AAPC CPB - Chapter 13 Quiz
Which of the following denials is one of the leading reasons a claim is denied and can be
prevented by accurate intake information being collected every time?
a. Medical necessity
b. Coordination of Benefits
c. Request for medical records not received
d. Incorrect patient information - correct answer-d. Incorrect patient information
Which modifier is used to indicate that an E&M service is unrelated to the global service?
a. 24
b. 25
c. 59
d. 79 - correct answer-a. 24
If a denial is received on a United healthcare claim a reconsideration must be submitted
within ____________ of the date of the EOB or RA?
a. 12 months
b. 180 days
c. 90 days
d. 60 days - correct answer-a. 12 months
Significant, separately identifiable evaluation and management service by the same
physician or other qualified healthcare professional on the same day of the procedure or
other service is which modifier?
a. 50
b. 25
c. 33
d. 24 - correct answer-b. 25
If a provider wishes to submit for a first level provider payment review form Cigna, what is
the timeframe for this type of dispute?
a. 60 days
b. 90 days
c. 180 days
d. 365 days - correct answer-c. 180 days
When submitting an appeal to Cigna for timely filing, which of the following must be
included?
a. Original EOB
Which of the following denials is one of the leading reasons a claim is denied and can be
prevented by accurate intake information being collected every time?
a. Medical necessity
b. Coordination of Benefits
c. Request for medical records not received
d. Incorrect patient information - correct answer-d. Incorrect patient information
Which modifier is used to indicate that an E&M service is unrelated to the global service?
a. 24
b. 25
c. 59
d. 79 - correct answer-a. 24
If a denial is received on a United healthcare claim a reconsideration must be submitted
within ____________ of the date of the EOB or RA?
a. 12 months
b. 180 days
c. 90 days
d. 60 days - correct answer-a. 12 months
Significant, separately identifiable evaluation and management service by the same
physician or other qualified healthcare professional on the same day of the procedure or
other service is which modifier?
a. 50
b. 25
c. 33
d. 24 - correct answer-b. 25
If a provider wishes to submit for a first level provider payment review form Cigna, what is
the timeframe for this type of dispute?
a. 60 days
b. 90 days
c. 180 days
d. 365 days - correct answer-c. 180 days
When submitting an appeal to Cigna for timely filing, which of the following must be
included?
a. Original EOB
