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AAPC CPB - Chapter 3 Review 100% Correct!!

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What information can be released based on this Disclosure form? AAPC Physician Practice are authorized to make the disclosure. The type of information to be used or disclosed is as follows: ____ Problem list ____ Medication list ____ List of allergies ____ Immunization records ____ Most recent history __X_ Most recent discharge summary __X__ Lab results (dates or types) __X__ X-Ray and imagining reports (dates or types) ____ Consultation reports from ___ Entire record a. The most recent visit b. Entire record c. Lab and X-ray d. Discharge summary, lab, and X-ray - ANSWERSd. Discharge summary, lab, and X-ray A patient calls the PCP office after hours and is told to go to the ER. What copay would be applicable to the ER visit? ABC Insurance Policy Holder Name ID: 1234 Benefits Deductible: $2500 Single $4000 Family Copays: Office: $35.00 Specialist: $50.00 ER: $100.00 waived if admitted Pharmacy-Rx $10/$25/$50 a.

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AAPC CPB - Chapter 3 Review 100%
Correct!!

What information can be released based on this Disclosure form?
AAPC Physician Practice are authorized to make the disclosure.

The type of information to be used or disclosed is as follows:
____ Problem list
____ Medication list
____ List of allergies
____ Immunization records
____ Most recent history
__X_ Most recent discharge summary
__X__ Lab results (dates or types)
__X__ X-Ray and imagining reports (dates or types)
____ Consultation reports from
___ Entire record

a. The most recent visit
b. Entire record
c. Lab and X-ray
d. Discharge summary, lab, and X-ray - ANSWERSd. Discharge summary, lab, and X-
ray

A patient calls the PCP office after hours and is told to go to the ER. What copay would
be applicable to the ER visit?

ABC Insurance
Policy Holder Name ID: 1234
Benefits

Deductible:
$2500 Single $4000 Family

Copays:
Office: $35.00
Specialist: $50.00
ER: $100.00 waived if admitted

Pharmacy-Rx
$10/$25/$50

a. $25.00

, b. $35.00
c. $50.00
d. $100.00 - ANSWERSd. $100.00

The back of the health insurance card includes what information?

a. Primary Care Provider
b. Copays
c. Phone or contact information for eligibility
d. Group number - ANSWERSc. Phone or contact information for eligibility

A female patient is covered by her employer and her husband's insurance plan. His
birthday is 3/21 and hers is 6/18. Which insurance is considered primary?

a. The husband's insurance because of the birthday rule
b. The patient's insurance because she is the primary subscriber
c. The husband's insurance is primary, because he is the head of the household
d. Either can be filed as primary - ANSWERSb. The patient's insurance because she is
the primary subscriber

When insurance coverage is being verified, which of the following is NOT a method on
which to rely?

a. Phone
b. Internet
c. Patient
d. Clearinghouse - ANSWERSc. Patient

When a fee ticket (encounter form) is not completed, what procedure would NOT be
acceptable?

a. Complete the form based on medical record documentation
b. Query the provider for the procedure/service and diagnosis
c. Post the service as a no charge
d. Return the form to the provider for completion - ANSWERSc. Post the service as a no
charge

Which statement is TRUE regarding appointment reminders?

a. Appointment reminders do not help mitigate the risk of missed appointments.
b. Appointment reminders can be sent via text.
c. You must have a HIPAA authorization for release of information to send appointment
reminders.
d. The staff time required for appointment reminders makes it unnecessary to remind
patients of upcoming appointments. - ANSWERSb. Appointment reminders can be sent
via text.

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