Aapc Cpb - Chapter 13 Review Test Questions 2024.

According to Cigna's appeals process, how many level of internal appeals are offered? a. One b. Two c. Three d. Four {Ans: a. One}On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing {Ans: b. Invalid CPT code for DOS}What should be done when a denial is received that states there is a global surgery package bundling issue? a. Write it off b. Look at RBRVS only c. Appeal d. Check RBRVS, CPT, and the payer's policies {Ans: d. Check RBRVS, CPT, and the payer's policies}CPT codes 11400 and 12031 were reported on a claim. The insurance carrier denied 12031 as bundled with 11400. According to CPT® guidelines for Excision for Benign Lesions what action should the biller take? a. Write-off 12031 as repairs are included in excisions. b. Add modifier 59 to 12031 and submit a corrected claim. c. Add modifier 51 to 12031 and submit a corrected claim. d. Appeal the claim. {Ans: d.