Certified Medical Management || Solved Correctly.
When attempting to collect a debt, it is not considered harassment if making a telephone call to
the patient in an effort to collect between which hours? correct answers 8:00 am - 9:00 pm
A physician's work, practice expense (including overhead) and malpractice costs are the
components of which of the following? correct answers Relative Value Unit
For which of the following, would Medicare be the Secondary Payer (MSP)? correct answers
Patient is 65 or older and covered by a Group Health Plan through current employment or
spouse's current employment and the employer has more than 20 employees.
Which if the following type of managed care plan is described by a plan wherein all premiums
are paid directly to the managed care organization and the organization then hires physicians
who are paid salary and predetermined bonuses? correct answers Independent Practice
Association (IPA)
The formula: Patient Fees Collected divided by Net Charges is: correct answers The collection
percentage for a given practice
Which of the following describes the penalties for filing false claims under civil part of the False
Claim Act (FCA)? correct answers Up to 3 times the program's losses plus $11,000.00 per claim.
What is the acronym used to designate the hours a clinician is required to demonstrate he or she
is staying current with the discipline covered by their credential/license? correct answers CMEs
Which of the following would most likely be covered by professional liability insurance? correct
answers An orthopedic surgeon is sued for malpractice by patient that developed a complication
after hip replacement surgery
, Appending modifier 25 to an E&M code billed with a procedure code when the procedure was
related to the reason for the E&M service is: correct answers An example of upcoding
Conducting appropriate training and education on practice standards and procedures is not one of
the basic components of a voluntary compliance program? correct answers False
How many years after an employee is terminated or leaves the practice, should the practice
maintain the personnel file? correct answers A minimum of 3 years
The parts of the American with Disabilities Act (ADA; Title 1) that is specific to preventing
discrimination in hiring, retaining and promoting employees who have a disability pertains to
practices with: correct answers 15 or more employees
Which Act designates exempt versus non-exempt employees for purpose of overtime pay?
correct answers Fair Labor Standards Act
Which of the following is not a theory of motivation? correct answers Reward and Punishment
Theory
Which of the following sources of power is described by the other person's perception that you
have the ability to punish them if they don't do what you ask them correct answers Coercive
Power
In a medical practice, what is the primary driver of variable expenses? correct answers Number
of patients served
Which of the following formulas will tell you how many months of work are outstanding
accounts receivables? correct answers Accounts Receivable /Average monthly revenue
When attempting to collect a debt, it is not considered harassment if making a telephone call to
the patient in an effort to collect between which hours? correct answers 8:00 am - 9:00 pm
A physician's work, practice expense (including overhead) and malpractice costs are the
components of which of the following? correct answers Relative Value Unit
For which of the following, would Medicare be the Secondary Payer (MSP)? correct answers
Patient is 65 or older and covered by a Group Health Plan through current employment or
spouse's current employment and the employer has more than 20 employees.
Which if the following type of managed care plan is described by a plan wherein all premiums
are paid directly to the managed care organization and the organization then hires physicians
who are paid salary and predetermined bonuses? correct answers Independent Practice
Association (IPA)
The formula: Patient Fees Collected divided by Net Charges is: correct answers The collection
percentage for a given practice
Which of the following describes the penalties for filing false claims under civil part of the False
Claim Act (FCA)? correct answers Up to 3 times the program's losses plus $11,000.00 per claim.
What is the acronym used to designate the hours a clinician is required to demonstrate he or she
is staying current with the discipline covered by their credential/license? correct answers CMEs
Which of the following would most likely be covered by professional liability insurance? correct
answers An orthopedic surgeon is sued for malpractice by patient that developed a complication
after hip replacement surgery
, Appending modifier 25 to an E&M code billed with a procedure code when the procedure was
related to the reason for the E&M service is: correct answers An example of upcoding
Conducting appropriate training and education on practice standards and procedures is not one of
the basic components of a voluntary compliance program? correct answers False
How many years after an employee is terminated or leaves the practice, should the practice
maintain the personnel file? correct answers A minimum of 3 years
The parts of the American with Disabilities Act (ADA; Title 1) that is specific to preventing
discrimination in hiring, retaining and promoting employees who have a disability pertains to
practices with: correct answers 15 or more employees
Which Act designates exempt versus non-exempt employees for purpose of overtime pay?
correct answers Fair Labor Standards Act
Which of the following is not a theory of motivation? correct answers Reward and Punishment
Theory
Which of the following sources of power is described by the other person's perception that you
have the ability to punish them if they don't do what you ask them correct answers Coercive
Power
In a medical practice, what is the primary driver of variable expenses? correct answers Number
of patients served
Which of the following formulas will tell you how many months of work are outstanding
accounts receivables? correct answers Accounts Receivable /Average monthly revenue
