Aapc cpb cha - Study guides, Class notes & Summaries

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. Ordering provider name and NPI VIII. Place of service code IX. Diagn...

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 marked as OTHER in Ite...

AAPC CPB Chapter 11 Review Exam Questions and Answers

Which coverage under TRICARE is a Medicare wrap around plan? a. TRICARE for Life b. TRICARE Reserve Select c. TRICARE Prime d. CHAMPVA - ANSWERSa. 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 over to the Medigap plan. b. The biller must file the secondary insu...

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 - ANSWERSd. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hospital's out- patient physical therapy center. What Law does this vi...

AAPC CPB Chapter 5 Review 2024 Questions and Answers Latest (2024 / 2025) (Verified Answers)

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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 1-5/ 477 Q&A/ Already Graded A+/ . Terms like: 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 - Answer: d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hosp...

AAPC CPB Chapter 9 Review 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 claim is denied. ...