This CPAT AAHAM Final Practice Exam assesses key skills in healthcare service eligibility, pre-certification, and patient intake. It verifies learner's understanding of insurance coverage, benefits, and patient data management, essential for professionals in healthcare administration.
Demographic, encounter, and family information.
Encounter, payer, and demographic information.
Payer, encounter, and geographic information.
Demographic, insurance, and physician information.
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Pre-certification.
Benefit level.
Eligibility period.
Referral
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Social security number, date of birth, gender, and address.
Name, date of birth, driver's license, and gender.
Date of birth, name, social security number, and gender.
Name, address, date of birth, and gender.
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Pre-certification.
Benefit level.
Eligibility period.
Authorization
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Pre-certification.
Benefit level.
Eligibility period.
Referral.
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Date of birth
Date of service
Insurance information
Patient’s address
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Pre-existing conditions
Stop loss issues
Authorization not completed or on file
Incorrect patient phone number
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Physical bill form, ie UB04
Superbill
Paper aged trial balance
Automated collection work list
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Reduces accounts receivables
Allows for greater accuracy in billing
Improves traffic flow
Improves patient-hospital relations
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Tort liability
Lien
Bad debt
Judgment
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Tort liability
Lien
Bad debt
Judgment
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Tort liability
Lien
Bad debt
Judgment
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Tort Liability
Lien
Bad debt
Judgment
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Creates challenges
Less paper
Vendor reporting is inflexible and/or not available
Upload / download issues
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Modifiers
Revenue codes
ICD-9 codes
CPT/HCPCS codes
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Father
The parent who has custody
Mother
The parent that presented the child for treatment
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Assignment of Benefits
Medicare Secondary Payer
Conditional Payments
Medicare Administrative Contractor
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Data Mailer
Superbill
Itemized Statement
Both B and C
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$125 per day
$127.50 per day
$148.00 per day
$150.00 per day
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$275 per day
$350 per day
$592 per day
$1100 per spell of illness
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$1000
$1184
$1200
$1500
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If investigated does not require contact with the provider
Will pass all front end edits
Is processed electronically
All of the above
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Frequency
Type of facility
Bill Classification
None of the above
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Procedures
Diagnosis
Supplies
Office visits
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Lowers the chances of medical errors
Provider and organizations will have the same knowledge about a patients medical condition
Improve over all quality of patient care
All of the above
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Resource based relative value system
Resource based related value system
Resource based related value scale
Resource based relative value scale
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Pre-certification.
Benefit level.
Eligibility period.
Referral.
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Fair and Accurate Credit Transaction Act
Fair Credit Billing Act
Fair Credit Reporting Act
Truth in Lending Act
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Fair and Accurate Credit Transaction Act
Fair Credit Billing Act
Fair Credit Reporting Act
Truth in Lending Act
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True
False
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Dismissal
Bankruptcy Notice
Discharge of Debtor
Chapter 7
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10 or more creditor, three of which have claims in excess of $2500 each
12 or more creditors, three of which have claims in excess of $5000 each
15 or more creditors, five of which have claims in excess of $10,000 each
20 or more creditor, ten of which have claims in excess of $15,000 each
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1 year
2 years
3 years
5 years
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1 year
2 years
3 years
5 years
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1 month
3 months
6 months
1 year
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Chapter 7
Chapter 11
Chapter 12
Chapter 13
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Modifiers
Revenue codes
ICD-9-codes
CPT/HCPCS codes
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Discharge
Admission
After surgery
None of the above
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$147.00
$155.00
$120.00
Free for STUDS Like Eric
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Fair Credit Reporting Act
Fair Credit Billing Act
Truth in Lending Act
Chocolate Honey Buns are the Best
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Title I
Fair Credit Reporting Act
Title VI
Title VIII
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Fair Debt Collections Act
Truth in Lending Act
Fair Credit Reporting Act
Fair Credit Billing Act
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The Hill-Burton Act
False Claims Act
HIPAA
Food and Drug Administration
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Department of Justice
Office of Inspector General
Kenny Koerner
Answers A and B
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HCFA (Health Care Financing Administration)
Centers for Disease Control and Prevention (CDC)
Food and Drug Administration (FDA)
Indian Health Services (IHS)
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Title XVIII (title 18)
Title I (title 1)
Title VI (title 6)
Title XIX (title 19)
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Abuse
Fraud
Living Will
None of the Above
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Average Daily Census
Percentage of Occupancy
Average Length of Stay
Midnight Census
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