AAPC CPB Chapter 3 Review
Study online at https://quizlet.com/_ctqpb0
1. What is a claim that is sent for reimbursement that c. Clean Claim
contains all the required data elements to process the
claim referred to as?
a. Submitted
b. Adjudicated
c. Clean Claim
d. Medically necessary
2. HIPAA Section 164.508 states that covered entities may d. Records requested for
not use or disclose protected information without a life insurance
valid authorization. In what circumstances can a prac-
tice NOT release protected information with a signed
authorization?
a. Records sent to a physician asked to consult with the
patient
b. Payment of claims
c. Records requested by the health department for
communicable diseases
d. Records requested for life insurance
3. Listed below are examples of patient reminders for d. "This is the doctor's of-
appointments. Which one is HIPAA compliant? fice calling to remind you
of your appointment Tues-
a. "This is the obstetrical office calling to remind you of day, April 12 at 9 am."
your appointment Tuesday, April 12 at 9 am for your
annual exam."
b. "This is Dr. Smith's office calling to remind you of
your appointment Tuesday, April 12 at 9 am for your
annual exam." with the knowledge of legal principles, case law, legal frameworks, and ethical issues. It prepares
students for legal practice, with specializations that may include constitutional law, criminal law, corporate
, AAPC CPB Chapter 3 Review
Study online at https://quizlet.com/_ctqpb0
c. "This is to confirm your appointment for your first
prenatal visit with Dr. Jones. Please notify us if you are
not able to keep this appointment."
d. "This is the doctor's office calling to remind you of
your appointment Tuesday, April 12 at 9 am."
4. The parent with whom the child resides is identified as c. Custodial parent
which of the following?
a. Stepparent
b. Non-custodial parent
c. Custodial parent
d. Natural parent
5. Child presents for care with the father. Both parents b. The father's
have coverage, date of birth for mother is 3/21 and insurance is primary
date of birth for father is 6/20. The mother is covered because the mother
by a COBRA. What is the primary coverage for the has COBRA
child?
a. The mother's coverage is primary based on the
birthday rule.
b. The father's insurance is primary because the moth-
er has COBRA
c. The father is primary because he is older
d. The father's is primary because he consented for
care.
6. Which of the following does NOT qualify a patient for
coverage under Medicare? d. Low-income individual
with the knowledge of legal principles, case
law, legal frameworks, and ethical issues. It
prepares students for legal practice, with
a. End Stage Renal Disease (ESRD)
specializations that may include
constitutional law, criminal law, corporate
Study online at https://quizlet.com/_ctqpb0
1. What is a claim that is sent for reimbursement that c. Clean Claim
contains all the required data elements to process the
claim referred to as?
a. Submitted
b. Adjudicated
c. Clean Claim
d. Medically necessary
2. HIPAA Section 164.508 states that covered entities may d. Records requested for
not use or disclose protected information without a life insurance
valid authorization. In what circumstances can a prac-
tice NOT release protected information with a signed
authorization?
a. Records sent to a physician asked to consult with the
patient
b. Payment of claims
c. Records requested by the health department for
communicable diseases
d. Records requested for life insurance
3. Listed below are examples of patient reminders for d. "This is the doctor's of-
appointments. Which one is HIPAA compliant? fice calling to remind you
of your appointment Tues-
a. "This is the obstetrical office calling to remind you of day, April 12 at 9 am."
your appointment Tuesday, April 12 at 9 am for your
annual exam."
b. "This is Dr. Smith's office calling to remind you of
your appointment Tuesday, April 12 at 9 am for your
annual exam." with the knowledge of legal principles, case law, legal frameworks, and ethical issues. It prepares
students for legal practice, with specializations that may include constitutional law, criminal law, corporate
, AAPC CPB Chapter 3 Review
Study online at https://quizlet.com/_ctqpb0
c. "This is to confirm your appointment for your first
prenatal visit with Dr. Jones. Please notify us if you are
not able to keep this appointment."
d. "This is the doctor's office calling to remind you of
your appointment Tuesday, April 12 at 9 am."
4. The parent with whom the child resides is identified as c. Custodial parent
which of the following?
a. Stepparent
b. Non-custodial parent
c. Custodial parent
d. Natural parent
5. Child presents for care with the father. Both parents b. The father's
have coverage, date of birth for mother is 3/21 and insurance is primary
date of birth for father is 6/20. The mother is covered because the mother
by a COBRA. What is the primary coverage for the has COBRA
child?
a. The mother's coverage is primary based on the
birthday rule.
b. The father's insurance is primary because the moth-
er has COBRA
c. The father is primary because he is older
d. The father's is primary because he consented for
care.
6. Which of the following does NOT qualify a patient for
coverage under Medicare? d. Low-income individual
with the knowledge of legal principles, case
law, legal frameworks, and ethical issues. It
prepares students for legal practice, with
a. End Stage Renal Disease (ESRD)
specializations that may include
constitutional law, criminal law, corporate
