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AAPC CPB PRACTICE EXAM WITH 100% QUESTIONS AND ANSWERS[ALREADY GRADED A+] CORRECT DETAILED

AAPC CPB PRACTICE EXAM WITH 100% QUESTIONS
AND ANSWERS[ALREADY GRADED A+] CORRECT
DETAILED

Which of the following TRICARE options is/are available to active duty service
members?

A. TRICARE Select
B. TRICARE Prime
C. TRICARE For Life
D. TRICARE Young Adult - answer-B. TRICARE Prime

A Medicare card will list which of the following:

I. Effective date of coverage
II. Home address
III. Telephone Number
IV. Entitled to Part A and/or Part B
V. When coverage ends
VI. Name of Primary Care Physician

A. I - VI
B. I, IV
C. I-III, VI
D. I, II, IV, V - answer-B. I, IV

Joe and Mary are a married couple and both carry insurance from their employers. Joe
was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday
rule, who carries the primary insurance for their children for billing?

A. Joe, because he is the male head of the household.
B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd.
C. Mary, because her birth year is before Joe's birth year.
D. Joe, because his birth month and day are before Mary's birth month and day. -
answer-D. Joe, because his birth month and day are before Mary's birth month and day.

Which type of managed care insurance allows patients to self-refer to out-of-network
providers and pay a higher co-insurance/copay amount?

I. HMO
II. PPO
III. EPO
IV. POS
V. Capitation

A. II
B. IV
C. II and IV
D. II, III, and V - answer-C. II and IV

A patient covered by a PPO is scheduled for knee replacement surgery. The biller
contacts the insurance carrier to verify benefits and preauthorize the procedure. The
carrier verifies the patient has a $500 deductible which must be met. After the
deductible, the PPO will pay 80% of the claim. The contracted rate for the procedure is
$2,500. What is the patient's responsibility?

A. $400
B. $500
C. $900
D. $1,600 - answer-C. $900

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Specificaties

Niveau: University
School: Walden University
Opleiding: NURSING
Document
Rubriek: Tentamens
Gemaakt op: 07-06-2024
Type: .pdf
Pagina's: 169
Taal: Nederlands

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