©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Chapter 2 - CPB 2024 Exam Practice
Questions and Answers
What type of insurance is paid for by employers and takes advantage of purchasing power of having
large member numbers? - ANSWER✔✔-Group health plan
An internist sees a 20-year-old patient for an office visit. The patient needs to see an endocrinologist for
a consultation regarding her diabetes. The internist is a participating provider in her plan. She can choose
any provider she wishes for her consultation, but she will save money if she sees a specialist that is in her
network. She does not require a referral for her consultation. What type of insurance does the patient
have? - ANSWER✔✔-PPO
What are the options for a provider with regard to participation with Medicare? - ANSWER✔✔-Providers
may participate, may choose not to, or can op-out
A family practitioner sees a Medicare patient and bills a 99213. This provider has opted-out of Medicare.
His fee for the service is $125.00. Medicare's approved amount is $73.08, and the patient has met $0 of
his deductible. What can the provider bill the patient? - ANSWER✔✔-$125.00
Under the Patient Protection and Affordable Care Act, what was banned - ANSWER✔✔-Lifetime Limits
Page 1/5
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What does ACA stand for? - ANSWER✔✔-Affordable Care Act
At what age are you eligible for Medicare Part A? - ANSWER✔✔-65
What is Medicare Part A? - ANSWER✔✔-Covers inpatient hospital care, as well as care provided in skilled
nursing facilites, hospice care, and home health care
What is Medicare Part b? - ANSWER✔✔-Covers medically necessary doctors' services, outpatient care,
DME, Mental health Services, ambulance services
What is Medicare Part C? - ANSWER✔✔-Medicare Advantage Plans - private plans
What is Medicare Part D? - ANSWER✔✔-Prescription drug coverage
What is Medicaid Spenddown program? - ANSWER✔✔-Spenddown is similar to a deductible but
different in patient must be a monthly amount (out of pocket). Once amount is met each month, patient
gets a spending card that covers expenses.
What is the monthly spedning required for Spenddown? - ANSWER✔✔-different for everyone
How long can a Spenddown patient wait to submit payment reciept for a service? - ANSWER✔✔-Up to 6
months
What is TRICARE? - ANSWER✔✔-health benefit program for military personnel and retirees, includes
dependents
Page 2/5
FIRST PUBLISH OCTOBER 2024
Chapter 2 - CPB 2024 Exam Practice
Questions and Answers
What type of insurance is paid for by employers and takes advantage of purchasing power of having
large member numbers? - ANSWER✔✔-Group health plan
An internist sees a 20-year-old patient for an office visit. The patient needs to see an endocrinologist for
a consultation regarding her diabetes. The internist is a participating provider in her plan. She can choose
any provider she wishes for her consultation, but she will save money if she sees a specialist that is in her
network. She does not require a referral for her consultation. What type of insurance does the patient
have? - ANSWER✔✔-PPO
What are the options for a provider with regard to participation with Medicare? - ANSWER✔✔-Providers
may participate, may choose not to, or can op-out
A family practitioner sees a Medicare patient and bills a 99213. This provider has opted-out of Medicare.
His fee for the service is $125.00. Medicare's approved amount is $73.08, and the patient has met $0 of
his deductible. What can the provider bill the patient? - ANSWER✔✔-$125.00
Under the Patient Protection and Affordable Care Act, what was banned - ANSWER✔✔-Lifetime Limits
Page 1/5
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What does ACA stand for? - ANSWER✔✔-Affordable Care Act
At what age are you eligible for Medicare Part A? - ANSWER✔✔-65
What is Medicare Part A? - ANSWER✔✔-Covers inpatient hospital care, as well as care provided in skilled
nursing facilites, hospice care, and home health care
What is Medicare Part b? - ANSWER✔✔-Covers medically necessary doctors' services, outpatient care,
DME, Mental health Services, ambulance services
What is Medicare Part C? - ANSWER✔✔-Medicare Advantage Plans - private plans
What is Medicare Part D? - ANSWER✔✔-Prescription drug coverage
What is Medicaid Spenddown program? - ANSWER✔✔-Spenddown is similar to a deductible but
different in patient must be a monthly amount (out of pocket). Once amount is met each month, patient
gets a spending card that covers expenses.
What is the monthly spedning required for Spenddown? - ANSWER✔✔-different for everyone
How long can a Spenddown patient wait to submit payment reciept for a service? - ANSWER✔✔-Up to 6
months
What is TRICARE? - ANSWER✔✔-health benefit program for military personnel and retirees, includes
dependents
Page 2/5
