CPPM Final Exam Study Guide – Certified Physician Practice Manager (comprehensive revision
and exam preparation material)
Which of the following is NOT a typical duty of a practice manager?
a. Implement strategies to reduce the A/R
b. Inventory control for supplies needed for minor surgeries
c. Fostering a referral source for new patients
d. Preparation of the patient for the physician - correct answer ✔✔Preparation of the patient
for the physician
Which of the following includes the payment amount and denial explanations for claims
submitted?
a. Denial reconciliation report
b. Accounts receivable report
c. Explanation of benefits (EOB)
d. Encounter form - correct answer ✔✔Explanation of benefits (EOB)
You work for a primary care practice. A patient has recently suffered a transient ischemic attack
(TIA) and your physician wants to send the patient to a specialist for a consultation. Which
specialty would handle this type of diagnosis?
a. Infectious disease
b. Endocrinology
c. Rheumatology
d. Neurology - correct answer ✔✔Neurology
A physician assistant (PA) is hired by a cardiology practice to help see patients in the hospital.
The PA performs all the rounds and notifies the physician on call if there are any patients that
need to be seen by a physician. Is it appropriate to bill for the PA's services as incident-to?
,a. No, incident-to services are not covered in a hospital setting.
b. Yes, as long as the physician sees the patient later in the day.
c. Yes, as long as the services are consistent with an established plan of care.
d. No, the physician needs to see every patient in order to bill incident to. - correct answer
✔✔No, incident-to services are not covered in a hospital setting.
What is a good way to improve efficiency and accuracy in the registration process?
a. Mail an invoice rather than collect at time of service.
b. Audit two records per staff member every year for accuracy.
c. Scan a copy of the patient's insurance card.
d. Email audit results to staff members with instructions to improve. Training takes up too much
time. - correct answer ✔✔Scan a copy of the patient's insurance card.
What percentage of communication occurs through body language?
a. 35
b. 85
c. 55
d. 15 - correct answer ✔✔55
Which of the following is the best example of communicating in a difficult conversation?
a. Arguing or disagreeing with the speaker.
b. Let the person know, "I understand how you feel."
c. Let the person know, "It's going to be alright."
d. Provide some advice for the person who is wrong. - correct answer ✔✔Let the person know,
"I understand how you feel."
Which option is NOT a reason to append a modifier to a CPT® or HCPCS Level II code?
, a. Separate and distinct service performed
b. Medical necessity
c. Discontinued procedure
d. Multiple procedures were performed - correct answer ✔✔Medical necessity
Which two code sets are used by physicians and non-physician practitioners (NPPs) to report
professional services for procedures in an outpatient setting?
I. CPT®
II. ICD-10-CM
III. ICD-10-PCS
IV. HCPCS Level II - correct answer ✔✔CPT®
HCPCS Level II
What does the abbreviation MBI stand for?
a. Medicare benefit identifier
b. Medicare billing indicator
c. Medicare beneficiary identifier
d. Medicare benefits indicator - correct answer ✔✔Medicare beneficiary identifier
What type of reimbursement methodology is based on the average resources required to care
for an inpatient with a specific diagnosis?
a. FFS
b. MS-DRGs
c. APCs
d. NPI - correct answer ✔✔MS-DRGs
A common billing error is invalid or truncated ICD-10-CM codes. How can you prevent this?
and exam preparation material)
Which of the following is NOT a typical duty of a practice manager?
a. Implement strategies to reduce the A/R
b. Inventory control for supplies needed for minor surgeries
c. Fostering a referral source for new patients
d. Preparation of the patient for the physician - correct answer ✔✔Preparation of the patient
for the physician
Which of the following includes the payment amount and denial explanations for claims
submitted?
a. Denial reconciliation report
b. Accounts receivable report
c. Explanation of benefits (EOB)
d. Encounter form - correct answer ✔✔Explanation of benefits (EOB)
You work for a primary care practice. A patient has recently suffered a transient ischemic attack
(TIA) and your physician wants to send the patient to a specialist for a consultation. Which
specialty would handle this type of diagnosis?
a. Infectious disease
b. Endocrinology
c. Rheumatology
d. Neurology - correct answer ✔✔Neurology
A physician assistant (PA) is hired by a cardiology practice to help see patients in the hospital.
The PA performs all the rounds and notifies the physician on call if there are any patients that
need to be seen by a physician. Is it appropriate to bill for the PA's services as incident-to?
,a. No, incident-to services are not covered in a hospital setting.
b. Yes, as long as the physician sees the patient later in the day.
c. Yes, as long as the services are consistent with an established plan of care.
d. No, the physician needs to see every patient in order to bill incident to. - correct answer
✔✔No, incident-to services are not covered in a hospital setting.
What is a good way to improve efficiency and accuracy in the registration process?
a. Mail an invoice rather than collect at time of service.
b. Audit two records per staff member every year for accuracy.
c. Scan a copy of the patient's insurance card.
d. Email audit results to staff members with instructions to improve. Training takes up too much
time. - correct answer ✔✔Scan a copy of the patient's insurance card.
What percentage of communication occurs through body language?
a. 35
b. 85
c. 55
d. 15 - correct answer ✔✔55
Which of the following is the best example of communicating in a difficult conversation?
a. Arguing or disagreeing with the speaker.
b. Let the person know, "I understand how you feel."
c. Let the person know, "It's going to be alright."
d. Provide some advice for the person who is wrong. - correct answer ✔✔Let the person know,
"I understand how you feel."
Which option is NOT a reason to append a modifier to a CPT® or HCPCS Level II code?
, a. Separate and distinct service performed
b. Medical necessity
c. Discontinued procedure
d. Multiple procedures were performed - correct answer ✔✔Medical necessity
Which two code sets are used by physicians and non-physician practitioners (NPPs) to report
professional services for procedures in an outpatient setting?
I. CPT®
II. ICD-10-CM
III. ICD-10-PCS
IV. HCPCS Level II - correct answer ✔✔CPT®
HCPCS Level II
What does the abbreviation MBI stand for?
a. Medicare benefit identifier
b. Medicare billing indicator
c. Medicare beneficiary identifier
d. Medicare benefits indicator - correct answer ✔✔Medicare beneficiary identifier
What type of reimbursement methodology is based on the average resources required to care
for an inpatient with a specific diagnosis?
a. FFS
b. MS-DRGs
c. APCs
d. NPI - correct answer ✔✔MS-DRGs
A common billing error is invalid or truncated ICD-10-CM codes. How can you prevent this?
