AAPC CPB Exam Practice Questions (P. 1)
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Question #1

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Question #2

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Question #3

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Question #4
- AFederal Register
- BFlexible Spending Account
- CGeneral Equivalency Mapping
- DFederal Poverty Level
D

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Question #5
- AThe Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
- BDRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.
- CSee limiting charge; maximum fee a physician may charge.
- DAdopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
C

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