CPPM Final Exam Study Guide Questions and Answers Updated 2026

CPPM Final Exam Study Guide
Questions and Answers Updated
2026
WhichBofBtheBfollowingBisBNOTBaBtypicalBdutyBofBaBpracticeBmanager?

Ba.BImplementBstrategiesBtoBreduceBtheBA/R

Bb.BInventoryBcontrolBforBsuppliesBneededBforBminorBsurgeries

Bc.BFosteringBaBreferralBsourceBforBnewBpatients

Bd.BPreparationBofBtheBpatientBforBtheBphysicianB-
BAnswerPreparationBofBtheBpatientBforBtheBphysician



WhichBofBtheBfollowingBincludesBtheBpaymentBamountBandBdenialBexplanationsBforBclaimsBsu
bmitted?

Ba.BDenialBreconciliationBreport

Bb.BAccountsBreceivableBreport

Bc.BExplanationBofBbenefitsB(EOB)

Bd.BEncounterBformB-BAnswerExplanationBofBbenefitsB(EOB)



YouBworkBforBaBprimaryBcareBpractice.BABpatientBhasBrecentlyBsufferedBaBtransientBischemicB
attackB(TIA)BandByourBphysicianBwantsBtoBsendBtheBpatientBtoBaBspecialistBforBaBconsultation
.BWhichBspecialtyBwouldBhandleBthisBtypeBofBdiagnosis?

Ba.BInfectiousBdisease

Bb.BEndocrinology

Bc.BRheumatology

Bd.BNeurologyB-BAnswerNeurology



ABphysicianBassistantB(PA)BisBhiredBbyBaBcardiologyBpracticeBtoBhelpBseeBpatientsBinBtheBhos
pital.BTheBPABperformsBallBtheBroundsBandBnotifiesBtheBphysicianBonBcallBifBthereBareBanyBp
atientsBthatBneedBtoBbeBseenBbyBaBphysician.BIsBitBappropriateBtoBbillBforBtheBPA'sBservicesB
asBincident-to?

Ba.BNo,Bincident-toBservicesBareBnotBcoveredBinBaBhospitalBsetting.

Bb.BYes,BasBlongBasBtheBphysicianBseesBtheBpatientBlaterBinBtheBday.

Bc.BYes,BasBlongBasBtheBservicesBareBconsistentBwithBanBestablishedBplanBofBcare.

,Bd.BNo,BtheBphysicianBneedsBtoBseeBeveryBpatientBinBorderBtoBbillBincidentBto.B-
BAnswerNo,Bincident-toBservicesBareBnotBcoveredBinBaBhospitalBsetting.



WhatBisBaBgoodBwayBtoBimproveBefficiencyBandBaccuracyBinBtheBregistrationBprocess?

Ba.BMailBanBinvoiceBratherBthanBcollectBatBtimeBofBservice.

Bb.BAuditBtwoBrecordsBperBstaffBmemberBeveryByearBforBaccuracy.

Bc.BScanBaBcopyBofBtheBpatient'sBinsuranceBcard.

Bd.BEmailBauditBresultsBtoBstaffBmembersBwithBinstructionsBtoBimprove.BTrainingBtakesBupBto
oBmuchBtime.B-BAnswerScanBaBcopyBofBtheBpatient'sBinsuranceBcard.



WhatBpercentageBofBcommunicationBoccursBthroughBbodyBlanguage?

Ba.B35

Bb.B85

Bc.B55

Bd.B15B-BAnswer55



WhichBofBtheBfollowingBisBtheBbestBexampleBofBcommunicatingBinBaBdifficultBconversation?

Ba.BArguingBorBdisagreeingBwithBtheBspeaker.

Bb.BLetBtheBpersonBknow,B"IBunderstandBhowByouBfeel."

Bc.BLetBtheBpersonBknow,B"It'sBgoingBtoBbeBalright."

Bd.BProvideBsomeBadviceBforBtheBpersonBwhoBisBwrong.B-
BAnswerLetBtheBpersonBknow,B"IBunderstandBhowByouBfeel."



WhichBoptionBisBNOTBaBreasonBtoBappendBaBmodifierBtoBaBCPT®BorBHCPCSBLevelBIIBcode?

Ba.BSeparateBandBdistinctBserviceBperformed

Bb.BMedicalBnecessity

Bc.BDiscontinuedBprocedure

Bd.BMultipleBproceduresBwereBperformedB-BAnswerMedicalBnecessity



WhichBtwoBcodeBsetsBareBusedBbyBphysiciansBandBnon-
physicianBpractitionersB(NPPs)BtoBreportBprofessionalBservicesBforBproceduresBinBanBoutpatient
Bsetting?

I.BCPT®

, II.BICD-10-CM

III.BICD-10-PCS

IV.BHCPCSBLevelBIIB-BAnswerCPT®

HCPCSBLevelBII



WhatBdoesBtheBabbreviationBMBIBstandBfor?

Ba.BMedicareBbenefitBidentifier

Bb.BMedicareBbillingBindicator

Bc.BMedicareBbeneficiaryBidentifier

Bd.BMedicareBbenefitsBindicatorB-BAnswerMedicareBbeneficiaryBidentifier



WhatBtypeBofBreimbursementBmethodologyBisBbasedBonBtheBaverageBresourcesBrequiredBtoBc
areBforBanBinpatientBwithBaBspecificBdiagnosis?

Ba.BFFS

Bb.BMS-DRGs

Bc.BAPCs

Bd.BNPIB-BAnswerMS-DRGs



ABcommonBbillingBerrorBisBinvalidBorBtruncatedBICD-10-
CMBcodes.BHowBcanByouBpreventBthis?

Ba.BAlwaysBuseBtheBcodeBselectedBbyBtheBprovider.

Bb.BOnlyBuseBcodesBwithBsevenBcharacters.

Bc.BMakeBsureBtheBcodeBonBencounterBformBmatchesBtheBcodeBthatBisBbilled.

Bd.BUpdateBtheBpracticeBmanagementBsystemBwhenBnew,Bdeleted,BandBrevisedBcodesBareBrel
eased.B-
BAnswerUpdateBtheBpracticeBmanagementBsystemBwhenBnew,Bdeleted,BandBrevisedBcodesBare
Breleased.



WhichBoptionBisBaBcommonBreasonBforBdenials?

Ba.BTheBproviderBisBcredentialedBwithBmultipleBinsuranceBcarriers.

Bb.BTheBpatient'sBinsuranceBwasBterminatedBfollowingBaBservice.

Bc.BTheBpatientBdidBnotBshowBforBaBscheduledBappointment.

Bd.BTheBserviceBisBnotBmedicallyBnecessary.B-BAnswerTheBserviceBisBnotBmedicallyBnecessary.