Certified Professional Biller Free Sample Questions

ilio A.in, into, notB.within, intoC.betweenD.ilium (hip bone)

What does it mean by itis? A.infectionB.edemaC.swellingD.inflammation

What are actions inconsistent with accepted, sound medical business or fiscal practice? A.AbuseB.ViolenceC.AddictionD.Neglect

FPL A.Federal RegisterB.Flexible Spending AccountC.General Equivalency MappingD.Federal Poverty Level

Allowable Charge A.The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.B.DRG 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.C.See limiting charge; maximum fee a physician may charge.D.Adopted 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.