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AAPC Certified Professional Biller (CPB)® (CAPTER 1-14) MULTIPLE CHOICE QUESTIONS AND ANSWERS TEST BANK NEW UPDATE SOLUTION

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AAPC Certified Professional Biller (CPB)® (CAPTER 1-14) MULTIPLE CHOICE QUESTIONS AND ANSWERS TEST BANK NEW UPDATE SOLUTION Eight standard transactions were adopted for Electronic Data Interchange (EDI) 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 identifier number - The correct answer is d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hospital's out- patient physical therapy center. What Law does this violate? a. Anti-Kickback Statute b. Stark Law c. False Claims Act d. Truth in Lending Act - The correct answer is a. Anti-Kickback Statute One of the most severe penalties that can be associated with violations of the Social Security Act is exclusion from federal health care plans. Which of the following statements is true of excluded individuals? a. Physicians that have been excluded can bill the patient for services but cannot bill federal health plans. b. Physicians that have been excluded can refer their patients to other facilities for treatment. c. Physicians that have been excluded are prohibited from billing for any services to a federally administered health plan. d. Physicians that have been excluded are exempt from billing for services but are allowed to write prescriptions and order tests. - The correct answer is c. Physicians that have been excluded are prohibited from billing for any services to a federally administered health plan. A claim is received by a payer that subsequently requests the medical records for the date of service on the claim. What procedure should be followed by the practice?

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AAPC Certified Professional Biller (CPB)® (CAPTER1-14) MULTIPLE
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CHOICE QUESTIONS AND ANSWERS TEST BANK NEW UPDATE
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SOLUTION 2025-2026 e3 e3




Eight standard transactions were adopted for Electronic Data Interchange (EDI) under
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HIPAA. Which of the following is NOT included as a standard transaction?
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a. Payment and remittance advice e3 e3 e3




b. Eligibility in a health plan e3 e3 e3 e3




c. Coordination of benefits e3 e3




d. Physician unique identifier number - The correct answer is d. Physician unique e3 e3 e3 e3 e3 e3 e3 e3 e3 e3 e3




identifier number
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A physician received office space at a reduced rate for referring patients to the hospital's out-
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patient physical therapy center. What Law does this violate?
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a. Anti-Kickback Statute e3




b. Stark Law e3




c. False Claims Act e3 e3




d. Truth in Lending Act - The correct answer is a. Anti-Kickback Statute
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One of the most severe penalties that can be associated with violations of the Social Security
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Act is exclusion from federal health care plans. Which of the following statements is true of
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excluded individuals?
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a. Physicians that have been excluded can bill the patient for services but cannot bill e3 e3 e3 e3 e3 e3 e3 e3 e3 e3 e3 e3 e3




federal health plans.
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