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Examen

AAPC CPB Chapter 3 Exam Review — Patient Registration, Insurance Verification & Claim Processing (Medical Billing & Coding, 2025/2026 Edition)

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This document provides an exam review with practice questions and answers for AAPC CPB (Certified Professional Biller) Chapter 3. It covers front-office processes including patient registration, check-in and check-out procedures, insurance verification, appointment reminders, claim life cycle, clean claims, coordination of benefits, Blue Cross ID formats, group numbers, consent for payment, and claim submission through clearinghouses. The content is structured in Q&A format, making it a focused study tool for exam preparation and billing workflow mastery.

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AAPC CPB Ch 3 Exam Review


What process would NOT be performed at the check-out process?
a. Follow-up appointments
b. Collection of copays or deductibles
c. Patient registration process
d. Review of charge ticket or encounter form
Patient registration process


Which of the following processes could result in lost charges?
a. Balance the charge tickets, copays, and the amounts posted in the PMS with the
daily appointment schedule
b. Batch dates of service and post as a batch date
c. Posting charges and payment in different batches with no balancing
d. The total of daily charge tickets and the amount posted in the PMS balance
Posting charges and payment in different batches with no balancing


Which statement is TRUE regarding appointment reminders?
a. Appointment reminders can be sent via text.
b. The staff time required for appointment reminders makes it unnecessary to remind
patients of upcoming appointments.
c. You must have a HIPAA authorization for release of information to send appointment
reminders.
d. Appointment reminders do not help mitigate the risk of missed appointments.
Appointment reminders can be sent via text.


When does the processing of an insurance claim for a patient begin?
When the appointment is scheduled


In what circumstance would the check-out process be unnecessary?
a. The patient has services performed that are not covered by the insurance
b. The patient had a procedure performed in addition to the E/M

, c. The patient needs to make a follow-up appointment
d. The patient made a copay during the check-in process and no follow up appointment
is necessary
The patient made a copay during the check-in process and no follow up appointment is
necessary


Which of the following is true when entering patient data information into a PMS?
a. Review the information annually for correctness
b. Enter the patient information accurately from the insurance card and patient
registration form
c. Assume the information is correct
d. The format of the information is not important but must be entered
Enter the patient information accurately from the insurance card and patient registration
form


When charges are entered and all required components are verified by the claims
editing system, what would this be considered as?
A clean claim


If your clinic has patients that do not show for their scheduled appointments, what would
be considered a good clinical practice?
a.
Charge as if the patient had been seen
b.
Double book all appointments
c.
Make reminder calls 1-2 days in advance
d.
Not schedule them again
Make reminder calls 1-2 days in advance


When a fee ticket (encounter form) is not completed, what procedure would NOT be
acceptable?
a. Complete the form based on medical record documentation
b. Query the provider for the procedure/service and diagnosis
c. Post the service as a no charge

Información del documento

Subido en
10 de septiembre de 2025
Número de páginas
6
Escrito en
2025/2026
Tipo
Examen
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