AAPC CPB

Use CPB Chapter 13_Case to answer questions 1 & 2. What is incorrect on this claim? I. Birth date II. Date of service III. CPT code(s) IV. ICD-10-CM code V. HCPCS code A. II only B. I and V C. V only D. There are no errors on the claim. - correct answer A. II only Response Feedback: The date of service was 8/29/20XX. The Box 24 A line 3 for HCPCS code J7609 shows 8/30/20XX. Correct the date of service on the line and resubmit the claim for payment. Based on the question...

What does the acronym PHI stand for? a. Patient Healthcare Information b. Patient History of Illness c. Protected Health Information d. Protected Healthcare Index - Answer- 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. HIPAA c. Anti-Kickback law d. Qui Tam - Answer- c. Anti-Kickback law ...

AAPC CPB CERTIFIED PROFESSIONAL BILLER EXAM 2024 | 2 CURRENTLY TESTING VERSIONS WITH 135 ACCURATE QUESTIONS AND ANSWERS EACH WITH A STUDY GUIDE EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE

AAPC CPB - Chapter 14 Quiz | Questions and Verified Solutions Latest Update 2024 What type of state worker's compensation coverage allows an employer to set aside money to cover medical expenses and other related benefits for its employees? a. State insurance fund b. Self-insurance plans c. Commercial workers' compensation insurance d. Combination program - Answer - b. Self-insurance plans Under Workers' Compensation, when is a worker covered for an injury that occurred on-the-job? a...

AAPC CPB - Chapter 7 Review | Questions and Correct Solutions Latest Update MUE is the acronym for: a. Medicare Unlikely Edits b. Medically Unnecessary Edits c. Medicare Unnecessary Edits d. Medically Unlikely Edits - Answer - d. Medically Unlikely Edits Based on NCCI edits, when a procedure is bundled and has a CCM indicator of 0 - which of the following Modifiers is allowed? a. 51 b. 59 c. 25 d. Modifiers are not allowed - Answer - d. Modifiers are not allowed Which of the followi...

AAPC CPB - Chapter 8 Practical Application | Questions and Correct Solutions Latest Update 2024 Using the information in CPB Chapter 8 Case 1 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 Date of birth II Date of service III Primary insurance policy number IV Primary insurance group number V Secondary insurance policy number VI Secondary insurance group number VII Place of service ...

AAPC CPB - Chapter 11 Review | Questions and Verified Solutions Latest Update 2024 Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice Expense (PE) X Conversion factor = Medicare payment d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment - Answer - b. Total RVU X...

AAPC CPB - Chapter 9 Practical Application | Questions and Correct Solutions 2024 Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: 384594 Payer: HEALTHSPRINGMEDICARE Submission Date: 11/19/XX Date of Service: 11/09/XX Charge: $557.00 Provider: Post, Alexis According to this clearinghouse rejections report, what actions should be taken on the...

AAPC CPB - Practice Exam C | Questions and Correct Solutions Latest Update 2024 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. - Answer - A. Mother'...

AAPC CPB - Practice Exam B | Questions and Verified Solutions 2024 Update 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 - Answer - B. Deductible Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? A. Business li...