CPB Exam Questions
166 real CPB exam questions with expert-verified answers and explanations. Page 2 of 4.
- Question #63HIPAA & Compliance
Advance Beneficiary Notice (ABN) is document that acknowledges patient responsibility for payment if Medicare denies the claim.
ABNMedicarepatient responsibilityclaim denial - Question #64Billing Process
Which document communicates to the payer that the provider is requesting reimbursement?
health insurance claimreimbursement requestpayer communication - Question #65Billing Process
What does AHFS stand for?
AHFSdrug formularyacronyms - Question #66Anatomy & Medical Terminology
Which of the following suffixes refers to in?
medical suffixesmedical terminologyprefix/suffix - Question #67Anatomy & Medical Terminology
What does it mean by gluc and glyc?
medical rootsglucglycmedical terminology - Question #68Reimbursement & Collections
Accounts Receivable Management
accounts receivable managementcollectionsreimbursement - Question #69Types of Insurance
HSSA stands for Health Savings Security Account.
HSSAhealth savings accountacronyms - Question #70Billing Process
What does AMA stand for?
AMAprofessional associationsacronyms - Question #73Billing Regulations
What does ADA stand for?
ADAdisabilities actacronyms - Question #74Types of Insurance
What is Blue Cross (BC)?
Blue Crossinsurance historyhealth plan origins - Question #75Anatomy & Medical Terminology
Which part of the body does genit refer to?
medical terminologyrootsanatomy prefixgenitals - Question #76Payer Policies & Procedures
Preauthorization is an authorization that must be received from a payer before treatment by a specialist will be covered.
preauthorizationprior authorizationspecialist referralpayer requirements - Question #79Types of Insurance
Catchment area is the region defined by code boundaries within a 40mile radius of a military treatment facility.
TRICAREcatchment areamilitary treatment facilitygeographic boundaries - Question #80Billing Regulations
Medical Ethics are principles of right or good conduct.
medical ethicsprofessional conductbilling ethics - Question #82Billing Process
What are black box edits?
black box editscode editsCMS editsclaim editing - Question #83Types of Insurance
Blue Cross Blue Shield (BCBS) is joint venture between Blue Cross and Blue Shield where the corporation shared one building and computer.
Blue Cross Blue ShieldBCBSinsurance historypayer organization - Question #84Types of Insurance
HRA stands for Health Reimbursement Arrangement.
HRAhealth reimbursement arrangementaccount-based plansacronym - Question #85Anatomy & Medical Terminology
What does it mean by benign?
medical terminologybenignneoplasmpathology terms - Question #86Types of Insurance
Benefit period (Medicare) __________
Medicarebenefit periodhospitalizationcoverage period - Question #87CPT®, ICD-10-CM, & HCPCS Level II
What are Category I Codes?
CPT Category I codesCPT code structureprocedure codescode types - Question #88Billing Regulations
Case law is also common law; based on a court decision that establishes a precedent.
case lawcommon lawlegal precedenthealthcare law - Question #89Types of Insurance
GEP stands for General Enrollment Period.
GEPgeneral enrollment periodMedicare enrollmentacronym - Question #90Reimbursement & Collections
HIPPS stands for Health Insurance Prospective Payment System (code set).
HIPPSprospective payment systemcode setacronym - Question #91Types of Insurance
HSA stands for Health Savings account.
HSAhealth savings accountaccount-based plansacronym - Question #95Types of Insurance
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...
bonding insuranceemployee dishonestyfinancial protectioninsurance types - Question #96Types of Insurance
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...
TRICAREcatastrophic capout-of-pocket limitsbeneficiary protection - Question #99Anatomy & Medical Terminology
What does it mean by dacry?
medical terminologydacryroot wordtear duct - Question #100Anatomy & Medical Terminology
What does it mean by gyn, gyne and gynec?
medical terminologygyn prefixroot wordfemale anatomy - Question #102CPT®, ICD-10-CM, & HCPCS Level II
Current Procedural Terminology (CPT) is used to report professional services to payers.
CPTprocedure codingprofessional servicesbilling - Question #103Types of Insurance
HICN stands for Health Insurance claim number.
HICNhealth insurance claim numberMedicare identifieracronym - Question #104Types of Insurance
What does BC stand for?
Blue Crossinsurance abbreviationspayer acronyms - Question #106Anatomy & Medical Terminology
Which part of the body does crani refer to?
medical terminologycranio prefixskullbody parts - Question #108Types of Insurance
What does BS stand for?
Blue Shieldinsurance abbreviationspayer acronyms - Question #109Anatomy & Medical Terminology
Which of the following suffixes means half?
medical terminologysuffixesdemiprefixes - Question #110Payer Policies & Procedures
Which term means the patient is not responsible for paying for what the insurance plan denies?
hold harmless clausepatient liabilityinsurance contractsnon-covered services - Question #111Reimbursement & Collections
ARPDRG refers to All Patient Refined DiagnosisRelated Group.
APR-DRGdiagnosis related groupsbilling acronymspatient classification - Question #112Types of Insurance
FEP stands for Federal Employee Program.
Federal Employee ProgramFEPinsurance acronymsBlue Cross Blue Shield - Question #113Billing Process
HCF stands for Healthcare Finder.
HCF acronymhealthcare finderbilling terminology - Question #114Anatomy & Medical Terminology
What does it mean by derm and dermat?
medical terminologyderm prefixskinbody systems - Question #115Billing Process
Which is the universal claim form used by physicians offices?
CMS-1500claim formphysician billinguniversal claim - Question #118Billing Regulations
What does HPMP stand for?
HPMPhospital payment monitoringbilling acronymsprogram definitions - Question #120CPT®, ICD-10-CM, & HCPCS Level II
HCPCS stands for Healthcare Common Procedure Coding System.
HCPCSprocedure coding systemcoding systemsacronyms - Question #121Reimbursement & Collections
HHRG stands for Home Health Resource Group.
HHRGhome health resource groupreimbursement acronymshome health - Question #122Anatomy & Medical Terminology
What does it mean by erythr?
medical terminologyerythr prefixcolor prefixesred - Question #125Reimbursement & Collections
What is Ambulatory Surgical Center Payment Rate?
ASC payment rateambulatory surgical centerreimbursement rateMedicare payment - Question #126Anatomy & Medical Terminology
What does it mean by adip?
medical terminologyadip prefixfatbody tissue prefixes - Question #127Billing Regulations
FMAP stands for Federal Medical Assistance Percentage.
FMAPfederal medical assistanceMedicaidbilling acronyms - Question #130Billing Process
Who is the person who prepares and reviews claims for accuracy to ensure prompt payment?
health insurance specialistbiller roleclaims processingjob definitions - Question #133CPT®, ICD-10-CM, & HCPCS Level II
What does CCS stand for?
CCScertified coding specialistcoding credentialsacronyms - Question #136HIPAA & Compliance
Breach of confidentiality is unauthorized release of patient information to third party.
breach of confidentialitypatient informationHIPAA privacyunauthorized disclosure