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[Hardware] Study Your AAPC CPB: Certified Professional Biller (CPB) Exam with 100% Pass-Rat

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【Hardware】 Study Your AAPC CPB: Certified Professional Biller (CPB) Exam with 100% Pass-Rat

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AAPC Certified Professional Biller (CPB) Sample Questions (Q161-Q166):NEW QUESTION # 161
DOD
  • A. Diagnostic and statistical manual
  • B. Department of Defense
  • C. Disproportionate share hospital (adjustment)
  • D. Diagnosis related groups
Answer: B

NEW QUESTION # 162
EMC
  • A. Explanation of Benefits
  • B. Exclusive provider organization
  • C. Electronic Media Claim
  • D. Electronic Medical Record
Answer: C

NEW QUESTION # 163
Allowable Charge
  • A. 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.
  • 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. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
  • D. See limiting charge; maximum fee a physician may charge.
Answer: D

NEW QUESTION # 164
CLIA
  • A. UB04 Claim used by institutional and other selected providers to bill payers
  • B. Centers of Medicare and Medicaid Services
  • C. Competitive Medical Plan
  • D. Clinical Laboratory Improvement Act
Answer: D

NEW QUESTION # 165
Amendment to the HMO Act of 1973 is legislation that allowed federally qualified HMOs to permit members to occasionally use non HMO physicians and be partially reimbursed.
  • A. TRUE
  • B. FALSE
Answer: A

NEW QUESTION # 166
......
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