Aapc cpb p - Study guides, Class notes & Summaries

AAPC CPB - Practice Exam B | Questions and Verified Solutions 2024 Update 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 - B. Deductible Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? A. Business li...

AAPC CPB Practice Exam Questions with complete solution 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 before Joe's birth y...

©BRAINBARTER 2024/2025 AAPC CPB Final Exam Questions With Verified Answers. Covered entity - answerHealth plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - answerWhich of the following is not a covered entity in the Privacy Rule release reqt to ins co - answerA request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim...

AAPC CPB - CHAPTER 2: QUESTIONS AND ANSWERS 100% PASS. Why must a provider obtain an NPI number? I. To submit claims II. To prove that he is licensed III. To be HIPAA compliant IV. To guarantee payment by a health plan a. I, II, III b. II, III, IV c. I, II, III, IV d. I, III - answerd. I, III A patient has receipts for her dental cleaning, vision exam, and contact lenses. Her employer has set up special accounts for each employee, there is no limit to the amount the employer can con...

AAPC CPB - Practice Exam A with Complete Questions and AnswersAAPC CPB - Practice Exam A with Complete Questions and AnswersJoe 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 t...

AAPC CPB - Chapter 1 Review With Complete Solutions Already Passed 2024.

AAPC CPB FINAL EXAM ACTUAL EXMA WITH UPDATED QUESTIONS AND VERIFIED ANSWERS (ALREADY GRADED A+) 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 or release of information is provided. What action should be taken? - ANSWER-Release the requested records to the insurance company. Can you release PHI without authorization from a patient if it is for a workers' compensatio...

AAPC CPB Practice Exam Complete Solutions Graded A+ 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 before Joe's birth year. ...

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 patients Capitation -ANSWER Fixed payment remitted at a regular intervals to a medical provider by a managed care organization for an enrolled patient Carve-Out -ANSWER A service not covered in a hea...

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. Health insurance companies Which statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the pr...