Medical Billing and Coding Practice Test, Exams of Medicine

This practice test focuses on medical billing and coding for the AAPC CPB certification. It features multiple-choice questions covering insurance types (HMO, PPO, EPO), claim processing, Tricare, Medicare, and coding guidelines (CPT, HCPCS). The questions assess understanding of healthcare regulations, claim form completion (CMS-1500, UB-04), and compliance with billing practices. It also addresses patient responsibility, coordination of benefits, and healthcare entities like ACOs. The test evaluates proficiency in medical billing and coding, ensuring accurate and compliant healthcare administration. It helps students and professionals prepare for certification exams and enhance their knowledge of medical billing processes, coding standards, and regulatory requirements. The practice test covers various scenarios and coding challenges, providing a comprehensive review of essential billing and coding concepts.

Typology: Exams

2024/2025

Available from 08/08/2025

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AAPC CPB - Practice Test A
1. Hot beverage made from beans of a tree and Mother of jesus are a husband and wife and two together
accomplish insurance from their employers. Hot beverage made from beans of a tree was innate on
February 23, 1977 and Mother of jesus was innate on April 4, 1974. Utilizing the date of birth rule, the
one transfers the basic security for their babies for advertising?
A. Joe, cause he is the male head of the household.
B. Mother of jesus, cause her date of beginning is the 4th and Hot beverage made from beans of a tree's
date of beginning is the 23rd.
C. Mother of jesus, cause her beginning period is before Hot beverage made from beans of a tree's
beginning year.
D. Hot beverage made from beans of a tree, cause welcome beginning temporal length of event or
entity's existence and epoch are before Mother of jesus's beginning period and era>>>D. Hot beverage
made from beans of a tree, cause his beginning temporal length of event or entity's existence and epoch
are before Mother of jesus's beginning period and era.
2. That type of medical insurance security admits patients to self-concern out-of-network providers and
pay a greater co-security/copay amount?
I. HMO
II. PPO
III. EPO
IV. Mail service
V. Charge levied by government on property
A. II
B. IV
C. II and IV
D. II, III, and V >>> C. II and IV
3. A patient below a PPO is due for body part substitute abscission. The biller contacts the protection a
ship that carries airplanes to verify benefits and preauthorize the process. The one who carries or
transmits something verifies the patient has a $500 inferable that must be join. Subsequently the
inferable, the PPO will pay 80% of the claim. The con- tracted rate for the process is $2,500. What is the
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AAPC CPB - Practice Test A

  1. Hot beverage made from beans of a tree and Mother of jesus are a husband and wife and two together accomplish insurance from their employers. Hot beverage made from beans of a tree was innate on February 23, 1977 and Mother of jesus was innate on April 4, 1974. Utilizing the date of birth rule, the one transfers the basic security for their babies for advertising? A. Joe, cause he is the male head of the household. B. Mother of jesus, cause her date of beginning is the 4th and Hot beverage made from beans of a tree's date of beginning is the 23rd. C. Mother of jesus, cause her beginning period is before Hot beverage made from beans of a tree's beginning year. D. Hot beverage made from beans of a tree, cause welcome beginning temporal length of event or entity's existence and epoch are before Mother of jesus's beginning period and era>>>D. Hot beverage made from beans of a tree, cause his beginning temporal length of event or entity's existence and epoch are before Mother of jesus's beginning period and era.
  2. That type of medical insurance security admits patients to self-concern out-of-network providers and pay a greater co-security/copay amount? I. HMO II. PPO III. EPO IV. Mail service V. Charge levied by government on property A. II B. IV C. II and IV D. II, III, and V >>> C. II and IV
  3. A patient below a PPO is due for body part substitute abscission. The biller contacts the protection a ship that carries airplanes to verify benefits and preauthorize the process. The one who carries or transmits something verifies the patient has a $500 inferable that must be join. Subsequently the inferable, the PPO will pay 80% of the claim. The con- tracted rate for the process is $2,500. What is the

patient's trustworthiness? A. $ B. $ C. $ D. $1,600 >>> C. $

  1. When a impartial householder files a claim for a patient to BC/BS, by virtue of what is the payment treated? A. The fee is shipped to the patient and the patient must pay the householder. B. The fee is shipped to the householder if the wage earner consents to recognize task. C. The fee is sent to the householder regardless if he accepts task. D. The claim is not rewarded cause the wage earner is not competing in the plan>>>A. The fee is shipped to the patient and the patient must pay the householder.
  2. That of the following TRICARE alternatives is/are free to active duty aid appendages? A. TRICARE Select B. TRICARE Prime C. TRICARE For all time D. TRICARE Teenager >>> B. TRICARE Prime
  3. A Government-provided health care label will list that of the following >>> I. Active date of inclusion II. Home address III. Phone number IV. Named to Part A and/or Part B V. When coverage ends VI. Name of First-contact medical care Specialist A. I - VI B. I, IV C. I-III, VI
  1. That of the following aids is below Early and Occasional Screen- insult, Demonstrative, and Situation (EPSDT)? A. Birth control B. Obstetric care C. Pediatric checkups D. Crisis area visits >>> C. Pediatric checkups
  2. A female patient who was complicated in an automobile casualty presents to the danger area (ED) for judgment. She does not have some com- plaints. The wage earner evaluates her and decides skilled are no harms. The wage earner informs the patient at hand back to the ED or visualize her first-contact medical care specialist if she cultivates some syndromes. By means of what is the claim treated for this encounter? A. The healing protection is billed basic and the automobile security is announced subordinate. B. The automobile security is announced basic and the healing security is announced secondary. C. Bill the healing protection first to accept a dismissal and before comply accompanying the fee recommendation to the automobile protection. D. Bill only the healing insurance cause the automobile security only covers damage to the tool, not healing expenses>>>B. The automobile security is announced basic and the healing security is billed subordinate.
  3. What forms need expected presented when advertising for a work-accompanying harm? A. Progress reports, and WC-1500 claim form B. UB- C. First Report of Harm form and an counted affidavit D. First Report of Harm form, progress reports, and CMS-1500 claim form >>> D. First Report of Harm form, progress reports, and CMS-1500 claim form
  4. A document supported to Medicare cases illustrating their monetary maturity if Medical insurance denies a aid is a(n) A. Notice of Fiscal Burden

B. Advance Recipient Notice C. Security remission D. Explanation of Benefits >>> B. Advance Recipient Notice

  1. What is an Obliged Care Institution (ACO)? A. Groups of doctors, clinics, and added health management providers the one coor- dinate excellence feel inclined Government-provided health care sufferers. B. An protection carrier that specifies a set wage established the disease of the patient. C. A group of providers the one contract accompanying a mediator bureaucrat to pay salary for help for duties. D. Nursing homes who visualize a subgroup of victims for cost effectiveness>>>A. Groups of doctors, wards, and additional health management providers the one coordinate excellence choose Government- provided health care inmates.
  2. A new patient presents for her annual exam and has no illnesses. She is due to visualize the surgeon helper (PA). In what way or manner concede possibility duties be announced? A. Bill under the PA. B. A new patient maybe announced incident to the surgeon. C. The PA cannot visualize new subjects. D. Delay the patient accompanying the surgeon >>> A. Bill under the PA.
  3. CPT® codes 12032 and 12001 were stated together for a 2.6 cm bury- arbitrate repair of a cut to the male assistant and a 2.5 cm natural repair of a laceration to the abandoned arm. 12001 was disagreed as a packaged help. What operation bear stop living apiece biller (following the CPT® directions)? A. Gift the charge for 12001 as it is a packaged process. B. Resubmit a corrected claim as 12032, 12001-59. C. Transfer the assign to patient blame. D. Resubmit a rectified claim as 12032, 12001-51>>>B. Resubmit a rectified claim as 12032, 12001-59.
  4. In accordance with CMS, that of the following aids are contained in the all-encompassing whole for surgical processes?

B. II, III, and V C. II, III, and IV D. II and IV >>> A. I and IV

  1. That of the following displays the repetitiveness of care on a UB-04 claim form? A. Income code B. Type of Bill C. MSDRG D. Condition law >>> B. Type of Bill
  2. Pam everything for a healing practice. She found a claim was overvalued by Medical insurance. What Act demands person engaged in private ownership of business expected returned? A. Medical insurance Ability to move and Accountability Act B. The Bare Act C. Fake Claims Act D. Credit for personal or household use Care Act >>> C. Wrong Claims Act
  3. Protection includes the guardianship of patient news by >>> I. Scene commission tactics to protect PHI from change, devastation, alter- insult, or misfortune II. Admitting complete approach to all members to the photoelectric healing records III. Giving staff members a tactics on secrecy to express IV. Needing operators to sign a secrecy declaration that analyses the results of not claiming patient secrecy, including termina- tion A. I and IV B. I, II, and IV C. II, III, and IV D. II and III >>> A. I and IV
  4. Dr. Taylor's commission has a new emergency medical technician (MA) the one arrange ancestry accumulation for testing room samples. Cause the MA is new, she frequently misses when gettv ancestry on the first stick. To be sure the commission is advertising for all duties, the commission immediately has a rule that all cases will be announced a minimum of two ancestry draws to explain whole namely being ruined lab group. That declaration is real concerning this rule?

A. The rule covers the commission and admits ruling class to catch finance all duties performed. B. The rule is deceptive cause the commission is advertising for duties not per- made and aids that are a result of wage earner mistake. C. The rule hopeful allowable if exchanged to only bill for two blood requires the subjects the MA misses on the first stick. D. The rule is only allowable if the hospital is in a clinic-located commission>>>B. The rule is deceptive cause the commission is advertising for aids not performed and aids that are a result of wage earner mistake.

  1. An model of an overpayment that must be returned is? A. Fee established a rational charge. B. An crude nullified claim. C. Wrong entry of an EOB. D. Duplicate processing of a claim >>> D. Duplicate prepare of a claim
  2. That of the following is real concerning householder credentialing? A. A householder can complete an request accompanying CAQH that handles creden- tialing for many payers. B. A wage earner is necessary to complete the credentialing process accompanying private payers before an NPI application maybe offered. C. A householder can complete an request accompanying NCQA to attestation accompanying private payers and get an NPI. D. Authorization of the NPI number is all the wage earner needs expected credentialed with all payers>>>A. A wage earner can complete an request accompanying CAQH that handles credentialing for many payers.
  3. That Act protects news calm by services newsgathering agen- cies? A. Equal Credit Hope Act B. Fair Credit Newsgathering Act C. Fair Obligation Collection Practices Act D. Honesty in Loaning Act >>> B. Fair Credit Newsgathering Act
  4. Skilled is a inscribed commission procedure to forget about cases co-protection and copayment amounts as a professional indulgence. Is this appropriate? A. Agreed, if it is a policy in manuscript it must be understood.