AAPC – CPB – CHAPTER 3 REVIEW EXAM – FULL QUESTIONS AND ANSWERS –
QUESTIONS 1 TO 25
QUESTION# 1
The type of coverage that a patient has and what services are covered is
defined as the patient’s insurance ___________.
A. Correct: Benefits
B. Deductible
C. Co-insurance
D. Out-of-network
Feedback: Rationale: The definition of benefits is the type of coverage that a
patient has – whether medical, dental, or vision.
QUESTION# 2
What information can be released based on this Disclosure form?
AAPC Physician Practice are authorized to make the disclosure.
The type of information to be used or disclosed is as follows:
____ Problem list ____ Medication list
____ List of allergies ____ Immunization records
____ Most recent history __X_ Most recent discharge summary
__X__ Lab results (dates or types) ______________________
__X__ X-Ray and imagining reports (dates or types) _________________
____ Consultation reports from ___________________________________
___ Entire record
A. The most recent visit
B. Entire record
C. Lab and X-ray
D. Correct: Discharge summary, lab, and X-ray
, Feedback: Rationale: The discharge summary, lab, and X-ray can be
disclosed to the individual(s) listed on the disclosure form. This would not
pertain to release of information for treatment, payment, or operations.
QUESTION# 3
Which of the following would represent a typical Blue Cross ID number?
A. 123456789B
B. GHURWK45
C. Correct: FEP555223113
D. M106325
Feedback: Rationale: BCBS ID numbers typically have a three-letter prefix,
followed by a nine-digit number.
QUESTION# 4
Patient is seen and billed for a 99213 for $75.00. She has a policy that pays
80% of the allowable amount which is $68.00. What is the patient
responsibility and amount to collect for the visit?
A. $15.00
B. $61.40
C. Correct: $13.60
D. $10.00
Feedback: Rationale: Policy pays 80% of $68 (contracted amount) with 20%
of $68 being patient responsibility, $13.60.
QUESTION# 5
The group number on the insurance card is used to identify which of the
following?
A. The insured
B. Correct: The covered employer group
C. The insurance company
D. The policy number
QUESTIONS 1 TO 25
QUESTION# 1
The type of coverage that a patient has and what services are covered is
defined as the patient’s insurance ___________.
A. Correct: Benefits
B. Deductible
C. Co-insurance
D. Out-of-network
Feedback: Rationale: The definition of benefits is the type of coverage that a
patient has – whether medical, dental, or vision.
QUESTION# 2
What information can be released based on this Disclosure form?
AAPC Physician Practice are authorized to make the disclosure.
The type of information to be used or disclosed is as follows:
____ Problem list ____ Medication list
____ List of allergies ____ Immunization records
____ Most recent history __X_ Most recent discharge summary
__X__ Lab results (dates or types) ______________________
__X__ X-Ray and imagining reports (dates or types) _________________
____ Consultation reports from ___________________________________
___ Entire record
A. The most recent visit
B. Entire record
C. Lab and X-ray
D. Correct: Discharge summary, lab, and X-ray
, Feedback: Rationale: The discharge summary, lab, and X-ray can be
disclosed to the individual(s) listed on the disclosure form. This would not
pertain to release of information for treatment, payment, or operations.
QUESTION# 3
Which of the following would represent a typical Blue Cross ID number?
A. 123456789B
B. GHURWK45
C. Correct: FEP555223113
D. M106325
Feedback: Rationale: BCBS ID numbers typically have a three-letter prefix,
followed by a nine-digit number.
QUESTION# 4
Patient is seen and billed for a 99213 for $75.00. She has a policy that pays
80% of the allowable amount which is $68.00. What is the patient
responsibility and amount to collect for the visit?
A. $15.00
B. $61.40
C. Correct: $13.60
D. $10.00
Feedback: Rationale: Policy pays 80% of $68 (contracted amount) with 20%
of $68 being patient responsibility, $13.60.
QUESTION# 5
The group number on the insurance card is used to identify which of the
following?
A. The insured
B. Correct: The covered employer group
C. The insurance company
D. The policy number
