Aapc cpb exam one - Study guides, Class notes & Summaries

AAPC CPB Chapter 3 ReviewWhat is a claim that is sent for reimbursement that contains all the required data elements to process the claim referred to as? a. Submitted b. Adjudicated c. Clean Claim d. Medically necessary c. Clean Claim HIPAA Section 164.508 states that covered entities may not use or disclose protected information without a valid authorization. In what circumstances can a practice NOT release protected information with a signed authorization? a. Records sent to a p...

AAPC CPB - Chapter 3 Quiz Listed below are examples of patient reminders for appointments. Which one is HIPAA compliant? a. "This is the obstetrical office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." b. "This is Dr. Smith's office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." c. "This is to confirm your appointment for your first prenatal visit with Dr. Jones. Please notify us if you are not a...

AAPC CPB - CHAPTER 3: QUESTIONSWhich of the following does NOT qualify a patient for coverage under Medicare? a. End Stage Renal Disease (ESRD) b. Age 65 or older c. Under age 65 with disabilities d. Low income individual - correct answer d. Low income individual The insurance claim process begins with: a. Patient information b. Charge entry c. Scheduling an appointment d. Submitting a claim - correct answer c. Scheduling an appointment Which of the following statements is TRUE...

AAPC Chapter 1 CPB: Exam Review Questions and answers/ A physician received office space at a reduced rate for referring patients to the hospital's outpatient physical therapy center. What Law does this violate? 1. Anti-kickback Statute 2. Stark Law 3. False Claims Act 4. Truth in Lending Act - -Anti-Kickback Statute Rationale: The anti-kickback Laws states that anyone who knowingly or willing accept or offer any items or services to induce referral is a violation of the law. Feder...

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 au...

AAPC CPB Chapter 1-5 Written Exam Questions 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 of benefits d. Physician unique identifier number - correct answer d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hospital's o...

AAPC CPB - Chapter 3 Quiz Listed below are examples of patient reminders for appointments. Which one is HIPAA compliant? a. "This is the obstetrical office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." b. "This is Dr. Smith's office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." c. "This is to confirm your appointment for your first prenatal visit with Dr. Jones. Please notify us if you are not ab...

AAPC CPB Chapter 9 Review Final Exam 2024. A patient with ABC insurance is seen on May 1st, and the claim is submitted on July 15 of the same year. Has the claim met the timely filing deadline? a. Yes. All payers have the same timely filing deadline of one year from date of service. b. No. All payers have a 30-day timely filing deadline. c. Maybe. ABC's timely filing policy should be reviewed to determine if the deadline was met. d. Maybe. Prepare an appeal letter just in case the ...

AAPC CPB - Chapter 3 Quiz Listed below are examples of patient reminders for appointments. Which one is HIPAA compliant? a. "This is the obstetrical office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." b. "This is Dr. Smith's office calling to remind you of your appointment Tuesday, April 12 at 9 am for your annual exam." c. "This is to confirm your appointment for your first prenatal visit with Dr. Jones. Please notify us if you are not a...

AAPC CPB - CHAPTER 3: QUESTIONSWhich of the following does NOT qualify a patient for coverage under Medicare? a. End Stage Renal Disease (ESRD) b. Age 65 or older c. Under age 65 with disabilities d. Low income individual - correct answer d. Low income individual The insurance claim process begins with: a. Patient information b. Charge entry c. Scheduling an appointment d. Submitting a claim - correct answer c. Scheduling an appointment Which of the following statements is TRUE...