Online Access Free CPB Exam Questions

What is All Patient Refined DiagnosisRelated Group (ARPDRG)?

• A.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 severity of illness (SOI) (extent of physiological decompensation or organ system loss of function) and risk of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
• B.DRG system adapted for use by third-party payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross BlueShield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.

CHAMPUS stands for Civilian Health and Medical Program of Veterans Affairs.

• A.TRUE
• B.FALSE

Which factor determines the correct payer sequence in coordination of benefits (COB)?

• A.Provider type
• B.Length of employment
• C.Birthday rule
• D.Patient preference

Bonding insurance is an insurance agreement that guarantees repayment for financial losses resulting from the act or failure to act of an employee. It protects the financial operations of the employer.

• A.TRUE
• B.FALSE

ABN stands for Advance Beneficiary Notice.

• A.TRUE
• B.FALSE