©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
Medical Billing : CPB Chapter 2 Exam
Questions And Answers 100% Pass.
Which of the following statements is true regarding the key provisions of coverage under the
Affordable Care Act (ACA)?
a.
Lifetime limits are not banned on any health plans issued.
b.
There are 30 covered preventive services for women.
c.
Children under the age of 21 may be eligible to be covered under their parent's health plan if they
are in college.
d.
Patients have the right to appeal a health plan's decision to deny payment for a claim or
termination of health coverage. - answer✔d.
Patients have the right to appeal a health plan's decision to deny payment for a claim or
termination of health coverage.
A Medicare patient is seen in the Internist's office for a check-up. The office bills Medicare, but
the patient receives the payment, and the office must collect their fee from the patient. The
office, by state law, can charge the patient a limiting charge that is 10 percent above the
Medicare fee schedule amount. What type of Medicare provider is this physician?
a.
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
Participating
b.
Non-participating
c.
Non-limiting
d.
Opt-out - answer✔b.
Non-participating
A patient is age 65 and Medicare eligible. The patient signs up for a Medicare Managed Care
plan. When the patient presents for care, where are claims sent?
a.
The patient
b.
The Medicare Administrative Contractor
c.
Both the Managed Care Plan and Medicare Administrative Contractor
d.
The Managed Care Plan - answer✔d.
The Managed Care Plan
The Protecting Patients and Affordable Care Act (PPACA) is a federal mandate which
establishes that coverage can no longer be denied for what reason?
a. Having other coverage
b. Being unemployed
c. Having high medical costs
10/21/2024 9:24 PM
Medical Billing : CPB Chapter 2 Exam
Questions And Answers 100% Pass.
Which of the following statements is true regarding the key provisions of coverage under the
Affordable Care Act (ACA)?
a.
Lifetime limits are not banned on any health plans issued.
b.
There are 30 covered preventive services for women.
c.
Children under the age of 21 may be eligible to be covered under their parent's health plan if they
are in college.
d.
Patients have the right to appeal a health plan's decision to deny payment for a claim or
termination of health coverage. - answer✔d.
Patients have the right to appeal a health plan's decision to deny payment for a claim or
termination of health coverage.
A Medicare patient is seen in the Internist's office for a check-up. The office bills Medicare, but
the patient receives the payment, and the office must collect their fee from the patient. The
office, by state law, can charge the patient a limiting charge that is 10 percent above the
Medicare fee schedule amount. What type of Medicare provider is this physician?
a.
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
Participating
b.
Non-participating
c.
Non-limiting
d.
Opt-out - answer✔b.
Non-participating
A patient is age 65 and Medicare eligible. The patient signs up for a Medicare Managed Care
plan. When the patient presents for care, where are claims sent?
a.
The patient
b.
The Medicare Administrative Contractor
c.
Both the Managed Care Plan and Medicare Administrative Contractor
d.
The Managed Care Plan - answer✔d.
The Managed Care Plan
The Protecting Patients and Affordable Care Act (PPACA) is a federal mandate which
establishes that coverage can no longer be denied for what reason?
a. Having other coverage
b. Being unemployed
c. Having high medical costs
