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Certified Professional Biller Questions 76–80 (page: 17)

Updated On: 9-Feb-2026

Which document communicates to the payer that the provider is requesting reimbursement?

  1. Centers of Medicare and Medicaid Services150 (CMS1500)
  2. Explanation of Benefits
  3. Hold Harmless Clause
  4. Health Insurance Claim

Answer(s): D



What does AHFS stand for?

  1. American Hospital Formulary Service
  2. American Hospital Formulary Standards
  3. American Healthcare Formulary Service
  4. American Healthcare Formulary Standards

Answer(s): A



Which of the following suffixes refers to in?

  1. ex
  2. extra
  3. red
  4. en

Answer(s): D



What does it mean by gluc and glyc?

  1. protein
  2. fat
  3. vitamins
  4. sugar, glucose

Answer(s): D



Accounts Receivable Management

  1. Voluntary Process that a healthcare facility or organization (e.g. hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law.
  2. Judicial dispute resolution process in which an appeals board makes a final determination.
  3. Assists providers in the collection of appropriate reimbursement for services rendered; include functions such as insurance verification/eligibility and preauthorization of services
  4. Payment correction resulting in additional payment(s) to the provider.

Answer(s): C



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