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AAPC Certified Professional Biller (CPB) Sample Questions:
1. A patient has Medicare as primary and a commercial plan as secondary. Which insurance should be billed first?
A) Medicare
B) Secondary insurance
C) Commercial insurance
D) Medicaid
2. What is the primary purpose of National Correct Coding Initiative (NCCI) edits?
A) Replace CPT guidelines
B) Set reimbursement rates
C) Identify unbundling and improper coding
D) Increase claim approvals
3. What are Category II codes?
A) Temporary codes for data collection purposes that are assigned an alphanumeric identifier with a letter in the last field (e.g., 0001T) these codes are located after the Medicine section, and will be archived after five years unless accepted for placement within Category I sections of CPT.
B) Procedures/ services identified by a five digit CPT code and descriptor nomenclature; these codes are traditionally associated with CPT and organized within six sections.
C) Optional performance measurement tracking codes that are assigned an alphanumeric identifier with a letter in the last field (e,g.,1234A); these codes will be located after the medicine section; their use is optional.
4. Cafeteria plan is also called triple option plan; provides different health benefits plans and extra coverage options through an insure or third-party administrator.
A) TRUE
B) FALSE
5. The medical prefixes "end-" and "endo-" mean:
A) red
B) in, within
C) nervous sensation
D) above, upon
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |


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