AAPC CHAPTER 14 PRACTICAL APPLICATION QUESTIONS WITH CORRECT ANSWERS

AAPC CHAPTER 14 PRACTICAL APPLICATION
QUESTIONS WITH CORRECT ANSWERS
Use CPB Chapter 14_Case 1.pdf to answer questions 1 & 2.
After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect?
I. Insured's name
II. Secondary insurance
III. Primary insurance policy number
IV. Date of birth
V. Date of injury
VI. Relationship to the insured
VII. Place of service
VIII. CPT codes
IX. Modifier use
X. Diagnosis code
A. I, III, VI, and X
B. I, II, VI, and VII
C. III, IV, V, VIII, and IX
D. None of the above. CORRECT ANSWER A. I, III, VI, and X
Response Feedback:
Rationale: For Workers' Compensation claims, the insured is the employer. The relationship to the insured should be other and the insured's name and address should be the employer's name and address. Primary insurance policy number is incorrect. In addition, because this is the first visit, a place of occurrence, activity, and status code should be reported.
Which statement is TRUE regarding CPB Chapter 14_Case 1.pdf?
A. The Workers' Compensation carrier will process this claim as is.
B. The place of service should be 11.
C. AAPC National Bank should be listed as the insured.
D. The CPT code should be replaced and the claim refiled. CORRECT ANSWER C. AAPC National Bank should be listed as the insured.
Response Feedback: