CPB Final Exam Questions AND Correct Answers
A dermatologist performed an excision of a squamous cell
carcinoma from the patients forehead with a 1.2 cm excised
diameter. The excision site required an intermediate wound
closure measuring 1.8 cm. What is/are the correct code(s)? -
✔✔
A document provided to Medicare patients explaining their
financial responsibility if Medicare denies a service is a(n): -
✔✔Advanced Beneficiary Notice?
A female patient who was involved in an auto accident
presents to the emergency room for evaluation. She does not
have any complaints. The provider evaluates her and
determines there are no injuries. The provider informs the
patient to come back to the ER or see her primary care
physician if she develops any symptoms. How is the claim
processes for this encounter? - ✔✔The auto insurance is billed
primary and the medical insurance is billed secondary.
A HCPCS/CPT® code is assigned "1" in the MUE file. What does
this indicate? - ✔✔
, A patient covered by a PPO is scheduled for knee replacement
surgery. The biller contacts the insurance carrier to verify
benefits and preauthorize the procedure. The carrier verifies
the patient has a $500 deductible which must be met. After
the deductible, the PPO will pay 80% of the claim. The
contracted rate for the procedure is $2,500. What is the
patient's responsibility? - ✔✔The contracted rate is $2500.
The patient must pay the deductible ($500) and 20% of $2,000
($400). The total patient responsibility is $900.
A patient with an acute myocardial infarction is brought by
ambulance to the emergency room. The patient is taken into
the cardiac catheterization lab. Angioplasty and a stent was
placed in the LAD. The patient's insurance requires
preauthorization for all surgical procedures. Which of the
following statements is true for most payers? - ✔✔Because
this was an emergency, it is acceptable to obtain authorization
following the surgery
A patient's Medicare card contains which of the following
information? - ✔✔name, medicare claim number, sex, is
entitled to, effective date
A dermatologist performed an excision of a squamous cell
carcinoma from the patients forehead with a 1.2 cm excised
diameter. The excision site required an intermediate wound
closure measuring 1.8 cm. What is/are the correct code(s)? -
✔✔
A document provided to Medicare patients explaining their
financial responsibility if Medicare denies a service is a(n): -
✔✔Advanced Beneficiary Notice?
A female patient who was involved in an auto accident
presents to the emergency room for evaluation. She does not
have any complaints. The provider evaluates her and
determines there are no injuries. The provider informs the
patient to come back to the ER or see her primary care
physician if she develops any symptoms. How is the claim
processes for this encounter? - ✔✔The auto insurance is billed
primary and the medical insurance is billed secondary.
A HCPCS/CPT® code is assigned "1" in the MUE file. What does
this indicate? - ✔✔
, A patient covered by a PPO is scheduled for knee replacement
surgery. The biller contacts the insurance carrier to verify
benefits and preauthorize the procedure. The carrier verifies
the patient has a $500 deductible which must be met. After
the deductible, the PPO will pay 80% of the claim. The
contracted rate for the procedure is $2,500. What is the
patient's responsibility? - ✔✔The contracted rate is $2500.
The patient must pay the deductible ($500) and 20% of $2,000
($400). The total patient responsibility is $900.
A patient with an acute myocardial infarction is brought by
ambulance to the emergency room. The patient is taken into
the cardiac catheterization lab. Angioplasty and a stent was
placed in the LAD. The patient's insurance requires
preauthorization for all surgical procedures. Which of the
following statements is true for most payers? - ✔✔Because
this was an emergency, it is acceptable to obtain authorization
following the surgery
A patient's Medicare card contains which of the following
information? - ✔✔name, medicare claim number, sex, is
entitled to, effective date
