AAPC CPB - CHAPTER 8 PRACTICAL APPLICATION QUESTIONS AND ANSWERS 2025

AAPC CPB - CHAPTER 8 2025
PRACTICAL APPLICATION
ANSWER ALL QUESTIONS IN THIS SECTION



QUESTION 1



Using the information in CPB Chapter 8 Case 4 to answer question 5.

After review of the information provided, are there any errors on the claim form? If
so, which elements are incorrect?



I Primary Insurance

II Primary insurance ID number

III Relationship to the insured

IV Birthdate of insured

V Provider NPI

VI CPT code(s)

VII Modifier

VIII Diagnosis code

IX Units of service

X Service Facility Location Information



a. I, IV, V and VIII

b. II, V, and VI
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, AAPC CPB - CHAPTER 8 2025
PRACTICAL APPLICATION
c. II and V

d. None of the above - ANSWERS-a. I, IV, V and VIII



Rationale: All of the elements are correct except -I - Primary Insurance. The
primary insurance listed on the claim is Medhealth. It should be Health Systems.
IV - There is no secondary insurance listed on the claim form. V - Secondary
insurance ID number. Because there is no secondary insurance listed, there is also
no insurance ID listed. VIII - Diagnosis code(s). The diagnosis code is incorrect.
Enter the ICD-10-CM codes without decimals in proper code sequence. For
example, code F17.219 should be reported as F17219 on the claim form



QUESTION 2



Use the information in CPB Chapter 8 Case 5 to answer questions 6 and 7. After
review of the information provided, are there any errors on the claim form? If so,
which elements are incorrect?



I Date of Birth

II Date of service

III Primary insurance policy number

IV Secondary insurance policy

V Secondary insurance policy number

VI Secondary insurance group number

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