CPPM FINAL PRACTICE EXAM
QUESTIONS AND ANSWERS (ALREADY
RATED A+)
Which of the following scenarios is appropriate incident-to billing? - ANSWER-D. A
physician's assistant at an OB/GYN practice sees patients for their follow up OB
appointments while the physician sees new OB patients in the office.
In the practice you manage, the medical assistants are responsible for preparing the
patients for the physician. The medical assistants place a green folder in the door so the
physician knows which patient is next to be seen. The physician refuses to follow the
system and determines who he will see next, which is angering the patients because
they are waiting too long in the exam room. The medical assistant is extremely upset
and close to tears. Which of the following responses is an example of effective
communication in this situation? - ANSWER-B. "I understand your frustration. Since this
system does not appear to be working, what do you suggest?"
During the typical patient flow for an encounter, when should the copayment be
collected? - ANSWER-A. When the patient checks in with the front desk prior to the
appointment.
Which of the following is NOT a typical duty of a practice manager?
A. Developing a strategy to increase patient referrals.
B. Inventory control for vaccines needed for school physicals.
C. Processing prior authorizations for minor surgeries performed in the office.
D. Implement strategies to reduce the days in A/R. - ANSWER-C. Processing prior
authorizations for minor surgeries performed in the office.
Which statement regarding insurance reform is TRUE?
A. A requirement to permit adult children to stay on family policies until age 26.B.
Require pre-authorizations for only emergency department services.C. Limit the lifetime
limits on the dollar amount of the coverage for which insurers will pay.D. Insurers must
limit any waiting periods for coverage to 30 days. - ANSWER-A. A requirement to permit
adult children to stay on family policies until age 26.
A patient is very upset because her insurance denied her claim. She was seen for a
routine physical which is not covered by her insurance. The patient asks you to change
the diagnosis code in order for the insurance company to pay the claim. Which of the
following should be done?
A. Explain to the patient the codes are correct and you cannot change the diagnosis
unless you have her consent in writing.
, B. Have the provider or coder review the encounter to see if another diagnosis is
appropriate before making any changes to the codes.
C. Change the diagnosis so that the insurance company will pay the claim because a
service was rendered and should be paid.
D. Submit an appeal for the insurance company to reconsider the claim and include a
copy of the medical record for the date of service in question. - ANSWER-B. Have the
provider or coder review the encounter to see if another diagnosis is appropriate before
making any changes to the codes.
Which of the following sites of service must adhere to EMTALA?
I. Physician office
II. Ambulatory surgical center
III. Emergency department
IV. Intensive care unit - ANSWER-III is correct
Under OSHA, an emergency action plan should include:
I. Evacuation procedures
II. Fire extinguisher locations
III. Emergency contacts and contact information
IV. Designated meeting location
V. Staff assignments and responsibilities - ANSWER-The emergency action plan should
include:
• Procedures for reporting a fire or emergency
• Evacuation procedures
• Fire extinguisher locations
• Emergency contacts and contact information
• Designated meeting location
• Staff assignments and responsibilities
To perform CLIA waived tests, a practice must have a - ANSWER-Certificate of Waiver
A hospital provides free office space to providers who admit patients for inpatient
procedures. Which law(s) does this violate? - ANSWER-B. Anti-Kickback Law
Which of the following is the best example of quality care improvement?
A. Increase insurance claim submission accuracy to decrease denials.
B. Flexibility in the training schedule to accommodate all employees.
C. Effective communication between staff regarding sterilization of equipment.
D. Monitor the no show rate to determine the cause and possible solution. - ANSWER-
C. Effective communication between staff regarding sterilization of equipment.
On an income statement, which of the following expense categories would best
represent a variable expense?
A. Physicians salary
B. Medical supplies
C. Office rent
QUESTIONS AND ANSWERS (ALREADY
RATED A+)
Which of the following scenarios is appropriate incident-to billing? - ANSWER-D. A
physician's assistant at an OB/GYN practice sees patients for their follow up OB
appointments while the physician sees new OB patients in the office.
In the practice you manage, the medical assistants are responsible for preparing the
patients for the physician. The medical assistants place a green folder in the door so the
physician knows which patient is next to be seen. The physician refuses to follow the
system and determines who he will see next, which is angering the patients because
they are waiting too long in the exam room. The medical assistant is extremely upset
and close to tears. Which of the following responses is an example of effective
communication in this situation? - ANSWER-B. "I understand your frustration. Since this
system does not appear to be working, what do you suggest?"
During the typical patient flow for an encounter, when should the copayment be
collected? - ANSWER-A. When the patient checks in with the front desk prior to the
appointment.
Which of the following is NOT a typical duty of a practice manager?
A. Developing a strategy to increase patient referrals.
B. Inventory control for vaccines needed for school physicals.
C. Processing prior authorizations for minor surgeries performed in the office.
D. Implement strategies to reduce the days in A/R. - ANSWER-C. Processing prior
authorizations for minor surgeries performed in the office.
Which statement regarding insurance reform is TRUE?
A. A requirement to permit adult children to stay on family policies until age 26.B.
Require pre-authorizations for only emergency department services.C. Limit the lifetime
limits on the dollar amount of the coverage for which insurers will pay.D. Insurers must
limit any waiting periods for coverage to 30 days. - ANSWER-A. A requirement to permit
adult children to stay on family policies until age 26.
A patient is very upset because her insurance denied her claim. She was seen for a
routine physical which is not covered by her insurance. The patient asks you to change
the diagnosis code in order for the insurance company to pay the claim. Which of the
following should be done?
A. Explain to the patient the codes are correct and you cannot change the diagnosis
unless you have her consent in writing.
, B. Have the provider or coder review the encounter to see if another diagnosis is
appropriate before making any changes to the codes.
C. Change the diagnosis so that the insurance company will pay the claim because a
service was rendered and should be paid.
D. Submit an appeal for the insurance company to reconsider the claim and include a
copy of the medical record for the date of service in question. - ANSWER-B. Have the
provider or coder review the encounter to see if another diagnosis is appropriate before
making any changes to the codes.
Which of the following sites of service must adhere to EMTALA?
I. Physician office
II. Ambulatory surgical center
III. Emergency department
IV. Intensive care unit - ANSWER-III is correct
Under OSHA, an emergency action plan should include:
I. Evacuation procedures
II. Fire extinguisher locations
III. Emergency contacts and contact information
IV. Designated meeting location
V. Staff assignments and responsibilities - ANSWER-The emergency action plan should
include:
• Procedures for reporting a fire or emergency
• Evacuation procedures
• Fire extinguisher locations
• Emergency contacts and contact information
• Designated meeting location
• Staff assignments and responsibilities
To perform CLIA waived tests, a practice must have a - ANSWER-Certificate of Waiver
A hospital provides free office space to providers who admit patients for inpatient
procedures. Which law(s) does this violate? - ANSWER-B. Anti-Kickback Law
Which of the following is the best example of quality care improvement?
A. Increase insurance claim submission accuracy to decrease denials.
B. Flexibility in the training schedule to accommodate all employees.
C. Effective communication between staff regarding sterilization of equipment.
D. Monitor the no show rate to determine the cause and possible solution. - ANSWER-
C. Effective communication between staff regarding sterilization of equipment.
On an income statement, which of the following expense categories would best
represent a variable expense?
A. Physicians salary
B. Medical supplies
C. Office rent
