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AAPC Certified Professional Biller (CPB) Sample Questions:

1. Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.

A) FALSE
B) TRUE

2. Fluency in the language of medicine is a crucial skill that all health insurance specialists should learn in their training coursework.

A) FALSE
B) TRUE

3. Accounts Receivable Aging Report

A) Assists Providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services.
B) Judicial dispute resolution process in which an appeals board makes a final determination.
C) 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.
D) Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients.

4. Birthday rule determines coverage by primary and secondary policies when each parent subscribes to a different health insurance plan.

A) FALSE
B) TRUE

5. Preauthorization is an authorization that must be received from a payer before treatment by a specialist will be covered.

A) FALSE
B) TRUE

Solutions: