Aapc cpb practice e - Study guides, Class notes & Summaries

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...

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 Questions and Answers 2023 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 deductible is the amount a policyholder pays for health care services before the health insurance begins to pay. Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? Medical malpractice insur...

AAPC CPB Practice E A 100 Questions with 100% Correct Answers UPDATED 2022

AAPC CPB - Practice Exam B Questions and Answers, Graded A+ 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 B. Deductible Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? A. Business liability B. Bondi...

CPB AAPC CH 7 REVIEW PRACTICE QUIZ 2024. Local Coverage Determination (LCD) - correct answer Decision made by a fiscal intermediary (FI) or a Medicare carrier about the services and items that are reasonable and necessary. LCD also decides if a particular service should be covered on an intermediary-wide basis, and it makes decisions about the services that is reasonable and necessary for certain diagnoses and procedures codes. Medicare Administrative Contractor (MAC) - correct answer A comp...

CPB AAPC CH 7 REVIEW PRACTICE QUIZ 2024. Local Coverage Determination (LCD) - correct answer Decision made by a fiscal intermediary (FI) or a Medicare carrier about the services and items that are reasonable and necessary. LCD also decides if a particular service should be covered on an intermediary-wide basis, and it makes decisions about the services that is reasonable and necessary for certain diagnoses and procedures codes. Medicare Administrative Contractor (MAC) - correct answer A comp...

AAPC CPB Practice E 100 Questions with 100% Correct Answers UPDATED 2022

AAPC CPB Practice Exam with complete rated solutions 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 7 Review Questions and Answers 2023 MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM indicator of 0 - which of the following Modifiers is allowed? a. 51 b. 59 c. 25 d. Modifiers are not allowed d. Modifiers are not allowed Which of the following is considered to be an a...