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CPB Ch. 8 Practical Application questions well answered 2025/2026

CPB STUDY GUIDE EXAMS SET COMPLETE QUESTIONS AND ANSWERS 2026 VIEW AHEAD TEST.

CPB FINAL PAPER TESTED QUESTIONS 2026 ALREADY PASSED GRADED A+.

CPB EXAM SCRIPT EXAMINATION TEST TEST PAPER QUESTIONS AND SOLUTIONS 2026 ALREADY PASSED GRADED A+.

CPB EXAM PREP EXAM STUDY SHEET 2026 ALREADY PASSED GRADED A+.

What organization is responsible in evaluating the medical necessity, appropriateness, and efficiency of the use of healthcare services and procedures? A. Utilization Review Organization B. Managed Care Organization C. Quality Assurance Organization D. External Quality, Review, Organization - ANSWERA. Utilization Review Organization Which of the following does NOT fall under group policy insurance? I. The premium is paid for by the employee. II. The premium is paid for (or partially pai...

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 Mary...

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 - ANSWERA) 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 ...

Abuse - ANSWERActions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - ANSWERProvider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - ANSWERThe amount owed to a business for services or goods provided.

The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by highest outstanding balance. Based on the A/R report provided, which payer type and aging category would be one of the top priorities on which to focus collection efforts? - ANSWERworkers' compensation, 121+ days Using the fee schedule and the payment policy provided, what is the expected reimbursement (including patient responsibility) when a provider performs a nasal endoscopy and dilat...