practical Application questions and answers 
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: 
Payer: HEALTHSPRINGMEDICARE 
Submission Date: 11/19/XX 
Date of Service: 11/09/XX 
Charge: $557.00 
Provider: Post, Alexis 
 
According to this clearinghouse rejections report, what actions should be taken on the claim for David Adam...
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AAPC CPB - Chapter 3 Practical Application Question with complete solution 2023
- Exam (elaborations) • 7 pages • 2023
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AAPC CPB - Chapter 3 Practical Application Question with complete solution 2023Use the CPB Chapter 3_Case to answer questions 1 & 2. 
 
1. Susan smith arrives at her in-network primary care physician's office for her annual preventive visit. What is her copay? 
 
a. $15.00 
b. $50.00 
c. $75.00 
d. The patient does not have a copay for preventive visits. 
d. The patient does not have a copay for preventive visits. 
 
Response Feedback: 
 
On the insurance card, under the copay column for In-ne...
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AAPC CPB - Chapter 3 Practical Application Question and with complete solution 2023
- Exam (elaborations) • 7 pages • 2023
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AAPC CPB - Chapter 3 Practical Application Question and with complete solution 2023Use the CPB Chapter 3_Case to answer questions 1 & 2. 
 
1. Susan smith arrives at her in-network primary care physician's office for her annual preventive visit. What is her copay? 
 
a. $15.00 
b. $50.00 
c. $75.00 
d. The patient does not have a copay for preventive visits. 
d. The patient does not have a copay for preventive visits. 
 
Response Feedback: 
 
On the insurance card, under the copay column for I...
Too much month left at the end of the money?
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AAPC CPB Chapter 11 Practical Question and answer 100% solved
- Exam (elaborations) • 4 pages • 2023
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AAPC CPB ChUse 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. Medicare ID number is missing information 
IV. Medicaid ID number is missing information 
V. Medicare ID number in the wrong field 
VI. Medicaid ID number in the wrong field 
VII. Ordering provider name and NPI 
VIII. Place of service code...
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AAPC CPB Chapter 11 Practical questions and answers| graded A+
- Exam (elaborations) • 4 pages • 2023
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AAPC CPB Chapter 11 Practical questions and answers| graded A+ 
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. Medicare ID number is missing information 
IV. Medicaid ID number is missing information 
V. Medicare ID number in the wrong field 
VI. Medicaid ID number in the wrong field 
VII. Orderi...
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AAPC CPB Chapter 11 Practical 2023
- Exam (elaborations) • 4 pages • 2023
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AAPC CPB Chapter 11 Practical 2023Use 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. Medicare ID number is missing information 
IV. Medicaid ID number is missing information 
V. Medicare ID number in the wrong field 
VI. Medicaid ID number in the wrong field 
VII. Ordering provider name and NPI 
VIII...
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AAPC CPB - CHAPTER 4: QUESTIONSWhich sections of ICD-10-CM does a biller use to code for a physician's office?
- Exam (elaborations) • 10 pages • 2024
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AAPC CPB - CHAPTER 4: QUESTIONSWhich sections of ICD-10-CM does a biller use to code for a physician's office? 
 
 
 
Which sections of ICD-10-CM does a biller use to code for a physician's office? 
 
a. ICD-10-CM Alphabetic Index and Tabular List 
b. Alphabetic Index only 
c. Tabular List only 
d. ICD-10-CM and ICD-10-PCS - ANS a. ICD-10-CM Alphabetic Index and Tabular List 
 
What general guideline is addressed in I.C.1.a.2.c.? 
 
a. Documentation unclear as to whether sepsis or sever...
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AAPC CPB - Chapter 11 Review, 100% correct | latest updated
- Exam (elaborations) • 5 pages • 2023
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AAPC CPB - Chapter 11 Review, 100% correct | latest updated 
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 Expense (PE) X Conversion factor = Medicare payment 
d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment 
b. Total RVU X Conversion factor = Medicare pay...
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