CPPM Exam – Certified Physician Practice Manager (comprehensive study guide and
certification preparation material)
What percentage of communication occurs through body language ? - correct answer ✔✔55
The physician who owns the practice approaches you to discuss an increased frequency of
denials . Which of the following would give the physician the impression that you have low
interest in what he is saying ? - correct answer ✔✔Fidgeting or little eye contact
Which of the following is NOT a typical duty of a practice manager ? - correct answer
✔✔Preparation of the patient for the physician .
Which of the following support staff is typically not found in an outpatient physician practice ? -
correct answer ✔✔CNA
The difference between efficiency and effectiveness is : - correct answer ✔✔Efficiency is doing
things right while effectiveness is doing the right things .
In a typical patient flow , verification of benefits will typically occur : - correct answer ✔✔After
the patient calls to schedule an appointment .
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 ? - correct answer ✔✔Neurologist
Which of the following is an effective response when a provider is complaining about how hard
it is to use the new EMR system the owner's of the practice selected ? - correct answer ✔✔This
is a major change . I'll do my best to show you how it works . "
,The following are blocks of effective communication EXCEPT : - correct answer ✔✔Speaking and
expressing your thoughts
Which of the following statements is true ? - correct answer ✔✔A consolation comment is
considered a block to effective communication .
A PA ( physician's assistant ) has been hired by a cardiology practice to help see patients who are
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
incident - to ? - correct answer ✔✔No , incident to services are not covered in a hospital
setting .
Which of the following will motivate employees ? - correct answer ✔✔Hold employees
accountable for reaching established goals .
When should the staff obtain a photocopy of the patient's insurance card ? - correct answer
✔✔When the patient arrives for their appointment
Which of the following scenarios would violate the policy provided ? - correct answer
✔✔patient calls to get a refill on his prescription . The receptionist takes down the patient's
name , birth date , phone number , date and time of the call , and the phone number for the
pharmacy The receptionist attaches the message to the patient's chart and puts it in the
physician's inbox .
Which of the following is a statement that includes the payment amount and denial
explanations for claims submitted ? - correct answer ✔✔Remittance advice
What is the most important criteria to meet for the selection of Evaluation and Management
codes ? - correct answer ✔✔Medical necessity
Which volume of the ICD - 9 is used to identify diagnoses ? Select all that apply .
, a. Volume 1
b. Volume 2
c. Volume 3 - correct answer ✔✔a . Volume 1 . b . Volume 2
When reviewing denials , your biller notices that one of the private payers is not paying for
venipuncture when performed during an office visit . What should be done ? - correct answer
✔✔The biller should check the payer contract to see if the denial is appropriate .
Payment for physician services is based on the _____ code . Select all that apply .
a. CPT
b. APC
c. MS-DRG
d. SCHIP
e. HCPCS Level II - correct answer ✔✔a . CPTⓇ e . HCPCS Level II
Hospitals bill for inpatient services ( charges for the room , time in the OR , meals , supplies and
nursing services ) based on a ____ - correct answer ✔✔MS - DRG
a . Customer service
b . Optimizing physician time
c . Denials resolution
d . Claim quality assurance
e . Clinical assessment of patients - correct answer ✔✔a . Customer service b . Optimizing
physician time d . Claim quality assurance
Which of the following is NOT required to process the online application on the CMS website for
a NPI ( National Provider Identification ) ? - correct answer ✔✔DEA number
certification preparation material)
What percentage of communication occurs through body language ? - correct answer ✔✔55
The physician who owns the practice approaches you to discuss an increased frequency of
denials . Which of the following would give the physician the impression that you have low
interest in what he is saying ? - correct answer ✔✔Fidgeting or little eye contact
Which of the following is NOT a typical duty of a practice manager ? - correct answer
✔✔Preparation of the patient for the physician .
Which of the following support staff is typically not found in an outpatient physician practice ? -
correct answer ✔✔CNA
The difference between efficiency and effectiveness is : - correct answer ✔✔Efficiency is doing
things right while effectiveness is doing the right things .
In a typical patient flow , verification of benefits will typically occur : - correct answer ✔✔After
the patient calls to schedule an appointment .
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 ? - correct answer ✔✔Neurologist
Which of the following is an effective response when a provider is complaining about how hard
it is to use the new EMR system the owner's of the practice selected ? - correct answer ✔✔This
is a major change . I'll do my best to show you how it works . "
,The following are blocks of effective communication EXCEPT : - correct answer ✔✔Speaking and
expressing your thoughts
Which of the following statements is true ? - correct answer ✔✔A consolation comment is
considered a block to effective communication .
A PA ( physician's assistant ) has been hired by a cardiology practice to help see patients who are
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
incident - to ? - correct answer ✔✔No , incident to services are not covered in a hospital
setting .
Which of the following will motivate employees ? - correct answer ✔✔Hold employees
accountable for reaching established goals .
When should the staff obtain a photocopy of the patient's insurance card ? - correct answer
✔✔When the patient arrives for their appointment
Which of the following scenarios would violate the policy provided ? - correct answer
✔✔patient calls to get a refill on his prescription . The receptionist takes down the patient's
name , birth date , phone number , date and time of the call , and the phone number for the
pharmacy The receptionist attaches the message to the patient's chart and puts it in the
physician's inbox .
Which of the following is a statement that includes the payment amount and denial
explanations for claims submitted ? - correct answer ✔✔Remittance advice
What is the most important criteria to meet for the selection of Evaluation and Management
codes ? - correct answer ✔✔Medical necessity
Which volume of the ICD - 9 is used to identify diagnoses ? Select all that apply .
, a. Volume 1
b. Volume 2
c. Volume 3 - correct answer ✔✔a . Volume 1 . b . Volume 2
When reviewing denials , your biller notices that one of the private payers is not paying for
venipuncture when performed during an office visit . What should be done ? - correct answer
✔✔The biller should check the payer contract to see if the denial is appropriate .
Payment for physician services is based on the _____ code . Select all that apply .
a. CPT
b. APC
c. MS-DRG
d. SCHIP
e. HCPCS Level II - correct answer ✔✔a . CPTⓇ e . HCPCS Level II
Hospitals bill for inpatient services ( charges for the room , time in the OR , meals , supplies and
nursing services ) based on a ____ - correct answer ✔✔MS - DRG
a . Customer service
b . Optimizing physician time
c . Denials resolution
d . Claim quality assurance
e . Clinical assessment of patients - correct answer ✔✔a . Customer service b . Optimizing
physician time d . Claim quality assurance
Which of the following is NOT required to process the online application on the CMS website for
a NPI ( National Provider Identification ) ? - correct answer ✔✔DEA number
