A patient covered by a PPO is scheduled for knee r...

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AAPC CPB - Practice Exam A Test

Question Number 3

A patient covered by a PPO is scheduled for knee replacement surgery. The biller contacts the insurance carrier to verify benefits and preauthorize the procedure. The carrier verifies the patient has a $500 deductible which must be met. After the deductible, the PPO will pay 80% of the claim. The contracted rate for the procedure is $2,500. What is the patient's responsibility?

A. $400

B. $500

C. $900

D. $1,600

✔ Correct Answer:

C. $900

AAPC CPB - Practice Exam A Test

Question Number 3

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