AAPC CPB - Certified Professional Biller Exam

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Total 229 questions

ilio

  • A. in, into, not
  • B. within, into
  • C. between
  • D. ilium (hip bone)


Answer : D

What does it mean by itis?

  • A. infection
  • B. edema
  • C. swelling
  • D. inflammation


Answer : D

What are actions inconsistent with accepted, sound medical business or fiscal practice?

  • A. Abuse
  • B. Violence
  • C. Addiction
  • D. Neglect


Answer : A

FPL

  • A. Federal Register
  • B. Flexible Spending Account
  • C. General Equivalency Mapping
  • D. Federal Poverty Level


Answer : D

Allowable Charge

  • A. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
  • B. DRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.
  • C. See limiting charge; maximum fee a physician may charge.
  • D. Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.


Answer : C

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Total 229 questions