AAPC CPB

AAPC CPB - Chapter 8 ReviewWhich statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the procedure. b. Condition codes are listed in the order of occurrence instead of numerical order. c. Condition codes are reported only on the CMS-1500 claim form. d. A condition code is used to indicate an inpatient service is reported on an outpatient claim. - correct answer d. A condition code is us...

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 - correct answer 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 malpractice D. Workers...

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AAPC CPB - PRACTICE EXAM B

AAPC CPB - PRACTICE EXAM C

AAPC CPB - Chapter 13 Review Test Questions and Answers 2024. On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing - correct answer b. Invalid CPT code for DOS Response Feedback: Rationale: CPT™ code 10022 was deleted in 2019. CPT® codes should on...

AAPC CPB Chapter 7 Review Who were the NCCI edits originally developed to be used by? a. Commercial Carriers b. Medicare Administrative Contractors c. Self-pay patients d. Medicare beneficiaries - correct answer b. Medicare Administrative Contractors The NCCI edits have column 1 and Column 2 codes and provide an indicator to determine whether a modifier is allowed to be used. Which indicator is used to tell the biller a modifier is never allowed? a. 0 b. 1 c. 9 d. A - correct ans...

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's birth year. D. Joe, because his birth month and day are before...

AAPC CPB Training Chapter 4: Intro to ICD-10-CMICD-10-CM Layout - correct answer -Coding Conventions -Official ICD-10 Guidelines for Coding and Reporting -Index to Diseases and Injuries (Alphabetic Index) -Table of Neoplasms -Table of Drugs and Chemicals -Index to External Cause of Injuries -Tabular List ICD-10-CM Alphabetic Index or Index to Diseases and Injuries - correct answer -Diagnostic terms organized in alphabetic order -with the corresponding code for the disease descriptions...

HIPPA OF 1996 includes a security rule that is established to provide what national stands for protecting and transmitting patient data. Which of the following is NOT true? A) The security rule applies to healthcare providers, health plans, and any covered entity involved in the care of a patient. B) The security role applies only to the Institute that initiates the release of protected health information C) Standards for storing transmitting patient data and electronic form include portabl...