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

A practice test for the aapc cpb (certified professional biller) exam. It includes multiple-choice questions covering various aspects of medical billing, insurance, and healthcare regulations. The questions assess knowledge of topics such as insurance types (hmo, ppo, epo, tricare), claim submission processes, coding (cpt, hcpcs, icd-10), and compliance with regulations like hipaa and the false claims act. The test also covers scenarios related to patient billing, coordination of benefits, and understanding of healthcare programs like medicare and medicaid. This practice test is designed to help aspiring medical billers prepare for certification and demonstrate their understanding of billing practices and healthcare policies. It provides a comprehensive review of essential concepts and procedures in medical billing.

Typology: Exams

2024/2025

Available from 08/08/2025

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AAPC CPB Practice Test
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 airs the basic protection for their youngsters 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 old age 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 period and epoch are before
Mother of jesus's beginning temporal length of event or entity's existence and era. >>>D. Hot beverage
made from beans of a tree, because welcome beginning period and era are before Mother of jesus's
beginning temporal length of event or entity's existence and era.
2. That type of medical insurance security admits patients to self-concern out-of-network providers and
pay a bigger co-security/copay amount?
I. HMO
II. PPO
III. EPO
IV. Location of mail service
V. Income
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 section. The biller contacts the security a ship
that carries airplanes to verify benefits and preauthorize the process. The warship verifies the patient
has a $500 inferable that must be join. Later 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 blame?
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AAPC CPB Practice Test

  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 airs the basic protection for their youngsters 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 old age 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 period and epoch are before Mother of jesus's beginning temporal length of event or entity's existence and era. >>>D. Hot beverage made from beans of a tree, because welcome beginning period and era are before Mother of jesus's beginning temporal length of event or entity's existence and era.
  2. That type of medical insurance security admits patients to self-concern out-of-network providers and pay a bigger co-security/copay amount? I. HMO II. PPO III. EPO IV. Location of mail service V. Income 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 section. The biller contacts the security a ship that carries airplanes to verify benefits and preauthorize the process. The warship verifies the patient has a $500 inferable that must be join. Later 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 blame?

A. $

B. $

C. $

D. $1,600 >>>C. $

  1. When a neutral householder files a claim for a patient to BC/BS, how is the fee treated? A. The fee is shipped to the patient and the patient must pay the householder. B. The fee is shipped to the wage earner if the householder consents to recognize responsibility. C. The payment is shipped to the householder regardless if he accepts task. D. The claim is not rewarded cause the householder is not engaging in in the plan. >>>A. The fee is shipped to the patient and the patient must pay the wage earner.
  2. That of the following TRICARE alternatives is/are available to full-time military service duty appendages? A. TRICARE Select B. TRICARE Prime C. TRICARE Lasting D. TRICARE Teenager >>>B. TRICARE Prime
  3. A Medical insurance program will list that of the following I. Active date of inclusion II. Home address III. Phone number IV. Entitled to Part A and/or Part B V. When inclusion ends VI. Name of First-contact medical care Surgeon A. I - VI B. I, IV C. I-III, VI D. I, II, IV, V >>>B. I, IV

(EPSDT)?

A. Birth control B. Obstetric care C. Pediatric checkups D. Emergency area visits >>>C. Pediatric checkups

  1. A female patient the one 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 injuries. The householder updates the patient at hand back to the ED or visualize her first- contact medical care surgeon if she evolves some syndromes. By what method is the claim treated for this encounter? A. The medical protection is announced basic and the automobile security is announced subordinate. B. The automobile security is announced basic and the healing insurance is announced subordinate. C. Bill the healing protection first to sustain a dismissal and therefore endure accompanying the fee recommendation to the automobile insurance. D. Bill only the healing protection cause the automobile security only covers damage to the automobile, not healing expenses. >>>B. The automobile protection is announced primary and the healing protection is announced subordinate.
  2. What forms need expected offered when advertising for a work-connected harm? A. Progress reports, and WC-1500 claim form B. UB- C. First Report of Harm form and an counted report D. First Report of Injury form, progress reports, and CMS-1500 claim form >>>D. First Report of Harm form, progress reports, and CMS-1500 claim form
  3. A document determined to Government-provided health care victims defining their monetary accountability if Medical insurance denies a duty is a(n) A. Notice of Fiscal Debt B. Advance Recipient Notice

C. Insurance remission D. Reason of Benefits >>>B. Advance Recipient Notice

  1. What is an Obliged Care Institution (ACO)? A. Groups of doctors, clinics, and different health management providers the one coor- dinate excellence enjoy Medicare victims. B. An security shipper that supplies a set cost established the disease of the patient. C. A group of providers the one contract accompanying a mediator executive to pay expense for service for aids. D. Nursing homes the one visualize a subdivision of subjects for cost effectiveness. >>>A. Groups of doctors, wards, and additional health management providers the one coordinate excellence care to Government-provided health care sufferers.
  2. A new patient presents for her annual test and has no illnesses. She is due to visualize the doctor helper (PA). By means of what endure aids be billed? A. Bill under the PA. B. A new patient maybe announced occurrence to the doctor. 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- intercede repair of a laceration to the male assistant and a 2.5 cm natural repair of a cut to the abandoned arm. 12001 was disagreed as a packaged aid. What operation endure surrender apiece biller (following the CPT® directions)? A. Write-off the charge for 12001 as it is a packaged process. B. Resubmit a rectified claim as 12032, 12001-59. C. Transfer the accredit patient trustworthiness. D. Resubmit a rectified claim as 12032, 12001-51. >>>B. Resubmit a rectified claim as 12032, 12001-
  4. In accordance with CMS, that of the following duties are contained in the global bundle for surgical processes?

codes V. Specialist aids are stated accompanying ICD-10-Desktop computer codes A. I and IV B. II, III, and V C. II, III, and IV D. II and IV >>>A. I and IV

  1. Which of the following signifies the repetitiveness of care on a UB-04 claim form? A. Income rule 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 Government-provided health care. What Act demands person engaged in private ownership of business to be returned? A. Medical insurance Ability to move and Responsibility Act B. The Bare Act C. Wrong Claims Act D. Credit for personal or household use Care Act >>>C. Dishonest Claims Act
  3. Freedom includes the safekeeping of patient facts by (answer) I. Background commission tactics to defend PHI from change, devastation, interfere- insult, or misfortune II. Admitting adequate access to all agents to the photoelectric healing records III. Bestowing laborers a tactics on secrecy to express IV. Needing attendants to sign a secrecy report that details the results of not claiming patient secrecy, containing 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 specimens. Cause the MA is new, she frequently misses when gettv

ancestry on the first stick. Without doubt the commission is advertising for all duties, the commission immediately has a rule that all cases will be announced a minimum of two blood draws to manifest whole namely being ruined testing room accumulation. That charge is real concerning this rule? A. The rule covers the commission and allows bureaucracy to catch finance all duties acted. B. The rule is false cause the commission is advertising for duties not per- made and duties that are a result of provider mistake. C. The rule hopeful allowable if exchanged to only bill for two ancestry has recourse to the subjects the MA misses on the first stick. D. The rule is only permissible if the hospital is in a nursing home-located commission. >>>B. The rule is fraudulent cause the commission is advertising for aids not acted and aids that are a result of wage earner wrong.

  1. An instance of an overpayment that must be returned is? A. Fee based on a judicious charge. B. An crude canceled claim. C. Wrong entry of an EOB. D. Duplicate alter of a claim >>>D. Duplicate deal with of a claim
  2. That of the following is real concerning householder credentialing? A. A householder can complete an application 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 request maybe presented. C. A householder can complete an request accompanying NCQA to references with private payers and acquire an NPI. D. Authorization of the NPI number is all the householder needs expected credentialed accompanying all payers. >>>A. A wage earner can complete an request accompanying CAQH that handles credentialing for many payers.
  3. That Act protects news collected by services newsgathering agen- cies? A. Equal Credit Moment Act B. Fair Credit Newsgathering Act C. Fair Arrears Group Practices Act D. Validity in Loaning Act >>>B. Fair Credit Newsgathering Act