AAPC CPB Chapter 11 Practical Question Well Elaborated 2024/2025

Use CPB Chapter 11_Case to answer questions 1 & 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. The provider must accept assignment II. Provider name conflict III. Medicare ID number is missing information IV. Medicaid ID number is missing information V. Medicare ID number in the wrong field VI. Medicaid ID number in the wrong field VII. Ordering provider name and NPI VIII. Place of service code IX. Diagnosis code(s) X. Diagnosis pointer(s) A. I, V, VI, and X B. I, VI, IX, and X C. III, IV, VIII, and IX D. There are no errors on this claim. - B. I, VI, IX, and X Response Feedback: When providers provide physician services to individuals dully entitled to Medicare and Medicaid, they are required to accept assignment. The patient's Medicaid number should be listed in item 10d. For Medicare, only one diagnosis pointer is entered per line item. Apnea NOS is not mentioned in the medical record. Use CPB Chapter 11_Case to answer the following question. What should be done to correct this claim? I. Correct assignment on the claim. II. Correct primary insurance information on the claim. III. Correct secondary insurance information on the claim. IV. Correct the provider information on the claim. V. Correct the diagnosis on the claim. VI. Correct the diagnosis pointer(s) on the claim. A. III and IV B. I, III, V, and VI C. I - VI D. None of the above. - B. I, III, V, and VI Response Feedback: When providers provide physician services to individuals dully entitled to Medicare and Medicaid, they are required to accept assignment. The patient's Medicaid number should be listed in item 10d. For Medicare, only one diagnosis pointer is entered per line item. Apnea NOS is not mentioned in the medical record.