AAPC CPB FINAL EXAM 2025/2026
BANK WELL RESEARCHED
CURRENTLY TESTING COMPLETE
ACTUAL QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXPERT
VERIFIED /ALREADY GRADED A+
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?
I. Write-off the charge
1
,II. Check with the provider to appeal the claim
III. Transfer the charge to the patient's account
a. I
b. I or II
c. II or III
d. III
a. II or III
Review the following financial policy:
Collections Policy: Invoices not paid within 60 days begin
our collection process. Invoices not paid within 120 days
are subject to patient dismissal and submission to our
Collection Agency and notification to your insurance plan.
According to this policy, at what age is a balance owed by
the patient considered a bad debt and sent to their
collection agency?
a. 120 days
b. 30 days
c. 365 days
d. 60 days
a. 120 days
2
,What does a high number of days in A/R indicate for a
medical practice?
a. The days in A/R do not indicate anything about the
practice.
b. The practice is using their A/R for loan purposes.
c. The practice has good policies in place, which results in
good collections of outstanding balances.
d. The practice potentially has a problem in the revenue
cycle.
d. The practice potentially has a problem in the revenue
cycle.
A provider removes a skin lesion in an ASC and receives a
denial from the insurance carrier that states "Lower level
of care could have been provided." What steps should the
biller take?
a. Check with the provider and write an appeal to the
insurance carrier explaining why the service was not an
inpatient service.
b. Write-off the charge.
3
, c. Check with the provider and write an appeal to
the insurance carrier explaining why the service was
provided in the ASC.
d. Submit the CMS-1500 claim form with a different place
of service code.
a. Check with the provider and write an appeal to the
insurance carrier explaining why the service was provided
in the ASC.
What steps should be taken when a medical office receives
notice that a patient has filed bankruptcy?
a. Stop all collection efforts and dismiss the patient from
the practice.
b. Obtain the case number and write-off all patient and
insurance balances on the patient's account.
c. Obtain the case number, verify the case filing,
verify the provider is listed as a creditor, and stop all
collection efforts for balances filed under the
bankruptcy.
d. Dismiss the patient from the practice and send any
outstanding balances to a collection agency.
4
BANK WELL RESEARCHED
CURRENTLY TESTING COMPLETE
ACTUAL QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXPERT
VERIFIED /ALREADY GRADED A+
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?
I. Write-off the charge
1
,II. Check with the provider to appeal the claim
III. Transfer the charge to the patient's account
a. I
b. I or II
c. II or III
d. III
a. II or III
Review the following financial policy:
Collections Policy: Invoices not paid within 60 days begin
our collection process. Invoices not paid within 120 days
are subject to patient dismissal and submission to our
Collection Agency and notification to your insurance plan.
According to this policy, at what age is a balance owed by
the patient considered a bad debt and sent to their
collection agency?
a. 120 days
b. 30 days
c. 365 days
d. 60 days
a. 120 days
2
,What does a high number of days in A/R indicate for a
medical practice?
a. The days in A/R do not indicate anything about the
practice.
b. The practice is using their A/R for loan purposes.
c. The practice has good policies in place, which results in
good collections of outstanding balances.
d. The practice potentially has a problem in the revenue
cycle.
d. The practice potentially has a problem in the revenue
cycle.
A provider removes a skin lesion in an ASC and receives a
denial from the insurance carrier that states "Lower level
of care could have been provided." What steps should the
biller take?
a. Check with the provider and write an appeal to the
insurance carrier explaining why the service was not an
inpatient service.
b. Write-off the charge.
3
, c. Check with the provider and write an appeal to
the insurance carrier explaining why the service was
provided in the ASC.
d. Submit the CMS-1500 claim form with a different place
of service code.
a. Check with the provider and write an appeal to the
insurance carrier explaining why the service was provided
in the ASC.
What steps should be taken when a medical office receives
notice that a patient has filed bankruptcy?
a. Stop all collection efforts and dismiss the patient from
the practice.
b. Obtain the case number and write-off all patient and
insurance balances on the patient's account.
c. Obtain the case number, verify the case filing,
verify the provider is listed as a creditor, and stop all
collection efforts for balances filed under the
bankruptcy.
d. Dismiss the patient from the practice and send any
outstanding balances to a collection agency.
4
