AAPC CPB Exam 2 FINAL EXAM Newest /
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HIPPA OF 1996 includes a security rule that is established to provide what national stands for
protecting and transmitting patient data. Which of the following is NOT true?
A) The security rule applies to healthcare providers, health plans, and any covered entity
involved in the care of a patient.
B) The security role applies only to the Institute that initiates the release of protected health
information
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C) Standards for storing transmitting patient data and electronic form include portable electronic
devices
D) The security rule states that safeguards must be in place to prevent unsecured release of
information –
Correct Answer :B
Eight standard transactions were adopted for electronic data, interchange under HIPAA which of
the following is not included as a standard transaction
A) payment and remittance advice
B) eligibility in a health plan
C) coordination of benefits
D) physician unique identify number –
Correct Answer :D
Which coverage under TRICARE is a Medicare wrap around plan?
a. TRICARE for Life
b. TRICARE Reserve Select
c. TRICARE Prime
d. CHAMPVA –
Correct Answer :a. TRICARE for Life
A patient has Medicare and a Medigap policy. Box 13, signature on file, is checked off on the
electronic claim submission. An EOMB is received with remittance notice MA19. What does the
office need to do?
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a. Nothing. This means the claim has been crossed over to the Medigap plan.
b. The biller must file the secondary insurance as the cross-over claim is not going to be sent due
to missing information.
c. The biller must check the claim filed for missing information, add the missing information, and
send back to Medicare for processing.
d. Nothing. The notice means that the patient is responsible for the bill. –
Correct Answer :b. The biller must file the secondary insurance as the cross-over claim is not
going to be sent due to missing information.
A Medicare patient receives services from a participating provider on January 6, 2016, but the
charges are missed and don't get entered in to the computer. How long does the office have to
bill Medicare for the services?
a. 3 months
b. 12 months
c. 6 months
d. 1 month –
Correct Answer :b. 12 months
What is true regarding Medigap policies?
a. They cover everything that Medicare does not.
b. They cover deductibles, copayments, and coinsurances usually.
c. All Medigap policies are the same and offer the same coverage.
d. Medigap policies must cover patients if they injured outside the United States. –
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Correct Answer :b. They cover deductibles, copayments, and coinsurances usually.
A 21 year-old patient presents for fillings for two if his teeth. Are these services covered under
EPSDT?
a. No, because these types of services are not covered.
b. Yes, if the patient lives in a state that covers dental services.
c. No, because the patient is not under the age of 21.
d. Yes, all services are covered under Medicaid. –
Correct Answer :c. No, because the patient is not under the age of 21.
A Medicare patient has prescription drug coverage, but does not have Medicare Advantage.
What Medicare coverage does the patient have for his medications?
a. Part A
b. Part B
c. Part C
d. Part D –
Correct Answer :d. Part D
A Medicare patient presents for her pelvic, pap, and breast examination (PPB). The patient is not
sure when she had her last PPB. As she is checking out, the front desk rep has her sign an ABN.
The service is billed and denied for frequency. Can the patient be balance billed? Why?
a. Yes. It does not matter when you get an ABN signed.
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