AAPC AAPC Certifications AAPC-CPB Questions & Answers

• Question 171:

  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

  Correct Answer: A

• Question 172:

  Blue Worldwide Expat __________

  A. provides global medical coverage for active employees and their dependents who spend more than three months outside the United States for three months or more is eligible for Blue World Expat.

  B. provides global medical coverage for active employees and their dependents who spend more than six months outside the United States for three months or more is eligible for Blue World Expat.

  C. provides global medical coverage for active employees and their dependents who spend more than three months outside the United States for six months or more is eligible for Blue World Expat.

  D. provides global medical coverage for active employees and their dependents who spend more than six months outside the United States for six months or more is eligible for Blue World Expat.

  Correct Answer: D

• Question 173:

  What is the amount owed to a business for services or goods provided?

  A. Accounts Receivable

  B. Accounts Payable

  C. Accrued Revenue

  D. Accounts Billing

  Correct Answer: A

• Question 174:

  What does CF stand for?

  A. Civilian FactorAffairs

  B. Conversion Factor

  C. Clinical Factor

  D. Competitive Factor

  Correct Answer: B

• Question 175:

  What is the coding system currently in use to report diagnoses and reasons for encounter?

  A. International Classification of Diseases, 8th revision, clinical modification (ICD8CM)

  B. International Classification of Diseases, 7th revision, clinical modification (ICD7CM)

  C. International Classification of Diseases, 6th revision, clinical modification (ICD6CM)

  D. International Classification of Diseases, 10th revision, clinical modification (ICD10CM)

  Correct Answer: D

• Question 176:

  APDRG refers to All Patient DiagnosisRelated Group.

  A. TRUE

  B. FALSE

  Correct Answer: A

• Question 177:

  What is accreditation?

  A. Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.

  B. Involuntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.

  Correct Answer: A

• Question 178:

  Which document is mailed by the payer to the patient to illustrate the reimbrsement amount of a covered benefit?

  A. Hold Harmless Clause

  B. Health Insurance Claim

  C. Centers of Medicare and Medicaid Services150 (CMS1500)

  D. of Benefits

  Correct Answer: D

• Question 179:

  acr

  A. toward

  B. extremities, top

  C. fat

  Correct Answer: B

• Question 180:

  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

  Correct Answer: A