5/16/25, 8:24 AM AAPC CPB FINAL EXAM C NEWEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATE…
AAPC CPB COMPREHENSIVE TEST BANK FINAL EXAM C
NEWEST VERSION WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS \\ACTUAL EXAM WITH
VERIFIED ANSWERS ASSURED PASS GRADED A+
\\BRAND NEW!!!2025
A. The Truth in Lending Act
A practice allows patients If the practice assesses finance charges on
to pay large balances over statements, the amount of the finance charge must be
a six-month time period disclosed as an annual percentage rate. If the practice
with a finance charge sets up payment plans with patients that extend past
applied. The patient four installments, the following information must be
receives a statement every disclosed to the patient (as applicable): · The "cash
month that only shows the price" of the service · The amount of any down
unpaid balance. What payment · The resulting unpaid balance · The total
does this violate? amount financed · The amount of the finance charge ·
A. The Truth in Lending Act The annual percentage rate of the finance charge ·
B. HIPAA The total price to be paid under the credit plan · The
C. Federal Fraud Statute schedule of payments, including number, amount, and
D. The Fair Debt due dates of payments · The sum of such scheduled
Collection Act payments, or total of payments, and · The amount or
method of computing the amount of any late payment
charges
1/108
,5/16/25, 8:24 AM AAPC CPB FINAL EXAM C NEWEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATE…
A Medicaid patient A. Turn the receipt in to his caseworker and be
presents for services on eligible for two months of coverage
the first day of the month. A bill that is larger than the spenddown may be used
He has a $50 spenddown to meet multiple month's spenddown. If a patient
and has had no services wants the most coverage possible, $100 would meet
this month. The visit for two month's coverage spenddown.
today was $100.00. If the
patient wants to be
covered as long as
possible from today's visit,
what can he do?
A. Turn the receipt in to his
caseworker and be
eligible for two months of
coverage
B. Turn the receipt in to his
caseworker and be
eligible for the month with
$50 to assessed by
Medicaid for the visit that
is above his spenddown
C. Coverage is automatic
and the patient will be
reimbursed the $100 from
Medicaid
D. Turn in the receipt to his
caseworker and be
eligible for coverage for
the current month, plus
two additional months
2/108
,5/16/25, 8:24 AM AAPC CPB FINAL EXAM C NEWEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATE…
C. Abuse
A claim is submitted for a
patient on Medicare with a CMS considers abuse to be actions that cause
higher fee than a patient unnecessary costs to a federal healthcare program,
on Insurance ABC. What is either directly or indirectly. CMS examples of abuse: -
this considered by CMS? Misusing codes on a claim - Charging excessively for
A. False claim services or supplies - Billing for services that were not
B. Malpractice medically necessary - Failure to maintain adequate
C. Abuse medical or financial records - Improper billing
D. Fraud practices - Billing Medicare patients a higher fee
schedule than non-Medicare patients
What were the eight A. HIPAA
standard transactions for
electronic data Under HIPAA, provisions were included for
interchange adopted Administrative Simplification that mandated HHS to
under? adopt national standards for electronic healthcare
A. HIPAA transactions and code sets. Eight standard
B. The Social Security Act transactions were adopted.
C. The Truth in Lending Act
D. Anti-Kickback Statute
When a practice sends an A. A transaction
electronic claim to a
commercial health plan A transaction is the electronic transfer of information
for payment, what is this between two parties for specific purposes.
considered?
A. A transaction
B. Minimum necessary
C. A data set
D. A code set
… 3/108
, 5/16/25, 8:24 AM AAPC CPB FINAL EXAM C NEWEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATE…
Which of the following C. Healthcare regulations do not apply to all place of
statements is TRUE? service
A. Healthcare regulations
are federally established Not all regulations are federally established and may
and take precedence over not always be definitive. Regulations can vary by
any local regulations payer and geographic area. It is important for a CPB
B. Healthcare regulations to know and adhere to the specific regulations
may vary by state and by
payer.
C. Healthcare regulations
do not apply to all place
of service
D. All payers follow the
same regulations and
guidelines.
Which of the following is D. A healthcare consulting firm
not a covered entity in the
Privacy Rule? Covered entities are defined as health plans,
A. A billing service healthcare clearinghouses, and any healthcare
B. Commercial insurance provider who transmits health information in an
company electronic format.
C. A Pediatric practice
D. A healthcare consulting
firm
What are health plans, B. Covered entity
clearinghouses, and any
entity transmitting health The Privacy Rule defines these as covered entities.
information considered to
be by the Privacy Rule?
A. Health entity
B. Covered entity
C. Protected entity
D. Business entity
… 4/108
AAPC CPB COMPREHENSIVE TEST BANK FINAL EXAM C
NEWEST VERSION WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS \\ACTUAL EXAM WITH
VERIFIED ANSWERS ASSURED PASS GRADED A+
\\BRAND NEW!!!2025
A. The Truth in Lending Act
A practice allows patients If the practice assesses finance charges on
to pay large balances over statements, the amount of the finance charge must be
a six-month time period disclosed as an annual percentage rate. If the practice
with a finance charge sets up payment plans with patients that extend past
applied. The patient four installments, the following information must be
receives a statement every disclosed to the patient (as applicable): · The "cash
month that only shows the price" of the service · The amount of any down
unpaid balance. What payment · The resulting unpaid balance · The total
does this violate? amount financed · The amount of the finance charge ·
A. The Truth in Lending Act The annual percentage rate of the finance charge ·
B. HIPAA The total price to be paid under the credit plan · The
C. Federal Fraud Statute schedule of payments, including number, amount, and
D. The Fair Debt due dates of payments · The sum of such scheduled
Collection Act payments, or total of payments, and · The amount or
method of computing the amount of any late payment
charges
1/108
,5/16/25, 8:24 AM AAPC CPB FINAL EXAM C NEWEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATE…
A Medicaid patient A. Turn the receipt in to his caseworker and be
presents for services on eligible for two months of coverage
the first day of the month. A bill that is larger than the spenddown may be used
He has a $50 spenddown to meet multiple month's spenddown. If a patient
and has had no services wants the most coverage possible, $100 would meet
this month. The visit for two month's coverage spenddown.
today was $100.00. If the
patient wants to be
covered as long as
possible from today's visit,
what can he do?
A. Turn the receipt in to his
caseworker and be
eligible for two months of
coverage
B. Turn the receipt in to his
caseworker and be
eligible for the month with
$50 to assessed by
Medicaid for the visit that
is above his spenddown
C. Coverage is automatic
and the patient will be
reimbursed the $100 from
Medicaid
D. Turn in the receipt to his
caseworker and be
eligible for coverage for
the current month, plus
two additional months
2/108
,5/16/25, 8:24 AM AAPC CPB FINAL EXAM C NEWEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATE…
C. Abuse
A claim is submitted for a
patient on Medicare with a CMS considers abuse to be actions that cause
higher fee than a patient unnecessary costs to a federal healthcare program,
on Insurance ABC. What is either directly or indirectly. CMS examples of abuse: -
this considered by CMS? Misusing codes on a claim - Charging excessively for
A. False claim services or supplies - Billing for services that were not
B. Malpractice medically necessary - Failure to maintain adequate
C. Abuse medical or financial records - Improper billing
D. Fraud practices - Billing Medicare patients a higher fee
schedule than non-Medicare patients
What were the eight A. HIPAA
standard transactions for
electronic data Under HIPAA, provisions were included for
interchange adopted Administrative Simplification that mandated HHS to
under? adopt national standards for electronic healthcare
A. HIPAA transactions and code sets. Eight standard
B. The Social Security Act transactions were adopted.
C. The Truth in Lending Act
D. Anti-Kickback Statute
When a practice sends an A. A transaction
electronic claim to a
commercial health plan A transaction is the electronic transfer of information
for payment, what is this between two parties for specific purposes.
considered?
A. A transaction
B. Minimum necessary
C. A data set
D. A code set
… 3/108
, 5/16/25, 8:24 AM AAPC CPB FINAL EXAM C NEWEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATE…
Which of the following C. Healthcare regulations do not apply to all place of
statements is TRUE? service
A. Healthcare regulations
are federally established Not all regulations are federally established and may
and take precedence over not always be definitive. Regulations can vary by
any local regulations payer and geographic area. It is important for a CPB
B. Healthcare regulations to know and adhere to the specific regulations
may vary by state and by
payer.
C. Healthcare regulations
do not apply to all place
of service
D. All payers follow the
same regulations and
guidelines.
Which of the following is D. A healthcare consulting firm
not a covered entity in the
Privacy Rule? Covered entities are defined as health plans,
A. A billing service healthcare clearinghouses, and any healthcare
B. Commercial insurance provider who transmits health information in an
company electronic format.
C. A Pediatric practice
D. A healthcare consulting
firm
What are health plans, B. Covered entity
clearinghouses, and any
entity transmitting health The Privacy Rule defines these as covered entities.
information considered to
be by the Privacy Rule?
A. Health entity
B. Covered entity
C. Protected entity
D. Business entity
… 4/108
