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Pass AAPC Certification CPB Exam With 245 Questions
NEW QUESTION # 140
CMP
- A. Insurance claim used by noninstitutional providers and supplier to bill payers
- B. Centers of Medicare and Medicaid Services
- C. UB04 Claim used by institutional and other selected providers to
- D. Competitive Medical Plan
Answer: D
NEW QUESTION # 141
What is the primary purpose of a compliance program in a medical billing office?
- A. Prevent fraud, waste, and abuse
- B. Reduce staffing needs
- C. Increase reimbursement
- D. Speed up claim payments
Answer: A
Explanation:
Compliance programs help prevent improper billing, fraud, and regulatory violations.
NEW QUESTION # 142
Adjusted Claim is payment correction resulting in additional payment(s) to the provider.
- A. TRUE
- B. FALSE
Answer: A
NEW QUESTION # 143
Ambulatory Payment Classification (APC) is prospective payment system used to calculate reimbursement for outpatient care according to similar clinical characteristics and in terms of resources required.
- A. TRUE
- B. FALSE
Answer: A
NEW QUESTION # 144
The medical word root "hyster" or "hyster/o" refers to the:
- A. condition
- B. pertaining to
- C. uterus, womb
Answer: C
NEW QUESTION # 145
EPO
- A. Early and Periodic screening, diagnostic, and treatment
- B. Exclusive provider organization
- C. Electronic Remittance Advice
- D. External Quality Review Organization
Answer: B
NEW QUESTION # 146
What is Blue Cross (BC)?
- A. Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
- B. Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 21 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
- C. Insurance plan created in 1929 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
- D. Insurance plan created in 1930 when Baylor University Hospital, in Dallas, TX, approached teachers in Dallas school district with a plan that guaranteed up to 20 days of hospitalization per year for subscribers and each dependent for a $6 annual premium.
Answer: B
NEW QUESTION # 147
Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.
- A. TRUE
- B. FALSE
Answer: A
NEW QUESTION # 148
What does it mean by dacry?
- A. sweat
- B. stool
- C. urine
- D. tear
Answer: D
NEW QUESTION # 149
Ambulatory Surgical Center (ASC) includes State Licensed Medicare-certified supplier (not provider) of surgical healthcare services that must accept assignment on Medicare Claims.
- A. TRUE
- B. FALSE
Answer: A
NEW QUESTION # 150
The medical prefix "hyper-" means:
- A. condition
- B. uterus, womb
- C. above, excessive
Answer: C
NEW QUESTION # 151
di
- A. pain
- B. separation
- C. two
- D. bad, painful
Answer: C
NEW QUESTION # 152
What are Category II codes?
- A. Procedures/ services identified by a five digit CPT code and descriptor nomenclature; these codes are traditionally associated with CPT and organized within six sections.
- B. Temporary codes for data collection purposes that are assigned an alphanumeric identifier with a letter in the last field (e.g., 0001T) these codes are located after the Medicine section, and will be archived after five years unless accepted for placement within Category I sections of CPT.
- C. Optional performance measurement tracking codes that are assigned an alphanumeric identifier with a letter in the last field (e,g.,1234A); these codes will be located after the medicine section; their use is optional.
Answer: C
NEW QUESTION # 153
What does it mean by graphy?
- A. process of publishing
- B. process of recording
Answer: B
NEW QUESTION # 154
What does "timely filing" refer to?
- A. Electronic claim submission
- B. Submitting claims quickly
- C. Same-day billing
- D. Submitting claims within payer-specific deadlines
Answer: D
Explanation:
Timely filing means submitting claims within the time limits set by the payer.
NEW QUESTION # 155
Cafeteria plan is also called triple option plan; provides different health benefits plans and extra coverage options through an insure or third-party administrator.
- A. TRUE
- B. FALSE
Answer: A
NEW QUESTION # 156
Which of the following suffixes refers to in?
- A. ex
- B. en
- C. red
- D. extra
Answer: B
NEW QUESTION # 157
bronch
- A. bronchial tube
- B. neck, cervix
- C. heart
- D. head
Answer: A
NEW QUESTION # 158
CRI
- A. CHAMPUS Reform Initiative
- B. Debt Collection Assistance Officer
- C. Customized SubCapitation Plan
- D. Computed Tomography
Answer: A
NEW QUESTION # 159
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