AAPC CPB Chapter 12 Practical Application questions with correct answers

AAPC CPB Chapter 12 Practical Application
questions with correct answers
Use CPB Chapter 12_Case 1.pdf to answer questions 1 and 2.
After review of the information provided, are there any errors on the claim form? If
so, which elements are incorrect?
I. Type of Insurance
II. Primary insurance policy number
III. Primary group number
IV. Federal Tax ID number
V. Billing provider and NPI
A. I and II
B. II and IV
C. III and V
D. There are no errors on this claim. Answer ✓✓ A. I and II
Response Feedback:
The type of insurance should be marked as OTHER in Item 1. Item 1a is missing the three-character prefix required for BCBS ID numbers on the claim.
Use CPB Chapter 12_Case 1.pdf to answer the following question. What should be done to correct this claim?
I. Correct the type of insurance on the claim.
II. Correct the primary insurance information on the claim.
III. Correct the EIN number in item 25.
IV. Enter the group's NPI number in item 33.
A. I
B. I and II
C. III and IV
D. There are no errors on this claim. Answer ✓✓ B. I and II
Response Feedback:
The type of insurance should be marked as OTHER in Item 1. Correct the primary insurance ID in Item 1a.
Use CPB Chapter 12 Case 2.pdf to answer questions 3 and 4.
After review of the information provided, are there any errors on the claim form? If
so, which elements are incorrect?
I. Federal Tax ID number
II. Code correlation conflict
III. Incorrect modifier
IV. Diagnosis pointer