CPB (Certified Professional Biller)
CPB CERTIFICATION EXAM LATEST AAPC
VERIFIED EXAM COMPLETE REAL EXAM
INSIGHT TEST BANK 300+ FREQUENTLY
TESTED QUESTIONS GRADED A
When accepting debit cars in a medical practice, which act
requires the office to disclose information before completing a
transaction?
The electronic funds transfer act
A claim has been denied as not medically necessary by
medicare. The biller has checked the patient's medical record
and the patient's insurance policy. No ABN was signed. What is
the next action the biller should take?
Write off the charge or check with the provider to appeal the
claim.
A provider removes a skin lesion in an ASC and receives the
denial from the insurance carrier that states "Lower level of care
could have been provided." What steps should the biller take?
,CPB (Certified Professional Biller)
Check with the provider and write an appeal to the insurance
carrier explaining why the service was provided in an ASC.
A claim was resubmitted to AAPC Insurance Company through a
clearinghouse 60 days after the date of service and the claim
was denied. AAPC Insurance Plan has a 60 day timely filing limit.
The biller checked the claim status system and determined AAPC
Insurance Plan did not receive the claim. What action should the
biller take?
Check the clearinghouse' report and appeal the denial with proof
of claim submission
What is the definition of bad debt?
A debt that is likely to remain unpaid and end up sent to
collections and written off by the provider.
What does a high number of days in A/R indicate for a medical
practice?
The practice potentially has a problem in the revenue cycle.
,CPB (Certified Professional Biller)
What should be included in a financial policy?
- Explanation that patient balances are due at the time services
are provided
- List of insurance carriers the providers are contracted with
- List of the practice's policy when seeing patients who are out of
network.
How often should insurance coverage verification happen?
at each visit
What are some potential patient errors that can happen at
patient registration?
Invalid address, invalid insurance info, invalid phone number
What is the best way to ask a patient about their demographic
information?
By asking open ended questions
, CPB (Certified Professional Biller)
When a provider want to give a discount on services to a patient,
what must they do prior to billing the insurance carrier?
The provider must discount the charge prior to billing insurance
What is a prompt payment discount?
A discount given to self pay patient when they pay at the time of
service
Which Act protects information collected by the consumer
reporting agencies?
The fair credit reporting act
If a medical office receives notice that a patient has filed for
bankruptcy, what steps should be taken?
-obtain the case number
-verify the case filing
CPB CERTIFICATION EXAM LATEST AAPC
VERIFIED EXAM COMPLETE REAL EXAM
INSIGHT TEST BANK 300+ FREQUENTLY
TESTED QUESTIONS GRADED A
When accepting debit cars in a medical practice, which act
requires the office to disclose information before completing a
transaction?
The electronic funds transfer act
A claim has been denied as not medically necessary by
medicare. The biller has checked the patient's medical record
and the patient's insurance policy. No ABN was signed. What is
the next action the biller should take?
Write off the charge or check with the provider to appeal the
claim.
A provider removes a skin lesion in an ASC and receives the
denial from the insurance carrier that states "Lower level of care
could have been provided." What steps should the biller take?
,CPB (Certified Professional Biller)
Check with the provider and write an appeal to the insurance
carrier explaining why the service was provided in an ASC.
A claim was resubmitted to AAPC Insurance Company through a
clearinghouse 60 days after the date of service and the claim
was denied. AAPC Insurance Plan has a 60 day timely filing limit.
The biller checked the claim status system and determined AAPC
Insurance Plan did not receive the claim. What action should the
biller take?
Check the clearinghouse' report and appeal the denial with proof
of claim submission
What is the definition of bad debt?
A debt that is likely to remain unpaid and end up sent to
collections and written off by the provider.
What does a high number of days in A/R indicate for a medical
practice?
The practice potentially has a problem in the revenue cycle.
,CPB (Certified Professional Biller)
What should be included in a financial policy?
- Explanation that patient balances are due at the time services
are provided
- List of insurance carriers the providers are contracted with
- List of the practice's policy when seeing patients who are out of
network.
How often should insurance coverage verification happen?
at each visit
What are some potential patient errors that can happen at
patient registration?
Invalid address, invalid insurance info, invalid phone number
What is the best way to ask a patient about their demographic
information?
By asking open ended questions
, CPB (Certified Professional Biller)
When a provider want to give a discount on services to a patient,
what must they do prior to billing the insurance carrier?
The provider must discount the charge prior to billing insurance
What is a prompt payment discount?
A discount given to self pay patient when they pay at the time of
service
Which Act protects information collected by the consumer
reporting agencies?
The fair credit reporting act
If a medical office receives notice that a patient has filed for
bankruptcy, what steps should be taken?
-obtain the case number
-verify the case filing
