©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
CPB PRACTICE EXAM QUESTIONS AND
ANSWERS 100% PASS
WHO IS COVERED BY CHAMPVA?
A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES
B) ACTIVE DUTY MILITARY AND THEIR FAMILIES
C) RETIRED MILITARY AND THEIR FAMILIES
D) ACTIVE DUTY MILITARY OVER THE AGE OF 65 - answer✔A) VETERANS WITH
SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES
RATIONALE: THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE
DEPARTMENT OF VETERANS AFFAIRS (CHAMPVA) COVERS VETERANS WHO ARE
PERMANENTLY AND TOTALLY DISABLED DUE TO A SERVICE-RELATED
DISABILITY AND THEIR SPOUSE AND CHILDREN.
PATIENT IS BROUGHT TO THE LOCAL URGENT CARE AFTER FALLING FROM A
LADDER WHILE HANGING EXTERIOR LIGHTS ON HIS HOUSE. X-RAYS REVEALED
A CLOSED FRACTURE OF HIS LEFT FEMUR. THE PATIENT IS COVERED BY HIS
EMPLOYER'S GROUP HEALTH PLAN AND HE ALSO HAS A HOMEOWNER'S
LIABILITY INSURANCE POLICY. WHICH INSURANCE SHOULD BE BILLED?
A) THE HOMEOWNER'S INSURANCE FIRST, FOLLOWED BY THE GROUP HEALTH
PLAN
B) THE EMPLOYER'S GROUP HEALTH PLAN
C) THE HOMEOWNER'S INSURANCE ONLY
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
D) FILE THE EMPLOYER'S GROUP HEALTH PLAN AS PRIMARY AND LIST THE
HOMEOWNER'S INSURANCE AS SECONDARY. - answer✔B) THE EMPLOYER'S
GROUP HEALTH PLAN
RATIONALE: THE HEALTH INSURANCE PLAN IS BILLED FIRST AND THEN
THROUGH THE PROCESS OF SUBROGATION IT WILL BE DETERMINED IF A
LIABILITY PAYER SHOULD BE CONSIDERED PRIMARY.
3. PRIVATE COMPANIES CONTRACT WITH CMS TO ADMINISTER:
A) MEDICARE PART A & B
B) MEDICARE PART B
C) MEDICARE PART C
D) MEDICARE PART A, B, & C - answer✔D) MEDICARE PART A, B, AND C
RATIONALE: MEDICARE PART A, B, AND C ARE ALL ADMINISTERED BY PRIVATE
COMPANIES THAT CONTRACT WITH CMS AS MEDICARE ADMINISTRATIVE
CONTRACTORS OR MACs.
WHAT IS A CO-PAYMENT?
A) AN AMOUNT PAID EVERY MONTH BY THE POLICYHOLDER TO MAINTAIN
HEALTH INSURANCE COVERAGE
B) A PERCENTAGE OF THE ALLOWED AMOUNT THAT THE PATIENT IS
RESPONSIBLE FOR.
C) A FLAT AMOUNT PAID TO THE HEALTHCARE PROVIDER WHEN THE
POLICYHOLDER IS SEEN FOR AN OFFICE VISIT.
D) THE ADJUSTED AMOUNT BASED ON THE INSURANCE POLICY REQUIREMENT. -
answer✔C) A FLAT AMOUNT PAID TO THE HEALTHCARE PROVIDER WHEN THE
POLICY HOLDER IS SEEN FOR AN OFFICE VISIT.
WHICH OF THE FOLLOWING STATEMENTS IS TRUE REGARDING THE NON-PAR
MEDICARE ALLOWED FEE SCHEDULE?
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
A) THE NON-PAR PROVIDER CAN BILL THE PATIENT THE DIFFERENCE BETWEEN
THE CHARGE AND THE MEDICARE ALLOWABLE.
B) THE NON-PAR LIMITING CHARGE IS 115% OF THE NON-PAR MEDICARE
PHYSICIAN FEE SCHEDULE
C) THE NON-PAR PHYSICIAN FEE SCHEDULE IS 115% OF THE PAR MEDICARE
PHYSICIAN FEE SCHEDULE
D) THE NON-PAR LIMITING CHARGE IS 95% OF THE PAR MEDICARE PHYSICIAN
FEE SCHEDULE. - answer✔B) THE NON-PAR LIMITING CHARGE IS 115% OF THE
NON-PAR MEDICARE PHYSICIAN FEE SCHEDULE.
RATIONALE: PER CMS, THE NON-PAR LIMITING CHARGE IS 115% OF THE NON-PAR
MEDICARE PHYSICIAN FEE SCHEDULE.
WHAT IS A MEDIGAP POLICY?
A) A POLICY THAT COVERS HEALTHCARE SERVICES THAT MEDICARE DOES NOT
COVER.
B) A POLICY THAT WILL NOT REIMBURSE FOR OUT-OF-POCKET COSTS NOT
COVERED BY MEDICARE
C) A SUPPLEMENTAL INSURANCE OFFERED BY CMS.
D) A POLICY REQUIRED BY MEDICARE. - answer✔A) A POLICY THAT COVERS
HEALTHCARE SERVICES THAT MEDICARE DOES NOT COVER.
MEDICARE PART A IS AVAILABLE TO INDIVIDUALS UNDER THE AGE OF 65 WHO
HAVE:
A) DIABETES MELLITUS TYPE I OR II
B) CKD (CHRONIC KIDNEY DISEASE)
C) ESRD AND MEET CERTAIN REQUIREMENTS
D) ANY CHRONIC HEALTH CONDITION - answer✔C) ESRD AND MEET CERTAIN
REQUIREMENTS.
10/21/2024 9:24 PM
CPB PRACTICE EXAM QUESTIONS AND
ANSWERS 100% PASS
WHO IS COVERED BY CHAMPVA?
A) VETERANS WITH SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES
B) ACTIVE DUTY MILITARY AND THEIR FAMILIES
C) RETIRED MILITARY AND THEIR FAMILIES
D) ACTIVE DUTY MILITARY OVER THE AGE OF 65 - answer✔A) VETERANS WITH
SERVICE - CONNECTED DISABILITIES AND THEIR FAMILIES
RATIONALE: THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE
DEPARTMENT OF VETERANS AFFAIRS (CHAMPVA) COVERS VETERANS WHO ARE
PERMANENTLY AND TOTALLY DISABLED DUE TO A SERVICE-RELATED
DISABILITY AND THEIR SPOUSE AND CHILDREN.
PATIENT IS BROUGHT TO THE LOCAL URGENT CARE AFTER FALLING FROM A
LADDER WHILE HANGING EXTERIOR LIGHTS ON HIS HOUSE. X-RAYS REVEALED
A CLOSED FRACTURE OF HIS LEFT FEMUR. THE PATIENT IS COVERED BY HIS
EMPLOYER'S GROUP HEALTH PLAN AND HE ALSO HAS A HOMEOWNER'S
LIABILITY INSURANCE POLICY. WHICH INSURANCE SHOULD BE BILLED?
A) THE HOMEOWNER'S INSURANCE FIRST, FOLLOWED BY THE GROUP HEALTH
PLAN
B) THE EMPLOYER'S GROUP HEALTH PLAN
C) THE HOMEOWNER'S INSURANCE ONLY
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
D) FILE THE EMPLOYER'S GROUP HEALTH PLAN AS PRIMARY AND LIST THE
HOMEOWNER'S INSURANCE AS SECONDARY. - answer✔B) THE EMPLOYER'S
GROUP HEALTH PLAN
RATIONALE: THE HEALTH INSURANCE PLAN IS BILLED FIRST AND THEN
THROUGH THE PROCESS OF SUBROGATION IT WILL BE DETERMINED IF A
LIABILITY PAYER SHOULD BE CONSIDERED PRIMARY.
3. PRIVATE COMPANIES CONTRACT WITH CMS TO ADMINISTER:
A) MEDICARE PART A & B
B) MEDICARE PART B
C) MEDICARE PART C
D) MEDICARE PART A, B, & C - answer✔D) MEDICARE PART A, B, AND C
RATIONALE: MEDICARE PART A, B, AND C ARE ALL ADMINISTERED BY PRIVATE
COMPANIES THAT CONTRACT WITH CMS AS MEDICARE ADMINISTRATIVE
CONTRACTORS OR MACs.
WHAT IS A CO-PAYMENT?
A) AN AMOUNT PAID EVERY MONTH BY THE POLICYHOLDER TO MAINTAIN
HEALTH INSURANCE COVERAGE
B) A PERCENTAGE OF THE ALLOWED AMOUNT THAT THE PATIENT IS
RESPONSIBLE FOR.
C) A FLAT AMOUNT PAID TO THE HEALTHCARE PROVIDER WHEN THE
POLICYHOLDER IS SEEN FOR AN OFFICE VISIT.
D) THE ADJUSTED AMOUNT BASED ON THE INSURANCE POLICY REQUIREMENT. -
answer✔C) A FLAT AMOUNT PAID TO THE HEALTHCARE PROVIDER WHEN THE
POLICY HOLDER IS SEEN FOR AN OFFICE VISIT.
WHICH OF THE FOLLOWING STATEMENTS IS TRUE REGARDING THE NON-PAR
MEDICARE ALLOWED FEE SCHEDULE?
, ©BRIGHTSTARS EXAM SOLUTIONS
10/21/2024 9:24 PM
A) THE NON-PAR PROVIDER CAN BILL THE PATIENT THE DIFFERENCE BETWEEN
THE CHARGE AND THE MEDICARE ALLOWABLE.
B) THE NON-PAR LIMITING CHARGE IS 115% OF THE NON-PAR MEDICARE
PHYSICIAN FEE SCHEDULE
C) THE NON-PAR PHYSICIAN FEE SCHEDULE IS 115% OF THE PAR MEDICARE
PHYSICIAN FEE SCHEDULE
D) THE NON-PAR LIMITING CHARGE IS 95% OF THE PAR MEDICARE PHYSICIAN
FEE SCHEDULE. - answer✔B) THE NON-PAR LIMITING CHARGE IS 115% OF THE
NON-PAR MEDICARE PHYSICIAN FEE SCHEDULE.
RATIONALE: PER CMS, THE NON-PAR LIMITING CHARGE IS 115% OF THE NON-PAR
MEDICARE PHYSICIAN FEE SCHEDULE.
WHAT IS A MEDIGAP POLICY?
A) A POLICY THAT COVERS HEALTHCARE SERVICES THAT MEDICARE DOES NOT
COVER.
B) A POLICY THAT WILL NOT REIMBURSE FOR OUT-OF-POCKET COSTS NOT
COVERED BY MEDICARE
C) A SUPPLEMENTAL INSURANCE OFFERED BY CMS.
D) A POLICY REQUIRED BY MEDICARE. - answer✔A) A POLICY THAT COVERS
HEALTHCARE SERVICES THAT MEDICARE DOES NOT COVER.
MEDICARE PART A IS AVAILABLE TO INDIVIDUALS UNDER THE AGE OF 65 WHO
HAVE:
A) DIABETES MELLITUS TYPE I OR II
B) CKD (CHRONIC KIDNEY DISEASE)
C) ESRD AND MEET CERTAIN REQUIREMENTS
D) ANY CHRONIC HEALTH CONDITION - answer✔C) ESRD AND MEET CERTAIN
REQUIREMENTS.
