CPAT Aaham Final Practice Exam

88 Questions | Total Attempts: 2811

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CPAT Quizzes & Trivia

Practice Exam


Questions and Answers
  • 1. 
    _____________ is defined as the period in time when a person is qualified for healthcare services covered by the insurance plan or entity (third party payer).
    • A. 

      Pre-certification.

    • B. 

      Benefit level.

    • C. 

      Eligibility period.

    • D. 

      Authorization.

  • 2. 
    It is through the verification process we confirm the accuracy and completeness of key:
    • A. 

      Demographic, encounter, and family information.

    • B. 

      Encounter, payer, and demographic information.

    • C. 

      Payer, encounter, and geographic information.

    • D. 

      Demographic, insurance, and physician information.

  • 3. 
    ____________ is to attest as meeting a standard of care prior to service.
    • A. 

      Pre-certification.

    • B. 

      Benefit level.

    • C. 

      Eligibility period.

    • D. 

      Referral

  • 4. 
    The key patient demographic information we gather at intake to identify if the Patient has previously been at the hospital includes:
    • A. 

      Social security number, date of birth, gender, and address.

    • B. 

      Name, date of birth, driver's license, and gender.

    • C. 

      Date of birth, name, social security number, and gender.

    • D. 

      Name, address, date of birth, and gender.

  • 5. 
    _____________ is to give official approval or permission for the service.
    • A. 

      Pre-certification.

    • B. 

      Benefit level.

    • C. 

      Eligibility period.

    • D. 

      Authorization

  • 6. 
    _____________ is defined as the service the third party payer will pay, based on the Patient's coverage plan.
    • A. 

      Pre-certification.

    • B. 

      Benefit level.

    • C. 

      Eligibility period.

    • D. 

      Referral.

  • 7. 
    Necessary data needed to make an effective collection call include all of the following except:
    • A. 

      Date of birth

    • B. 

      Date of service

    • C. 

      Insurance information

    • D. 

      Patient’s address

  • 8. 
    Common stalls and delays include all of the following except:
    • A. 

      Pre-existing conditions

    • B. 

      Stop loss issues

    • C. 

      Authorization not completed or on file

    • D. 

      Incorrect patient phone number

  • 9. 
    Work lists to assist in third party follow up include all of the following except:
    • A. 

      Physical bill form, ie UB04

    • B. 

      Superbill

    • C. 

      Paper aged trial balance

    • D. 

      Automated collection work list

  • 10. 
    All of the following are advantages of a Courtesy Discharge except:
    • A. 

      Reduces accounts receivables

    • B. 

      Allows for greater accuracy in billing

    • C. 

      Improves traffic flow

    • D. 

      Improves patient-hospital relations

  • 11. 
    What is an uncollectable account resulting from the extension of credit?
    • A. 

      Tort liability

    • B. 

      Lien

    • C. 

      Bad debt

    • D. 

      Judgment

  • 12. 
    What is a legally verified claim against a debtor?
    • A. 

      Tort liability

    • B. 

      Lien

    • C. 

      Bad debt

    • D. 

      Judgment

  • 13. 
    What is a liability for an injury or wrongdoing done by one person to another resulting from a breach of legal duty?
    • A. 

      Tort liability

    • B. 

      Lien

    • C. 

      Bad debt

    • D. 

      Judgment

  • 14. 
    What is a recorded claim against real or personal property, generally arising out of a debt?
    • A. 

      Tort Liability

    • B. 

      Lien

    • C. 

      Bad debt

    • D. 

      Judgment

  • 15. 
    Problems with electronic billing include all of the following except:
    • A. 

      Creates challenges

    • B. 

      Less paper

    • C. 

      Vendor reporting is inflexible and/or not available

    • D. 

      Upload / download issues

  • 16. 
    Elements of a chargemaster include all of the following except:
    • A. 

      Modifiers

    • B. 

      Revenue codes

    • C. 

      ICD-9 codes

    • D. 

      CPT/HCPCS codes

  • 17. 
    In a divorce or separation which plan is primary?
    • A. 

      Father

    • B. 

      The parent who has custody

    • C. 

      Mother

    • D. 

      The parent that presented the child for treatment

  • 18. 
    What is a written authorization, signed by the policyholder to an insurance company, to pay benefits directly to the hospital?
    • A. 

      Assignment of Benefits

    • B. 

      Medicare Secondary Payer

    • C. 

      Conditional Payments

    • D. 

      Medicare Administrative Contractor

  • 19. 
    A system generated free-form statement that is used to communicate the status of a patient’s account:
    • A. 

      Data Mailer

    • B. 

      Superbill

    • C. 

      Itemized Statement

    • D. 

      Both B and C

  • 20. 
    SNF days 21 through 100:
    • A. 

      $125 per day

    • B. 

      $127.50 per day

    • C. 

      $148.00 per day

    • D. 

      $150.00 per day

  • 21. 
    The Medicare Part A Lifetime Reserve 91 through 150 days:
    • A. 

      $275 per day

    • B. 

      $350 per day

    • C. 

      $592 per day

    • D. 

      $1100 per spell of illness

  • 22. 
    The Medicare Part A deductible for days 1 through 60 is:
    • A. 

      $1000

    • B. 

      $1184

    • C. 

      $1200

    • D. 

      $1500

  • 23. 
    A clean claim is one which:
    • A. 

      If investigated does not require contact with the provider

    • B. 

      Will pass all front end edits

    • C. 

      Is processed electronically

    • D. 

      All of the above

  • 24. 
    The first digit in the type of bill indicates:
    • A. 

      Frequency

    • B. 

      Type of facility

    • C. 

      Bill Classification

    • D. 

      None of the above

  • 25. 
    ICD-9 codes are used to identify:
    • A. 

      Procedures

    • B. 

      Diagnosis

    • C. 

      Supplies

    • D. 

      Office visits