AAPC CPB FINAL EXAM C | COMPLETE QUESTIONS AND ANSWER | 2026
LATEST UPDATED
1. Ms. Robinson is seen by Dr. Judy on 4/13/17. The claim is sent to
Medicare
for payment on 4/12/18. Which of the following statements is correct?:
Medicare will pay the claim for the services provided based on the timely filing
statute
2. Medicare was passed into law under the title XVIII of what Act? a.
HIPAA
b. Stabilization Act
c. HMO
d. Social Security Act: d. Social Security Act
3. A new radiology company opens in town. The manager calls your practice
and offers to pay $20 for every Medicare patient you send to them for
radiology services. What does this offer violate?
,a. Anti-Kickback law
b. Stark Laws
c. HIPAA
d. Qui Tam: a. Anti-Kickback law
4. A practice agrees to pay $250,000 to settle a lawsuit alleging that the
practice used X-rays of one patient to justify services on multiple other
patients' claims. The manager of the office brought the civil suit. What type
of case is this? a. HIPAA
b. Stark case
c. Anti-Kickback
d. Qui Tam: d. Qui Tam
5. A private practice hires a consultant to come in and audit some
medical records. Under the Privacy Rule, what is this consultant
considered? a. A covered entity
b. A business associate
c. An employee
,d. A clearinghouse: b. A business associate
6. What is the standard time frame established for record retention?
a. Seven years
b. The life of the patient c
.Five years
d. There is no single standard record retention, it varies by state and federal
regulation: d. There is no single standard record retention, it varies by state
and federal regulation
7. What entities are exempt from HIPAA and not considered to be covered
entities?
a. Workers' compensation
b. Employers with less than 100 employeesc .Church-
sponsored plans
d. Sponsored group plans: a. Workers' compensation
, 8. A patient is seen in your clinic. Her husband calls later in the day to ask for
information about the visit. The practice pulls the patient's privacy
authorization to see if they can speak to the husband. What act does this
action fall under?
a. Health Information Act
b. HIPAA
c. Social Security Act
d. ADA: b. HIPAA
9. When a patient is enrolled in an HMO, which options below are the
responsibilities of the primary care physician (PCP)?
I. Manage the member's treatment
II. Be the only provider for all of the patient's healthcare
III. Provide referrals to specialists
IV. Approve emergency department visitsV. Provide referrals for inpatient
admissions a. I, II, III
LATEST UPDATED
1. Ms. Robinson is seen by Dr. Judy on 4/13/17. The claim is sent to
Medicare
for payment on 4/12/18. Which of the following statements is correct?:
Medicare will pay the claim for the services provided based on the timely filing
statute
2. Medicare was passed into law under the title XVIII of what Act? a.
HIPAA
b. Stabilization Act
c. HMO
d. Social Security Act: d. Social Security Act
3. A new radiology company opens in town. The manager calls your practice
and offers to pay $20 for every Medicare patient you send to them for
radiology services. What does this offer violate?
,a. Anti-Kickback law
b. Stark Laws
c. HIPAA
d. Qui Tam: a. Anti-Kickback law
4. A practice agrees to pay $250,000 to settle a lawsuit alleging that the
practice used X-rays of one patient to justify services on multiple other
patients' claims. The manager of the office brought the civil suit. What type
of case is this? a. HIPAA
b. Stark case
c. Anti-Kickback
d. Qui Tam: d. Qui Tam
5. A private practice hires a consultant to come in and audit some
medical records. Under the Privacy Rule, what is this consultant
considered? a. A covered entity
b. A business associate
c. An employee
,d. A clearinghouse: b. A business associate
6. What is the standard time frame established for record retention?
a. Seven years
b. The life of the patient c
.Five years
d. There is no single standard record retention, it varies by state and federal
regulation: d. There is no single standard record retention, it varies by state
and federal regulation
7. What entities are exempt from HIPAA and not considered to be covered
entities?
a. Workers' compensation
b. Employers with less than 100 employeesc .Church-
sponsored plans
d. Sponsored group plans: a. Workers' compensation
, 8. A patient is seen in your clinic. Her husband calls later in the day to ask for
information about the visit. The practice pulls the patient's privacy
authorization to see if they can speak to the husband. What act does this
action fall under?
a. Health Information Act
b. HIPAA
c. Social Security Act
d. ADA: b. HIPAA
9. When a patient is enrolled in an HMO, which options below are the
responsibilities of the primary care physician (PCP)?
I. Manage the member's treatment
II. Be the only provider for all of the patient's healthcare
III. Provide referrals to specialists
IV. Approve emergency department visitsV. Provide referrals for inpatient
admissions a. I, II, III
