Docsity
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Docsity AI
Docsity AI
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search for your university

Find the specific documents for your university's exams

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

AAPC CPB Practice Exam: Medical Billing and Coding, Exams of Medicine

Regions Hospital School of Allied Health ProgramsMedicine

A practice test focused on medical billing and coding, specifically tailored for the aapc cpb certification. It includes multiple-choice questions covering various aspects of healthcare insurance, claim submissions, coding guidelines, and regulatory compliance. The test assesses understanding of topics such as insurance plans (hmo, epo, tricare), medicare, medigap, workers' compensation, cpt and hcpcs coding, claim form completion (cms-1500, ub-04), fraud prevention, and hipaa regulations. It is designed to evaluate the knowledge and skills required for certified professional billers in the healthcare industry, ensuring they are well-versed in the complexities of medical billing processes and compliance standards. The questions cover a wide range of scenarios and coding challenges, providing a comprehensive review of essential billing and coding practices.

Typology: Exams

2024/2025

Available from 08/08/2025

kevo-tanker
kevo-tanker 🇺🇸

4

(4)

2.6K documents

1 / 9

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
AAPC CPB - Practice Test C
1. A 6 old age-traditional is visualized in the pediatrician office for the first period. He has protection
inclusion through two together welcome mom (DOB 02/08/86 and his father (DOB 05/15/85). Whose
security is basic?
A. Mom's protection plan
B. Father's protection plan
C. The tactics that has highest in rank benefits
D. Either mother's or father's security plan resting on the one influences the teenager in for first-contact
medical care>>> A. Parent's insurance plan
2. That medical insurance plan has the patient taking care from performing providers (network
householder) and the providers are only finance services determined?
A. Health management Arrangement (HMO)
B. Point-of-Aid Plan (Mail service)
C. Unshared Householder Organization (EPO)
D. Joined Childbirth Plan (IDS)>>> C. Restricted Wage earner Arrangement (EPO)
3. That TRICARE plan is similar to an HMO plan?
A. TRICARE For all time
B. TRICARE Select
C. TRICARE Prime
D. TRICARE Teenager>>> C. TRICARE Prime
4. That of the duties are below Government-provided health care Part A?
I. Skilled Feeding Ease Care
II. Vagrant Section
III. Long-lasting Healing Supplies
IV. Hospice Care
V. Home Fitness Aids
VI. Enduring Care
pf3
pf4
pf5
pf8
pf9

Partial preview of the text

Download AAPC CPB Practice Exam: Medical Billing and Coding and more Exams Medicine in PDF only on Docsity!

AAPC CPB - Practice Test C

  1. A 6 old age-traditional is visualized in the pediatrician office for the first period. He has protection inclusion through two together welcome mom (DOB 02/08/86 and his father (DOB 05/15/85). Whose security is basic? A. Mom's protection plan B. Father's protection plan C. The tactics that has highest in rank benefits D. Either mother's or father's security plan resting on the one influences the teenager in for first-contact medical care>>> A. Parent's insurance plan
  2. That medical insurance plan has the patient taking care from performing providers (network householder) and the providers are only finance services determined? A. Health management Arrangement (HMO) B. Point-of-Aid Plan (Mail service) C. Unshared Householder Organization (EPO) D. Joined Childbirth Plan (IDS)>>> C. Restricted Wage earner Arrangement (EPO)
  3. That TRICARE plan is similar to an HMO plan? A. TRICARE For all time B. TRICARE Select C. TRICARE Prime D. TRICARE Teenager>>> C. TRICARE Prime
  4. That of the duties are below Government-provided health care Part A? I. Skilled Feeding Ease Care II. Vagrant Section III. Long-lasting Healing Supplies IV. Hospice Care V. Home Fitness Aids VI. Enduring Care

VII. Person being treated for medical problem formula drugs A. I-VII B. II, III, VI C. I, II, IV, VII D. I, IV, V>>> D. I, IV, V

  1. That is a TRUE declaration concerning Workers' insurance system? A. Skilled is no copayment for the harmed trader in workers' insurance system cases. B. The filing period for a first report of harm form is individual period from the date of the occurrence. C. Providers can balance bill a patient when rectification fee is not paid comprehensively. D. Skilled is a inferable for the harmed employee in workers' insurance system claims>>> A. There is no copayment for the harmed trader in workers' insurance system cases.
  2. Bounce up and down sees welcome general practitioner for migratory allergies. Before leaving, Bob pays the charge for the commission visit. As a favor, the surgeon's stick submits a claim to Bounce up and down's security party. If the service is below the security association, Bounce up and down can wish expected reimbursed for the commission visit. This is that type of protection model? A. Healthcare Unspecified area B. Medical insurance Plan C. Salary-for-aid (traditional inclusion) D. Health management Arrangement (HMO)>>> C. Bill-for-duty (usual cov- erage)
  3. That of the following benefits are NOT covered by all Medigap procedures? I. Part A co-protection and nursing home costs II. Skillful feeding ability care co-insurance III. Parts A & B inferable IV. Part B exuberance charges V. Overseas travel exchange A. I, II, III B. I, III C. I, IV, V

rewarded the claim but Government-provided health care has not processed or rewarded the claim. Subsequently research, the biller finds the IDs for the Medigap inclusion is not plan- ted right on the CMS 1500 claim form. That of the following format is correct for the Medigap insurer ID in Part 9a? A. 675974608 B. AETNA C. MG D. Part 9a is abandoned blank>>> C. MG

  1. When part 18 on a CMS-1500 claim form has dates valuable for inpatient care, what is filed in item 32? A. Surgeon's name and commission address the one proverb the patient in the clinic. B. Patient's name and address. C. Name and address of the convenience that determined the service D. You can leave block Article 32 blank cause block Part 33 has the necessary facts>>> C. Name and address of the ease that provided the help
  2. In accordance with CPT® department directions for Extraction-Diseased Le- sions, when skilled is a removal of a 3 cm diseased injury assets and the defect district is fixed accompanying an middle layer conclusion, by virtue of what is it stated? A. 11603, 12032- B. 11603 C. 12032 D. 11603, 12002-51>>> A. 11603, 12032-
  3. On the UB-04 claim form the type of bill (TOB) is stated accompanying four digits. That digit categorizes the type of care supported? A. Number 1 B. Number 2 C. Number 3 D. Number 4>>> C. Number 3
  4. The CPT® or HCPCS Level II code stated on a UB-04 is interpreted to what type of rule by Medical

insurance to compensate for person being treated for medical problem convenience services? A. Peripatetic Fee Categorization (APC) B. Governmental Drug Law (NDC) C. Worldwide Classification of Afflictions, 10th Rewriting, Procedural Systematize Plan (ICD-10-Desktop computer) D. Two together B and C>>> A. Vagabond Payment Categorization (APC)

  1. That of the following are universal identifiers for shielded fitness infor- mation (PHI) that can be used to recognize an individual? I. Beginning Date II. Past insane well-being condition III. Forceful records IV. Posting Address V. Record of what happened number A. I-V B. I, II, IV, V C. III, V D. I, IV>>> B. I, II, IV, V
  2. Which of the following duty type providers is necessary to recognize as- signment on Government- provided health care claims? I. Dispassionate demonstrative workshop services II. Specific radiology aids III. Duties given to Medical insurance/Government-provided health care patients IV. Streamlined advertising name for disease that is widespread bug cure and pneumococcal cure V. Physical cure aids A. I, III, and IV B. I, II, and V C. III, IV, and V D. I, III, and V>>> A. I, III, and IV
  3. A Medical insurance patient enters place for a conference from the orthopedist. The patient was

C. Commission Officer D. All of these positions need to have adequate approach to patient's' healing records>>> B. Receptionist

  1. Fees concede possibility be disagreed apiece payer cause>>> I. The help is not medically unavoidable. II. The claim was coded mistakenly. III. The environments of the fee tactics were due. IV. The patient's protection was terminated following the duty. V. The householder is credentialed accompanying diversified protection plans. VI. The wrong place valuable was submitted. VII. The NPI for the wage earner is wrong. VIII. As well individual limiter was joined to a process code. A. I, II, IV, VI, VII, VII B. I, II, III, VI, VII C. I, II, III, IV, V, VII, VIII D. I-VIII>>> B. I, II, III, VI, VII
  2. Nursing homes advertising for inpatient aids are established that of the attend- ing compensation? A. Able to move under own power Fee Classifications (APC) B. Government-provided health care Asperity-Disease Accompanying Groups (MS-DRG) C. Fee for Aid D. Person being treated for medical problem Potential Fee Whole (OPPS)>>> B. Government-provided health care Severity-Di- agnosis Connected Groups (MS-DRG)
  3. Extrinsic cause codes report the degree encircling an harm or disease. That statement is Real concerning extrinsic cause codes? A. Outside cause codes will continually be rebuffed by marketing carriers. B. All outside cause codes hold seven individualities. C. Outside cause codes are only stated on the primary encounter. D. Payer policy concede possibility dictate by means of what extrinsic cause codes are stated>>> D. Payer tactics can dictate by what method external cause codes are stated.
  4. A "moderate" meddle UCR is>>>

A. What Medical insurance deems intelligent B. A calculating prediction for a particular aid established all the claims dossier presented by individual doctors and group practices. C. A compensation that meets the criteria of typical and established charges or (afterwards appropriate peer review) is substantiated by way of the distinctive class of a case. D. The fee mainly loaded by an individual doctor or group for the aid (the claim form charge)>>> C. A compensation that meets the tests of usual and established charges or (afterwards appropriate peer review) is substantiated by way of the distinguished income of a case.

  1. A 35-year-traditional female appendage of an HMO ends in consideration of an out-of-net- work concentration hospital for judgment and surgery cause she perceived that this hospital determines superior duties. The hospital submits claims totaling $15,000 for all duties determined to this appendage. The security would usually have rewarded $10,000 for an in-network householder for the same aids. This security would seemingly pay in this manner A. Pay the $10,000 it would have compensated leaving the patient being the reason for the balance B. Pay the $15,000 because it was reasonable for the patient in consideration of a superior ease C. Pay nothing as this householder was out-of-network D. Bargain accompanying the householder to accept the $10,000 as fee entirely>>> C. Pay nothing as this wage earner was out-of-network
  2. Last of each era, day-to-day deposits endure be balanced. That of the following parts concede possibility the routine deposits be equalized against? I. Charges II. Individual fee receipts III. Mail proceeds IV. Co-pays due V. Deductibles due A. IV and V B. II and III C. I, IV, and V D. I, II, and III>>> B. II and III