AAPC CPB Chapter 12 Practical
Application Exam 100% Correct!!
Use CPB Chapter 12_Case 1.pdf 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. - ANSWERSA. I and II
Response Feedback:
The type of insurance should be marked as OTHER in Item 1. Item 1a is missing the
three-character prefix required for BCBS ID numbers on the claim.
Use CPB Chapter 12_Case 1.pdf to answer the following question.
What should be done to correct this claim?
I. Correct the type of insurance on the claim.
II. Correct the primary insurance information on the claim.
III. Correct the EIN number in item 25.
IV. Enter the group's NPI number in item 33.
A. I
B. I and II
C. III and IV
D. There are no errors on this claim. - ANSWERSB. I and II
Response Feedback:
The type of insurance should be marked as OTHER in Item 1. Correct the primary
insurance ID in Item 1a.
, Use CPB Chapter 12 Case 2.pdf to answer questions 3 and 4.
After review of the information provided, are there any errors on the claim form? If so,
which elements are incorrect?
I. Federal Tax ID number
II. Code correlation conflict
III. Incorrect modifier
IV. Diagnosis pointer
V. Units of service
A. II and III
B. II and IV
C. I, and V
D. There are no errors on this claim. - ANSWERSC. I, and V
Response Feedback:
The federal tax ID number is entered in item number 25 but the SSN box is checked.
According to the CPT code description, 20552 can only be reported one time per day;
however, there are three units reported.
Use CPB Chapter 12 Case 2.pdf to answer the following question.
What should be done to correct this claim?
I. Enter the Federal Tax ID number in item 25.
II. Change the type of Federal Tax ID number.
III. Change the number of units for the procedure.
IV. Review documentation or query the provider to determine the correct diagnosis.
V. Correct the modifier.
VI. Correct the units to 1 on the claim form.
A. I and II
B. II and VI
C. I, II, III, IV, and V
D. There are no errors on this claim. - ANSWERSB. II and VI
Response Feedback:
Change the type of Federal Tax ID number to EIN. The description of 20552 states
"single or multiple trigger point(s), 3 or more muscles;" this means that regardless of
how many injections are made, and the total number of muscles injected over three, this
code is only reported one time per day.
Use CPB Chapter 12 Case 3.pdf to answer questions 5 and 6.
Application Exam 100% Correct!!
Use CPB Chapter 12_Case 1.pdf 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. - ANSWERSA. I and II
Response Feedback:
The type of insurance should be marked as OTHER in Item 1. Item 1a is missing the
three-character prefix required for BCBS ID numbers on the claim.
Use CPB Chapter 12_Case 1.pdf to answer the following question.
What should be done to correct this claim?
I. Correct the type of insurance on the claim.
II. Correct the primary insurance information on the claim.
III. Correct the EIN number in item 25.
IV. Enter the group's NPI number in item 33.
A. I
B. I and II
C. III and IV
D. There are no errors on this claim. - ANSWERSB. I and II
Response Feedback:
The type of insurance should be marked as OTHER in Item 1. Correct the primary
insurance ID in Item 1a.
, Use CPB Chapter 12 Case 2.pdf to answer questions 3 and 4.
After review of the information provided, are there any errors on the claim form? If so,
which elements are incorrect?
I. Federal Tax ID number
II. Code correlation conflict
III. Incorrect modifier
IV. Diagnosis pointer
V. Units of service
A. II and III
B. II and IV
C. I, and V
D. There are no errors on this claim. - ANSWERSC. I, and V
Response Feedback:
The federal tax ID number is entered in item number 25 but the SSN box is checked.
According to the CPT code description, 20552 can only be reported one time per day;
however, there are three units reported.
Use CPB Chapter 12 Case 2.pdf to answer the following question.
What should be done to correct this claim?
I. Enter the Federal Tax ID number in item 25.
II. Change the type of Federal Tax ID number.
III. Change the number of units for the procedure.
IV. Review documentation or query the provider to determine the correct diagnosis.
V. Correct the modifier.
VI. Correct the units to 1 on the claim form.
A. I and II
B. II and VI
C. I, II, III, IV, and V
D. There are no errors on this claim. - ANSWERSB. II and VI
Response Feedback:
Change the type of Federal Tax ID number to EIN. The description of 20552 states
"single or multiple trigger point(s), 3 or more muscles;" this means that regardless of
how many injections are made, and the total number of muscles injected over three, this
code is only reported one time per day.
Use CPB Chapter 12 Case 3.pdf to answer questions 5 and 6.
