AAPC CPB Exam C QUESTIONS AND ANSWERS 2022/2023| GRADED A

1.    A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary?

A.  Mother's insurance plan

B.  Father's insurance plan

C.  The policy that has the best benefits

D.  Either mother's or father's insurance plan depending who brings the child in for medical care. Correct Answer:

2.    Which managed care plan has the patient receiving care from participating providers (network provider) and the providers are only paid for services provided?

A.  Health Maintenance Organization (HMO)

B.  Point-of-Service Plan (POS)

C.  Exclusive Provider Organization (EPO)

D.     Integrated Delivery System (IDS) Correct Answer:

3.    Which TRICARE plan is similar to an HMO plan?

A.  TRICARE For Life

B.  TRICARE Select

C.  TRICARE Prime

D.  TRICARE Young Adult Correct Answer:

4.    Which of the services are covered by Medicare Part A?

I.  Skilled Nursing Facility Care

II.  Ambulatory Surgery

III.  Durable Medical Equipment

IV. Hospice Care

V. Home Health Services

VI.  Long Term Care

VII.  Outpatient prescription drugs

A.  I-VII

B.  II, III, VI

C.  I, II, IV, VII

D.  I, IV, V

5.    Which is a TRUE statement regarding Workers' Compensation?

A.  There is no copayment for the injured worker in workers' compensation cases.

The filing deadline for a first report of injury form is one week fr