CPB

Mock CPB Exam Question and answers, 100% Accurate. Verified. Court decisions that establish a standard use legal decisions to serve as authoritative rules or patterns in future similar cases. The legal term for standard is ______. a. decision b. example c. precedent d. statute - -precedent Which is established in advance and based on reported health care charges from which a predetermined per diem rate is determined? a. prospective cost-based rate b. retrospective reasonable c...

CPB PRACTICE EXAM C, Questions and answers, 100% Accurate. Approved. A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. - -The birthday rule states the ...

CPB Practice Exam Questions and answers, 100% Accurate. Verified. Managed care organization were created to manage benefits and to develop participating provider networks. Managed care can now be categorized according to six models. Which model below listed below is not considered managed care? A. Triple Option Plan (TOP) B. Integrated Delivery System (IDS) C. Health Maintenance Organization (HMO) D. Value-added Network (VAN) - -D. Value-added Network (VAN) Medicare Part ______ hel...

CPB Exam Questions and answers, 100% Accurate, rated A+ Abuse - -An action that results in unnecessary costs to a federal healthcare program, directly or indirectly. Anti-kickback - -Knowingly and willfully offering or accepting rewards or remuneration for services that are billable to a federal healthcare plan. Benefiiciary - -An individual that is eligible for Medicare or Medicaid benefits based on the CMS guidelines. Conditions of Participation (CoP) - -Conditions that healthcar...

CPB Exam Questions and answers, 100% Accurate. Graded A+. A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? - -Mother Which managed care plan has the patient receiving care from participating providers (network provider) and the providers are only paid for services provided? - -Exclusive Provider Organization Which TRICARE plan is similar to an...

CPB Practice Exam A. Questions & Answers. 100% Accurate. Rated A+ 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? - -workers' compensation, 121+ days Using the fee schedule and the payment policy provided, what is the expected reimbursement (including patient resp...

CPB Practice Exam Questions and answers, 100% Accurate. Graded A+ Who is covered by CHAMPVA? A) Veterans with service-connected disabilities and their family B) Active duty military and their families C) Retired military and their families D) Active duty military over the age of 65 - -A) Veterans with service-connected disabilities and their families Patient is brought to the local urgent care after falling from a ladder while hanging exterior lights on his house. X-rays revealed a c...

CPB Final Exam Questions & Answers, 100% Accurate. Graded A+ EPO - -...provides benefits to subscribers who are required to receive services from network providers IDS - -...organizations of affiliated providers sites that offer joint healthcare services to subscribers HMO - -...providers comprehensive healthcare services to voluntarily enrolled members on a prepaid basis POS - -...patients can use the managed care panel of providers (paying discounted healthcare cost) or self-refe...

CPB Certified Professional Biller Certification, Questions & Answers, rated A+ Abuse - -Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - -Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - -The amount owed to a business for services or goods provided. Accounts Receivable Aging Report - -Shows the status (by date) of outstanding cl...

CPB PRACTICE EXAM QUESTIONS AND ANSWERS, Graded A. Verified. 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 - -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 PERMANEN...