AAPC CPB - Chapter 1 Review | Questions
and Correct Answers Latest Update 2024
What does the acronym PHI stand for?
a. Patient Healthcare Information
b. Patient History of Illness
c. Protected Health Information
d. Protected Healthcare Index - Answer - c. Protected Health Information
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. Stark Laws
b. HIPAA
c. Anti-Kickback law
d. Qui Tam - Answer - c. Anti-Kickback law
Which of the following is NOT a component of the Preferred Provider Organizations (PPO) payer model?
a. Offer a discounted fee schedule
b. Operate within networks
c. Require the enrollee to maintain a PCP
d. Utilization of preferred providers - Answer - c. Require the enrollee to maintain a PCP
In which of the following circumstances may PHI not be disclosed without the patient's authorization or
permission?
a. An office receives a court order.
, b. An office receives requests for medical records for a Medicare audit.
c. An office receives a call from a patient's husband asking for information about his wife's recent office
visit.
d. An office releases patient information to the Coroner's office upon the death of a patient. - Answer - c.
An office receives a call from a patient's husband asking for information about his wife's recent office
visit.
Which of the following is not a covered entity in the Privacy Rule?
a. Commercial insurance company
b. A healthcare consulting firm
c. A Pediatric practice
d. A billing service - Answer - b. A healthcare consulting firm
What types of entities do conditions of participation (CoP) apply to for health plans?
I. Hospitals
II. Clinics
III. Transplant centers
IV. Psychiatric hospitals
a. I, II, III
b. I, III, IV
c. II, III, IV
d. I, II, III, IV - Answer - d. I, II, III, IV
When a practice sends an electronic claim to a commercial health plan for payment, what is this
considered?
a. A code set
b. A transaction
and Correct Answers Latest Update 2024
What does the acronym PHI stand for?
a. Patient Healthcare Information
b. Patient History of Illness
c. Protected Health Information
d. Protected Healthcare Index - Answer - c. Protected Health Information
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. Stark Laws
b. HIPAA
c. Anti-Kickback law
d. Qui Tam - Answer - c. Anti-Kickback law
Which of the following is NOT a component of the Preferred Provider Organizations (PPO) payer model?
a. Offer a discounted fee schedule
b. Operate within networks
c. Require the enrollee to maintain a PCP
d. Utilization of preferred providers - Answer - c. Require the enrollee to maintain a PCP
In which of the following circumstances may PHI not be disclosed without the patient's authorization or
permission?
a. An office receives a court order.
, b. An office receives requests for medical records for a Medicare audit.
c. An office receives a call from a patient's husband asking for information about his wife's recent office
visit.
d. An office releases patient information to the Coroner's office upon the death of a patient. - Answer - c.
An office receives a call from a patient's husband asking for information about his wife's recent office
visit.
Which of the following is not a covered entity in the Privacy Rule?
a. Commercial insurance company
b. A healthcare consulting firm
c. A Pediatric practice
d. A billing service - Answer - b. A healthcare consulting firm
What types of entities do conditions of participation (CoP) apply to for health plans?
I. Hospitals
II. Clinics
III. Transplant centers
IV. Psychiatric hospitals
a. I, II, III
b. I, III, IV
c. II, III, IV
d. I, II, III, IV - Answer - d. I, II, III, IV
When a practice sends an electronic claim to a commercial health plan for payment, what is this
considered?
a. A code set
b. A transaction
