AAPC CPB FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS
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
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
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
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
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
What entities are exempt from HIPAA and not considered to be
covered entities?
a. Workers' compensation
b. Employers with less than 100 employees
c .Church-sponsored plans d.
Sponsored group plans
,a. Workers' compensation
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
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 visits
V. Provide referrals for inpatient admissions
a. I, II, III
b. I, III, IV
c. I, III, V
d. I, II
b. I, III, IV
What is the benefit of using NPI numbers for payers?
I. It is a single identifier for all payers
II. It contains the providers' birthdates to allow certain identification
, III. Each payer can make their own number
IV. It has no personal identifying information in the number
a. I, II
b. I, II, IV
c. III, IV
d. I, IV
d. I, IV
A group contracts with a third-party administrator to manage
paperwork. This group pays for the operation of the insurance plan
and the costs of administration. What type of plan does this
represent?
a. Association Group
b. Management Service Organization
c. Self-Funded ERISA
d. Fully Insured Employer Group
c. Self-Funded ERISA
A patient presents for an immunization. When the patient pays his bill,
he asks for a receipt so that he may turn it in to meet his spenddown.
What type of coverage does this patient have?
a. Commercial insurance
b. Medicare
c. Medicaid
d. TRICARE
c. Medicaid
SOLUTIONS GUARANTEED PASS
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
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
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
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
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
What entities are exempt from HIPAA and not considered to be
covered entities?
a. Workers' compensation
b. Employers with less than 100 employees
c .Church-sponsored plans d.
Sponsored group plans
,a. Workers' compensation
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
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 visits
V. Provide referrals for inpatient admissions
a. I, II, III
b. I, III, IV
c. I, III, V
d. I, II
b. I, III, IV
What is the benefit of using NPI numbers for payers?
I. It is a single identifier for all payers
II. It contains the providers' birthdates to allow certain identification
, III. Each payer can make their own number
IV. It has no personal identifying information in the number
a. I, II
b. I, II, IV
c. III, IV
d. I, IV
d. I, IV
A group contracts with a third-party administrator to manage
paperwork. This group pays for the operation of the insurance plan
and the costs of administration. What type of plan does this
represent?
a. Association Group
b. Management Service Organization
c. Self-Funded ERISA
d. Fully Insured Employer Group
c. Self-Funded ERISA
A patient presents for an immunization. When the patient pays his bill,
he asks for a receipt so that he may turn it in to meet his spenddown.
What type of coverage does this patient have?
a. Commercial insurance
b. Medicare
c. Medicaid
d. TRICARE
c. Medicaid
