AAPC CPB - Chapter 10 Review Questions

AAPC CPB - Chapter 10 Review | Questions and Correct Solutions Latest

Which statement is TRUE regarding the Prompt Payment Act?

• Patients are required to pay patient balances within 30 days.
• Patient balances are dismissed if a statement is not sent to the patient within 30 days.
• Federal agencies are not required to respond to all clean claims within 30 days of receipt.
• Federal agencies are required to pay clean claims within 30 days of receipt. - Answer - d. Federal

agencies are required to pay clean claims within 30 days of receipt.When a provider wants to give a discount on services to a patient, which option is acceptable?

• The provider can waive the co-paymant at his discretion.
• The provider can accept insurance only payments and write-off all patient balances.
• The provider must discount the charge prior to billing the insurance carrier.
• The provider cannot discount the charge under any circumstance. - Answer - c. The provider must

discount the charge prior to billing the insurance carrier.What does a high number of days in A/R indicate for a medical practice?

• The practice is using their A/R for loan purposes.
• The practice has good policies in place, which results in good collections of outstanding balances.
• The practice potentially has a problem in the revenue cycle.
• The days in A/R do not indicate anything about the practice. - Answer - c. The practice potentially has

a problem in the revenue cycle.A provider removes a skin lesion in an ASC and receives a denial from the insurance carrier that states "Lower level of care could have been provided." What steps should the biller take? 1 / 2

• Write-off the charge.
• Check with the provider and write an appeal to the insurance carrier explaining why the service was

provided in the ASC.

• Check with the provider and write an appeal to the insurance carrier explaining why the service was

not an inpatient service.

• Submit the CMS-1500 claim form with a different place of service code. - Answer - b. Check with the

provider and write an appeal to the insurance carrier explaining why the service was provided in the ASC.When accepting debit cards in a medical practice, which act requires the office to disclose specific information before completing a transaction?

• Health Insurance Portability and Accountability Act (HIPAA)
• Electronic Funds Transfer Act
• Equal Credit Opportunity Act
• Fair Credit Billing Act - Answer - b. Electronic Funds Transfer Act

Which statement is TRUE regarding patient balances?

• Small balances for which processing costs exceed potential collections may be automatically written-

off according to the financial policy of the practice.

• The financial policy of the practice cannot include information about write-offs for patient balances.
• Writing off any patient balance is considered waiving co-payments and puts the practice at risk for

violating state and federal regulations.

• Best practices is to write-off any patient balance under $50.00. - Answer - a. Small balances for which

processing costs exceed potential collections may be automatically written-off according to the financial policy of the practice.Which statement is TRUE regarding denials?

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