©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Medical Billing : CPB Chapter 2 Practice
Questions and Answers
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.
Page 1/17
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
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.
Participating
b.
Non-participating
c.
Non-limiting
d.
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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
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
Page 3/17
FIRST PUBLISH OCTOBER 2024
Medical Billing : CPB Chapter 2 Practice
Questions and Answers
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.
Page 1/17
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
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.
Participating
b.
Non-participating
c.
Non-limiting
d.
Page 2/17
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
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
Page 3/17
