Aapc cpb chapter 12 Study guides, Class notes & Summaries

AAPC CPB Chapter 10 ReviewWhat is the first step in working a denied claim? a. Resubmit the claim b. Contact the carrier c. Appeal the claim d. Determine and understand why the claim was denied - correct answer d. Determine and understand why the claim was denied The first step in working a denied claim is to understand why the claim has denied. Insurance carriers will use different denial codes on the remittance advice. Which of the following is a statement sent to the patient from ...

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 employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - ANSWER c. Subscriber What information can be found on the Blue Cross/Blue Shield insurance...

AAPC CPB Chapter 11-14 Final Exam Practice Questions 2024. Which coverage under TRICARE is a Medicare wrap around plan? a. TRICARE for Life b. TRICARE Reserve Select c. TRICARE Prime d. CHAMPVA - correct answer a. TRICARE for Life A patient has Medicare and a Medigap policy. Box 13, signature on file, is checked off on the electronic claim submission. An EOMB is received with remittance notice MA19. What does the office need to do? a. Nothing. This means the claim has been crossed o...

AAPC CPB - CHAPTER 12 REVIEW|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

AAPC CPB Chapter 10 Review Exam Questions 2024. What is the first step in working a denied claim? a. Resubmit the claim b. Contact the carrier c. Appeal the claim d. Determine and understand why the claim was denied - correct answer d. Determine and understand why the claim was denied The first step in working a denied claim is to understand why the claim has denied. Insurance carriers will use different denial codes on the remittance advice. Which of the following is a statement se...

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 individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - ANSWER c. Subscriber What information can be found on the Blue Cross/Blue Shield...

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. Answer A. I and II Response Feedback: The type of insurance should be m

My AAPC CPB - Chapter 12 Review 2023 Questions and Answers

AAPC CPB - Chapter 12 Questions and answers, rated A+ Which type of insurance plan is a federal and state program that provides coverage to the low-income population? a. Medicare b. HMO c. Medicaid d. PPO - -c. Medicaid What is the correct action when a claim has been submitted to BCBS but the provider has not received a response? a. Automatically refile the claim. b. Check claim status with the local BCBS carrier. c. Write-off the balance. d. Transfer the charges to patient resp...