CPB Exam Questions
166 real CPB exam questions with expert-verified answers and explanations. Page 1 of 4.
- Question #4Billing Process
Billing entity is the legal business name of the provider's practice.
billing entitylegal business nameprovider practice - Question #5Types of Insurance
FELA stands for Federal Employment Liability Act.
FELAFederal Employment Liability ActWorkers CompensationEmployment Insurance - Question #6Anatomy & Medical Terminology
Adverse Effect is also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.
adverse effectsmedical terminologydrug safetypharmacology - Question #8CPT®, ICD-10-CM, & HCPCS Level II
What does CDT stand for?
CDT codesdental terminologycoding systemsstandardized codes - Question #9Billing Process
What does HA stand for?
HAHealth Affairsacronymterminology - Question #10Types of Insurance
Cafeteria plan is also called triple option plan; provides different health benefits plans and extra coverage options through an insure or third-party administrator.
cafeteria plantriple option planhealth benefitsplan types - Question #11Billing Regulations
HPSA stands for Health Personnel Shortage Area.
HPSAHealth Personnel Shortage AreaacronymMedicare designation - Question #12Billing Process
American Academy of Processional Coders (AAPC) is professional association established to provide a national certification and credentialing process, to support the national and lo...
AAPCprofessional coderscertificationcredentialing - Question #14HIPAA & Compliance
What does HIPAA stand for?
HIPAAHealth Insurance Portability and Accountability Act1996acronym - Question #16Types of Insurance
Amendment to the HMO Act of 1973 is legislation that allowed federally qualified HMOs to permit members to occasionally use non HMO physicians and be partially reimbursed.
HMO ActHMO amendmentfederally qualified HMOnon-HMO physicians - Question #17Reimbursement & Collections
Ambulance Fee Schedule is payment system for ambulance services provided to Medicare Beneficiaries.
ambulance fee scheduleMedicarepayment systemambulance services - Question #19Reimbursement & Collections
Which document is mailed by the payer to the patient to illustrate the reimbrsement amount of a covered benefit?
Explanation of BenefitsEOBpayer communicationreimbursement notice - Question #20Reimbursement & Collections
APDRG refers to All Patient DiagnosisRelated Group.
APDRGAll Patient Diagnosis Related Groupacronymclassification - Question #21Billing Regulations
What is accreditation?
accreditationvoluntary processhealthcare facilitymanaged care - Question #22CPT®, ICD-10-CM, & HCPCS Level II
What is the coding system currently in use to report diagnoses and reasons for encounter?
ICD-9-CMdiagnosis codingcoding systemreason for encounter - Question #23Reimbursement & Collections
What does CF stand for?
CFconversion factorfee schedulereimbursement calculation - Question #24Reimbursement & Collections
What is the amount owed to a business for services or goods provided?
accounts receivablefinancial managementbillingrevenue - Question #25Types of Insurance
Blue Worldwide Expat __________
Blue Worldwide Expatglobal medical coverageexpatriate insuranceinternational coverage - Question #26Anatomy & Medical Terminology
Which part of the body does cervic refer to?
cervicneckmedical prefixanatomy terminology - Question #27Reimbursement & Collections
Ambulatory Payment Classification (APC) is prospective payment system used to calculate reimbursement for outpatient care according to similar clinical characteristics and in terms...
APCAmbulatory Payment Classificationprospective payment systemoutpatient reimbursement - Question #29Billing Process
Adjusted Claim is payment correction resulting in additional payment(s) to the provider.
adjusted claimpayment correctionbilling terminology - Question #30Reimbursement & Collections
What is All Patient Refined DiagnosisRelated Group (ARPDRG)?
APR-DRGdiagnosis related groupsinpatient reimbursementhospital billing - Question #31Payer Policies & Procedures
What does BSR stand for?
BSRacronymbeneficiary services - Question #34Reimbursement & Collections
What is Allowed Charge?
allowed chargepayer reimbursementfee schedulebilling terminology - Question #35Types of Insurance
Adverse Selection includes covering members who are sicker then the general population.
adverse selectioninsurance riskmember population - Question #37Anatomy & Medical Terminology
What does it mean by dextr?
dextrmedical prefixanatomical direction - Question #38Payer Policies & Procedures
Beneficiary counseling and assistance coordinator (BCAC) is individual available at military treatment facility (MTF) to answer questions, help solve healthcare related problems, a...
BCACTRICAREmilitary healthcarebeneficiary services - Question #39Types of Insurance
CDHP stands for Consumer Directed Health Plan.
CDHPconsumer directed health planacronym - Question #40Anatomy & Medical Terminology
What does it mean by galact and lact?
galactlactmedical rootterminology - Question #41Billing Process
ASC (Choose two.)
ASCambulatory surgical centeraccredited standards committeeacronym - Question #42Anatomy & Medical Terminology
Which part of the body does cardi refer to?
cardimedical prefixcardiovascularanatomy - Question #43Reimbursement & Collections
Case mix includes the types and categories of patients treated by a healthcare provider.
case mixpatient classificationhealthcare terminology - Question #44Anatomy & Medical Terminology
Fluency in the language of medicine is a crucial skill that all health insurance specialists should learn in their training coursework.
medical terminologyhealth insurance specialistprofessional skills - Question #45HIPAA & Compliance
ABN stands for Advance Beneficiary Notice.
ABNadvance beneficiary noticeMedicareacronym - Question #46Reimbursement & Collections
What does APC stand for?
APCambulatory payment classificationoutpatient reimbursement - Question #47Anatomy & Medical Terminology
What does it mean by graphy?
graphymedical suffixterminology - Question #48Anatomy & Medical Terminology
Which of the following suffixes does NOT mean blood?
medical suffixhemdacryblood terminology - Question #49Billing Process
What does AAMA stand for?
AAMAprofessional organizationmedical assistantsacronym - Question #50Billing Process
Case management services is a process by which an attending physician coordinates and supervises care provided to patient by other providers.
case managementattending physiciancare coordinationbilling - Question #51Types of Insurance
HCRA stands for Healthcare Reimbursement Account.
HCRAhealthcare reimbursement accountacronym - Question #52Billing Process
What does AHIMA stand for?
AHIMAprofessional associationsacronyms - Question #53Payer Policies & Procedures
HEDIS stands for Health Plan Employer Data and Information Set.
HEDIShealth plan dataacronyms - Question #55Billing Regulations
BCAC stands for Beneficiary Counseling and Assistance Coordinator.
BCACMedicareacronyms - Question #56Types of Insurance
GPWW stands for Group Practice Without Walls.
GPWWgroup practiceacronyms - Question #57Billing Process
HAVEN stands for Home Assessment Validation and Entry.
HAVENhome assessmentacronyms - Question #58Types of Insurance
Blue Shield (BS) __________
Blue Shieldinsurance historyhealth plan origins - Question #59Reimbursement & Collections
Accounts Receivable Aging Report
accounts receivableaging reportclaims trackingoutstanding claims - Question #60Billing Process
What does AHA stand for?
AHAprofessional associationsacronyms - Question #61CPT®, ICD-10-CM, & HCPCS Level II
Which professional association was founded to elevate the standards of medical coding by providing certification, ongoing education, networking, and recognition for coders?
AAPCmedical coding certificationprofessional associations - Question #62Reimbursement & Collections
Accept Assignment
accept assignmentprovider paymentpayer reimbursement