CPB Exam Questions

Advance Beneficiary Notice (ABN) is document that acknowledges patient responsibility for payment if Medicare denies the claim.

Which document communicates to the payer that the provider is requesting reimbursement?

What does AHFS stand for?

Which of the following suffixes refers to in?

What does it mean by gluc and glyc?

Accounts Receivable Management

HSSA stands for Health Savings Security Account.

What does AMA stand for?

What does ADA stand for?

What is Blue Cross (BC)?

Which part of the body does genit refer to?

Preauthorization is an authorization that must be received from a payer before treatment by a specialist will be covered.

Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.

Medical Ethics are principles of right or good conduct.

What are black box edits?

Blue Cross Blue Shield (BCBS) is joint venture between Blue Cross and Blue Shield where the corporation shared one building and computer.

HRA stands for Health Reimbursement Arrangement.

What does it mean by benign?

Benefit period (Medicare) __________

What are Category I Codes?

Case law is also common law; based on a court decision that establishes a precedent.

GEP stands for General Enrollment Period.

HIPPS stands for Health Insurance Prospective Payment System (code set).

HSA stands for Health Savings account.

Bonding insurance is an insurance agreement that guarantees repayment for financial losses resulting from the act or failure to act of an employee. It protects the financial operat...

Catastrophic cap benefit protects TRICARE beneficiaries form devastating financial loss due to serious illness or long-term treatment by establishing limits over which payments is...

What does it mean by dacry?

What does it mean by gyn, gyne and gynec?

Current Procedural Terminology (CPT) is used to report professional services to payers.

HICN stands for Health Insurance claim number.

What does BC stand for?

Which part of the body does crani refer to?

What does BS stand for?

Which of the following suffixes means half?

Which term means the patient is not responsible for paying for what the insurance plan denies?

ARPDRG refers to All Patient Refined DiagnosisRelated Group.

FEP stands for Federal Employee Program.

HCF stands for Healthcare Finder.

What does it mean by derm and dermat?

Which is the universal claim form used by physicians offices?

What does HPMP stand for?

HCPCS stands for Healthcare Common Procedure Coding System.

HHRG stands for Home Health Resource Group.

What does it mean by erythr?

What is Ambulatory Surgical Center Payment Rate?

What does it mean by adip?

FMAP stands for Federal Medical Assistance Percentage.

Who is the person who prepares and reviews claims for accuracy to ensure prompt payment?

What does CCS stand for?

Breach of confidentiality is unauthorized release of patient information to third party.