AAPC CPB Practice Questions with 100%
Verified Correct Answers
To determine the Medicare coverage and payment policy for a service or procedure,
which of the following resources will indicate if a service or procedure is payable,
noncovered, or bundled into another service
status codes
Medicare A
Medicare B
Medicare C
Medicare D
Inpatient hospital stays
Outpatient hospital care
Medicare Advantage
Prescription drugs
Medicare has four categories of items and services that are not covered under the
program, they are:
1) Services and supplies that are not medically
reasonable and necessary;
2) Non-covered items and services;
3) Services and supplies denied as bundled or included
in the basic allowance of another service; and
4) Items and services reimbursable by other
organizations or furnished without charge.
, Explain incident to services and who they are preformed by
Once the initial physician relationship has been established, incident-to services can be billed
even when there is not a physician in the room. He or she must only be on the premises and
immediately available to assist the non-physician providers (nurse practitioners, physician
assistants, certified nurse midwives and clinical nurse specialists) provider rendering the
services
An NPI doesn't ensure
a provider is licensed or credentialed
guarantee payment by a health plan
enroll a provider in a health plan
turn the provider into a covered provider
require a provider to conduct HIPPA transactions
Medicare was passed into law under the title XVIII of what Act
social security act
The federal False Claim Act allows for claims to be reviewed for how many years after
an incident
seven years
A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-
rays of one patient to justify services on multiple other patients' claims. The office
manager brought the civil suit. What type of case is this?
Qui Tam
Verified Correct Answers
To determine the Medicare coverage and payment policy for a service or procedure,
which of the following resources will indicate if a service or procedure is payable,
noncovered, or bundled into another service
status codes
Medicare A
Medicare B
Medicare C
Medicare D
Inpatient hospital stays
Outpatient hospital care
Medicare Advantage
Prescription drugs
Medicare has four categories of items and services that are not covered under the
program, they are:
1) Services and supplies that are not medically
reasonable and necessary;
2) Non-covered items and services;
3) Services and supplies denied as bundled or included
in the basic allowance of another service; and
4) Items and services reimbursable by other
organizations or furnished without charge.
, Explain incident to services and who they are preformed by
Once the initial physician relationship has been established, incident-to services can be billed
even when there is not a physician in the room. He or she must only be on the premises and
immediately available to assist the non-physician providers (nurse practitioners, physician
assistants, certified nurse midwives and clinical nurse specialists) provider rendering the
services
An NPI doesn't ensure
a provider is licensed or credentialed
guarantee payment by a health plan
enroll a provider in a health plan
turn the provider into a covered provider
require a provider to conduct HIPPA transactions
Medicare was passed into law under the title XVIII of what Act
social security act
The federal False Claim Act allows for claims to be reviewed for how many years after
an incident
seven years
A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-
rays of one patient to justify services on multiple other patients' claims. The office
manager brought the civil suit. What type of case is this?
Qui Tam
