1|Page
AAPC CPB PRACTICE EXAM||
COMPREHENSIVE Q&A FOR CERTIFICATION
SUCCESS
Which statement is TRUE regarding the Fair Debt Collection Practices Act
(FDCPA)?
A. Collectors are allowed to threaten legal action even if it will not be pursued.
B. The FDPCA does not apply to medical practices.
C. Collectors are allowed to contact debtors repeatedly.
D. Collectors are not allowed to contact debtors at odd hours. - correct-answer -D.
Collectors are not allowed to contact debtors at odd hours.
Which of the following is an allowed collection policy after a patient files for
bankruptcy?
,2|Page
A. Unpaid insurance claims for dates of service occurring after the date of the
bankruptcy can be collected.
B. Any co-payments or deductibles that are past due and owed by the patient can
be collected.
C. Unpaid claims for dates of service occurring before the date of the bankruptcy
and any co-pays or deductibles adjudicated on that same claim.
D. Discuss a payment arrangement with the patient to settle the past due
account. - correct-answer -A. Unpaid insurance claims for dates of service
occurring after the date of the bankruptcy can be collected.
A patient with an acute myocardial infarction is brought by ambulance to the
emergency department. The patient is taken into the cardiac catheterization lab.
Angioplasty and a stent was placed in the LAD. The patient's insurance requires
preauthorization for all surgical procedures. Which of the following statements is
true for most payers?
A. If the biller did not obtain authorization prior to the procedure being
performed, the surgical services will not be paid.
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B. Because this was an emergency, it is acceptable to obtain authorization
following the surgery.
C. Because this was an emergency, a preauthorization is not required.
D. If the biller did not obtain authorization prior to the procedure being
performed, the entire claim will not be paid. - correct-answer -B. Because this was
an emergency, it is acceptable to obtain authorization following the surgery.
Which of the following steps should be completed when filling an appeal?
I. Submit in the format required by the payer.
II. Review the reason for the denial and determine if the payer made an error.
III. Provide supporting documentation from an official source to support your
reason for appeal.
IV. Keep a copy of the information submitted to the payer for the appeal.
V. Appeal the claim as soon as a denial is received.
VI. Appeal the claim as soon as you are certain the payer denied in error and the
claim cannot be reprocessed.
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A. I, II, and V
B. I, IV, V and VI
C. I, II, III, IV, and VI
D. I-VI - correct-answer -C. I, II, III, IV, and VI
What should a biller do when a claim is denied for not being submitted within the
timely filing period?
A. Track the transmission date of the claim. If within the timely filing period,
provide the information to the payer to reprocess the claim.
B. Write off the claim. The patient is not responsible for claims denied for not
being submitted within the timely filing period.
C. Resubmit the claim with a different date of service that is within the timely
filing period.
D. Transfer the balance to patient responsibility and try to collect from the
patient. - correct-answer -A. Track the transmission date of the claim. If within the
timely filing period, provide the information to the payer to reprocess the claim.
AAPC CPB PRACTICE EXAM||
COMPREHENSIVE Q&A FOR CERTIFICATION
SUCCESS
Which statement is TRUE regarding the Fair Debt Collection Practices Act
(FDCPA)?
A. Collectors are allowed to threaten legal action even if it will not be pursued.
B. The FDPCA does not apply to medical practices.
C. Collectors are allowed to contact debtors repeatedly.
D. Collectors are not allowed to contact debtors at odd hours. - correct-answer -D.
Collectors are not allowed to contact debtors at odd hours.
Which of the following is an allowed collection policy after a patient files for
bankruptcy?
,2|Page
A. Unpaid insurance claims for dates of service occurring after the date of the
bankruptcy can be collected.
B. Any co-payments or deductibles that are past due and owed by the patient can
be collected.
C. Unpaid claims for dates of service occurring before the date of the bankruptcy
and any co-pays or deductibles adjudicated on that same claim.
D. Discuss a payment arrangement with the patient to settle the past due
account. - correct-answer -A. Unpaid insurance claims for dates of service
occurring after the date of the bankruptcy can be collected.
A patient with an acute myocardial infarction is brought by ambulance to the
emergency department. The patient is taken into the cardiac catheterization lab.
Angioplasty and a stent was placed in the LAD. The patient's insurance requires
preauthorization for all surgical procedures. Which of the following statements is
true for most payers?
A. If the biller did not obtain authorization prior to the procedure being
performed, the surgical services will not be paid.
,3|Page
B. Because this was an emergency, it is acceptable to obtain authorization
following the surgery.
C. Because this was an emergency, a preauthorization is not required.
D. If the biller did not obtain authorization prior to the procedure being
performed, the entire claim will not be paid. - correct-answer -B. Because this was
an emergency, it is acceptable to obtain authorization following the surgery.
Which of the following steps should be completed when filling an appeal?
I. Submit in the format required by the payer.
II. Review the reason for the denial and determine if the payer made an error.
III. Provide supporting documentation from an official source to support your
reason for appeal.
IV. Keep a copy of the information submitted to the payer for the appeal.
V. Appeal the claim as soon as a denial is received.
VI. Appeal the claim as soon as you are certain the payer denied in error and the
claim cannot be reprocessed.
, 4|Page
A. I, II, and V
B. I, IV, V and VI
C. I, II, III, IV, and VI
D. I-VI - correct-answer -C. I, II, III, IV, and VI
What should a biller do when a claim is denied for not being submitted within the
timely filing period?
A. Track the transmission date of the claim. If within the timely filing period,
provide the information to the payer to reprocess the claim.
B. Write off the claim. The patient is not responsible for claims denied for not
being submitted within the timely filing period.
C. Resubmit the claim with a different date of service that is within the timely
filing period.
D. Transfer the balance to patient responsibility and try to collect from the
patient. - correct-answer -A. Track the transmission date of the claim. If within the
timely filing period, provide the information to the payer to reprocess the claim.
