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...

AAPC CPB Chapter 11 Review Exam Questions and Answers

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 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 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. ...

AAPC CPB Chapter 11-14 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 over to the Medigap plan. b. The bil...

AAPC CPB Chapter 11 ReviewA Medicare patient presents with an injury sustained at his part-time job. His injury status is verified by his company. After services are rendered, in what order are the claims submitted? a. The worker's compensation is primary, and Medicare is secondary b. Either may be filed first, whichever pays better c. Medicare is primary, and Worker's compensation is secondary d. The patient must pay for services and files claims himself - correct answer a. The wo...

AAPC CPB Chapter 13 ReviewWhich denial occurs when the claim is a liability case and was submitted to the health insurance? a. Coordination of Benefits b. Request for medical records c. Claim not covered by insurer d. Claim covered by other insurer - correct answer d. Claim covered by other insurer Similar to a coordination of benefits denial, a claim covered by other insurer denial occurs when the claim is a liability case such as auto or work-related accident. What is a rejected cl...

AAPC CPB Chapter 1-5Eight 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 out- patient physical therapy ce...

AAPC CPB Chapter 4 ReviewHow many chapters does ICD-10-CM contain? a. 17 b. 19 c. 22 d. 20 c. 22 What is/are the correct code(s) for a patient with type 1 diabetic neuropathy? a. E11.40 b. E90.40 c. E10.9, G62.9 d. E10.40 d. E10.40 What are the correct codes for benign hypertensive heart disease and stage 3a chronic kidney disease? a. I10, I11.9, I12.9, N18.31 b. I13.10, N18.31 c. N18.31, I13.10 d. I13.0, N18.31 b. I13.10, N18.31 Which sections of ICD-10-CM do...