AAPC CPB Final Exam with all Correct & 100% Verified
Answers |Actual Complete Update |Already Graded A+
HIPPA OF 1996 includes a security rule that is established to provide what national stands for
protecting and transmitting patient data. Which of the following is NOT true?
A) The security rule applies to healthcare providers, health plans, and any covered entity
involved in the care of a patient.
B) The security role applies only to the Institute that initiates the release of protected health
information
C) Standards for storing transmitting patient data and electronic form include portable
electronic devices
D) The security rule states that safeguards must be in place to prevent unsecured release of
information ✔Correct Answer-B
Eight standard transactions were adopted for electronic data, interchange under HIPAA which of
the following is not included as a standard transaction
A) payment and remittance advice
B) eligibility in a health plan
C) coordination of benefits
D) physician unique identify number ✔Correct Answer-D
A claim is received by a payer that subsequently request the medical records for the date of
service on the claim what procedure should be followed by the practice? ✔Correct Answer-
Only the date of service on the claim should be sent to the payer. The records can be sent as
part of HIPAA based on treatment payment and operations.
HIPAA requires that privacy practice notices be provided in several circumstances, which of the
following is not required
A) must be available on any website that practice maintains
B) must be provided upon request
C) must be presented to all patients
D) must be placed into the patient's file ✔Correct Answer-D
When is subpoena is received by the practice for medical records, and what circumstances may
the records be released according to the HIPAA privacy rule
A) the subpoena allows for the release of the medical records
B) this subpoena is accompanied by a court order, or the patient is notified, and given a chance
to object
C) the individual must sign an authorization for release at the information
D) records cannot be released under any circumstances based on the subpoena ✔Correct
Answer-B
, A physician received office space at a reduced rate for referring patients to the hospitals,
outpatient physical therapy center. What law does this violate? ✔Correct Answer-Anti-
Kickback Statute
Federal healthcare plans include what payers? ✔Correct Answer-Medicare, Medicaid, Tricare
One of the most severe penalties that can be associated with violations at the Social Security act
is exclusion from federal healthcare plans, which of the following statements is true of excluded
individuals?
A) physicians that have been excluded can build the patient for services, but cannot bill federal
health plans
B) physicians that have been excluded can refer further patients to other facilities for treatment
C) physicians that have been excluded or prohibited from billing for any service to a federally
administered health plan
D) physicians that have been excluded are exempt from billing for services, but are allowed to
write prescriptions and order tests ✔Correct Answer-C
A physician built claims to Medicare and Medicaid for procedures that were not performed on
800 patients resulting in loss of $2.6 million. Is this fraud or abuse? ✔Correct Answer-Fraud;
subject to the false claims act
The regulation of finance charges or interest, applied to outstanding balances, and medical
practice is under what law? ✔Correct Answer-Truth in Lending Act
What type of insurance is paid for by employers for employees and takes advantage of
purchasing power of having large member numbers? ✔Correct Answer-Group Health Plan
An internist sees a 20-year-old patient for an office visit. The patient needs to see an
endocrinologist for a consultation regarding her diabetes. The internist is a participating
provider in her plan. She can choose any provider she wishes for her consultation, but she will
save money if she sees a specialist that is in her network. She does not require a referral for her
consultation. What type of insurance does the patient have? ✔Correct Answer-PPO
What are the options for a provider with regards to participation with Medicare? ✔Correct
Answer-Providers may participate, may choose not to participate, or may opt-out of Medicare
A family practitioner sees a Medicare patient and bills a 99213. This provider has opted out of
Medicare. His fee for the service is $125. Medicare's approved amount is $73.08 and the patient
has met $0 of his deductible. What can the provider bill a patient? ✔Correct Answer-$125.00
Under the patient protection in affordable care act what is banned? ✔Correct Answer-
Lifetime limits
Answers |Actual Complete Update |Already Graded A+
HIPPA OF 1996 includes a security rule that is established to provide what national stands for
protecting and transmitting patient data. Which of the following is NOT true?
A) The security rule applies to healthcare providers, health plans, and any covered entity
involved in the care of a patient.
B) The security role applies only to the Institute that initiates the release of protected health
information
C) Standards for storing transmitting patient data and electronic form include portable
electronic devices
D) The security rule states that safeguards must be in place to prevent unsecured release of
information ✔Correct Answer-B
Eight standard transactions were adopted for electronic data, interchange under HIPAA which of
the following is not included as a standard transaction
A) payment and remittance advice
B) eligibility in a health plan
C) coordination of benefits
D) physician unique identify number ✔Correct Answer-D
A claim is received by a payer that subsequently request the medical records for the date of
service on the claim what procedure should be followed by the practice? ✔Correct Answer-
Only the date of service on the claim should be sent to the payer. The records can be sent as
part of HIPAA based on treatment payment and operations.
HIPAA requires that privacy practice notices be provided in several circumstances, which of the
following is not required
A) must be available on any website that practice maintains
B) must be provided upon request
C) must be presented to all patients
D) must be placed into the patient's file ✔Correct Answer-D
When is subpoena is received by the practice for medical records, and what circumstances may
the records be released according to the HIPAA privacy rule
A) the subpoena allows for the release of the medical records
B) this subpoena is accompanied by a court order, or the patient is notified, and given a chance
to object
C) the individual must sign an authorization for release at the information
D) records cannot be released under any circumstances based on the subpoena ✔Correct
Answer-B
, A physician received office space at a reduced rate for referring patients to the hospitals,
outpatient physical therapy center. What law does this violate? ✔Correct Answer-Anti-
Kickback Statute
Federal healthcare plans include what payers? ✔Correct Answer-Medicare, Medicaid, Tricare
One of the most severe penalties that can be associated with violations at the Social Security act
is exclusion from federal healthcare plans, which of the following statements is true of excluded
individuals?
A) physicians that have been excluded can build the patient for services, but cannot bill federal
health plans
B) physicians that have been excluded can refer further patients to other facilities for treatment
C) physicians that have been excluded or prohibited from billing for any service to a federally
administered health plan
D) physicians that have been excluded are exempt from billing for services, but are allowed to
write prescriptions and order tests ✔Correct Answer-C
A physician built claims to Medicare and Medicaid for procedures that were not performed on
800 patients resulting in loss of $2.6 million. Is this fraud or abuse? ✔Correct Answer-Fraud;
subject to the false claims act
The regulation of finance charges or interest, applied to outstanding balances, and medical
practice is under what law? ✔Correct Answer-Truth in Lending Act
What type of insurance is paid for by employers for employees and takes advantage of
purchasing power of having large member numbers? ✔Correct Answer-Group Health Plan
An internist sees a 20-year-old patient for an office visit. The patient needs to see an
endocrinologist for a consultation regarding her diabetes. The internist is a participating
provider in her plan. She can choose any provider she wishes for her consultation, but she will
save money if she sees a specialist that is in her network. She does not require a referral for her
consultation. What type of insurance does the patient have? ✔Correct Answer-PPO
What are the options for a provider with regards to participation with Medicare? ✔Correct
Answer-Providers may participate, may choose not to participate, or may opt-out of Medicare
A family practitioner sees a Medicare patient and bills a 99213. This provider has opted out of
Medicare. His fee for the service is $125. Medicare's approved amount is $73.08 and the patient
has met $0 of his deductible. What can the provider bill a patient? ✔Correct Answer-$125.00
Under the patient protection in affordable care act what is banned? ✔Correct Answer-
Lifetime limits
