AAPC CPB - Chapter 10 Review Questions and Answers

AAPC CPB - Chapter 10 Review Questions and Answers Which statement is TRUE regarding the Prompt Payment Act? a. Patients are required to pay patient balances within 30 days. b. Patient balances are dismissed if a statement is not sent to the patient within 30 days. c. Federal agencies are not required to respond to all clean claims within 30 days of receipt. d. Federal agencies are required to pay clean claims within 30 days of receipt. - Answer️️ -d. Federal agencies are required to pay clean claims within 30 days of receipt. When a provider wants to give a discount on services to a patient, which option is acceptable? a. The provider can waive the co-paymant at his discretion. b. The provider can accept insurance only payments and write-off all patient balances. ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: American Academy of Professional Coders(AAPC) 2 c. The provider must discount the charge prior to billing the insurance carrier. d. The provider cannot discount the charge under any circumstance. - Answer️️ -c. The provider must discount the charge prior to billing the insurance carrier. What does a high number of days in A/R indicate for a medical practice? a. The practice is using their A/R for loan purposes. b. The practice has good policies in place, which results in good collections of outstanding balances. c. The practice potentially has a problem in the revenue cycle. d. The days in A/R do not indicate anything about the practice. - Answer️️ -c. The practice potentially has a problem in the revenue cycle. A provider removes a skin lesion in an ASC and receives a denial from the insurance carrier that states "Lower level of care could have been provided." What steps should the biller take? a. Write-off the charge. ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: American Academy of Professional Coders(AAPC) 3 b. Check with the provider and write an appeal to the insurance carrier explaining why the service was provided in the ASC. c. Check with the provider and write an appeal to the insurance carrier explaining why the service was not an inpatient service. d. Submit the CMS-1500 claim form with a different place of service code. - Answer️️ -b. Check with the provider and write an appeal to the insurance carrier explaining why the service was provided in the ASC. When accepting debit cards in a medical practice, which act requires the office to disclose specific information before completing a transaction? a. Health Insurance Portability and Accountability Act (HIP