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AAPC CPB Exam A-C STUDY GUIDE WITH ALL 500
QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: Which of the following services is covered by Early and Periodic Screening,
Diagnostic, and Treatment (EPSDT)?
A. Family planning
B. Obstetric care
C. Pediatric checkups
D. Emergency department visits - CORRECT ANSWER✔✔C. Pediatric checkups
Question: A female patient who was involved in an auto accident presents to the emergency
department (ED) for evaluation. She does not have any complaints. The provider evaluates her
and determines there are no injuries. The provider informs the patient to come back to the ED
or see her primary care physician if she develops any symptoms. How is the claim processed for
this encounter?
A. The medical insurance is billed primary and the auto insurance is billed secondary.
B. The auto insurance is billed primary and the medical insurance is billed secondary.
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C. Bill the medical insurance first to receive a denial and then submit with the remittance advice
to the auto insurance.
D. Bill only the medical insurance because the auto insurance only covers damage to the
vehicle, not medical expenses. - CORRECT ANSWER✔✔B. The auto insurance is billed primary
and the medical insurance is billed secondary.
Question: What forms need to be submitted when billing for a work-related injury?
A. Progress reports, and WC-1500 claim form
B. UB-04
C. First Report of Injury form and an itemized statement
D. First Report of Injury form, progress reports, and CMS-1500 claim form - CORRECT
ANSWER✔✔D. First Report of Injury form, progress reports, and CMS-1500 claim form
Question: A document provided to Medicare patients explaining their financial responsibility if
Medicare denies a service is a(n):
A. Notice of Financial Liability
B. Advance Beneficiary Notice
C. Insurance waiver
D. Explanation of Benefits - CORRECT ANSWER✔✔B. Advance Beneficiary Notice
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Question: What is an Accountable Care Organization (ACO)?
A. Groups of doctors, hospitals, and other health care providers who coordinate high quality
care to Medicare patients.
B. An insurance carrier that provides a set fee based on the diagnosis of the patient.
C. A group of providers who contract with a third party administrator to pay fee for service for
services.
D. Hospitals who see a subset of patients for cost efficiency. - CORRECT ANSWER✔✔A. Groups
of doctors, hospitals, and other health care providers who coordinate high quality care to
Medicare patients.
Question: A new patient presents for her annual exam and has no complaints. She is scheduled
to see the physician assistant (PA). How should services be billed ?
A. Bill under the PA.
B. A new patient can be billed incident to the physician.
C. The PA cannot see new patients.
D. Reschedule the patient with the physician - CORRECT ANSWER✔✔A. Bill under the PA.
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Question: CPT® codes 12032 and 12001 were reported together for a 2.6 cm intermediate
repair of a laceration to the right arm and a 2.5 cm simple repair of a laceration to the left arm.
12001 was denied as a bundled service. What action should be taken by the biller (following the
CPT® guidelines)?
A. Write-off the charge for 12001 as it is a bundled procedure.
B. Resubmit a corrected claim as 12032, 12001-59.
C. Transfer the charge to patient responsibility.
D. Resubmit a corrected claim as 12032, 12001-51. - CORRECT ANSWER✔✔B. Resubmit a
corrected claim as 12032, 12001-59.
Question: According to CMS, which of the following services are included in the global package
for surgical procedures?
I. Surgical procedure performed
II. E/M visits unrelated to the diagnosis for which the surgical procedure is performed
III. Local infiltration, digital block, or topical anesthesia
IV. Treatment for postoperative complication which requires a return trip to the operating room
(OR)V. Writing Orders
VI. Postoperative infection treated in the office
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SUCCESS!
AAPC CPB Exam A-C STUDY GUIDE WITH ALL 500
QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: Which of the following services is covered by Early and Periodic Screening,
Diagnostic, and Treatment (EPSDT)?
A. Family planning
B. Obstetric care
C. Pediatric checkups
D. Emergency department visits - CORRECT ANSWER✔✔C. Pediatric checkups
Question: A female patient who was involved in an auto accident presents to the emergency
department (ED) for evaluation. She does not have any complaints. The provider evaluates her
and determines there are no injuries. The provider informs the patient to come back to the ED
or see her primary care physician if she develops any symptoms. How is the claim processed for
this encounter?
A. The medical insurance is billed primary and the auto insurance is billed secondary.
B. The auto insurance is billed primary and the medical insurance is billed secondary.
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C. Bill the medical insurance first to receive a denial and then submit with the remittance advice
to the auto insurance.
D. Bill only the medical insurance because the auto insurance only covers damage to the
vehicle, not medical expenses. - CORRECT ANSWER✔✔B. The auto insurance is billed primary
and the medical insurance is billed secondary.
Question: What forms need to be submitted when billing for a work-related injury?
A. Progress reports, and WC-1500 claim form
B. UB-04
C. First Report of Injury form and an itemized statement
D. First Report of Injury form, progress reports, and CMS-1500 claim form - CORRECT
ANSWER✔✔D. First Report of Injury form, progress reports, and CMS-1500 claim form
Question: A document provided to Medicare patients explaining their financial responsibility if
Medicare denies a service is a(n):
A. Notice of Financial Liability
B. Advance Beneficiary Notice
C. Insurance waiver
D. Explanation of Benefits - CORRECT ANSWER✔✔B. Advance Beneficiary Notice
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Question: What is an Accountable Care Organization (ACO)?
A. Groups of doctors, hospitals, and other health care providers who coordinate high quality
care to Medicare patients.
B. An insurance carrier that provides a set fee based on the diagnosis of the patient.
C. A group of providers who contract with a third party administrator to pay fee for service for
services.
D. Hospitals who see a subset of patients for cost efficiency. - CORRECT ANSWER✔✔A. Groups
of doctors, hospitals, and other health care providers who coordinate high quality care to
Medicare patients.
Question: A new patient presents for her annual exam and has no complaints. She is scheduled
to see the physician assistant (PA). How should services be billed ?
A. Bill under the PA.
B. A new patient can be billed incident to the physician.
C. The PA cannot see new patients.
D. Reschedule the patient with the physician - CORRECT ANSWER✔✔A. Bill under the PA.
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Question: CPT® codes 12032 and 12001 were reported together for a 2.6 cm intermediate
repair of a laceration to the right arm and a 2.5 cm simple repair of a laceration to the left arm.
12001 was denied as a bundled service. What action should be taken by the biller (following the
CPT® guidelines)?
A. Write-off the charge for 12001 as it is a bundled procedure.
B. Resubmit a corrected claim as 12032, 12001-59.
C. Transfer the charge to patient responsibility.
D. Resubmit a corrected claim as 12032, 12001-51. - CORRECT ANSWER✔✔B. Resubmit a
corrected claim as 12032, 12001-59.
Question: According to CMS, which of the following services are included in the global package
for surgical procedures?
I. Surgical procedure performed
II. E/M visits unrelated to the diagnosis for which the surgical procedure is performed
III. Local infiltration, digital block, or topical anesthesia
IV. Treatment for postoperative complication which requires a return trip to the operating room
(OR)V. Writing Orders
VI. Postoperative infection treated in the office
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