AAPC CPB

AAPC CPB TESTBANK QUESTIONS WITH COMPLETE SOLUTIONS 2024 GRADED A+

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: Correct Answer: covered entity Which of the following is not a covered entity in the Privacy Rule Correct Answer: healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? Co...

AAPC CPB Practice Exam Questions With Complete Answers/Solutions Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe'...

AAPC CPB - Practice Exam C A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. Ans- A. Mother's insurance plan Which managed care plan has the patie...

AAPC CPB - Practice Exam B 2023 What is the term for the total amount of covered medical expenses a policyholder must pay each year out-of-pocket before the health insurance company begins to pay any benefits? A. Copayment B. Deductible C. Secondary Payment D. Coinsurance Ans- B. Deductible Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? A. Business liability B. Bonding C. Medical malpracti...

AAPC CPB Final Questions And Answers Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: Ans- covered entity Which of the following is not a covered entity in the Privacy Rule Ans- healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action shoul...

AAPC CPB - Chapter 12 Review Questions and answers, 100% Accurate, rated A The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - -c. copay. Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - -c. Subscriber What information can be found on the Blue Cross/B...

AAPC CPB Exam Questions and answers, 100% Accurate, Graded A+ HRA - -Health Reimbursement Account What part of Medicare pays for prescriptions - -Part D What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO insurance plans to its members? - -Triple Option Plan HIPAA - -Health Insurance Portability and Accountability Act of 1996 Fraud (CMS defines) - -Making false stmts or misrepresenting facts to obtain an undeserved benefit or payment ...

AAPC CPB - Chapter 1 Review, Questions and answers, 100% Accurate. Verified. What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - -c. Protected Health Information A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medicare patient you send to them for radiology services. What does this offer violate? a. Stark Laws b....

AAPC CPB - Practice Exam A. Questions and answers, Graded A+. Verified Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is be...