Certified Specialist Physician Practice
Management
Full Exam Review (Qns & Ans)
2025
1. Multiple Choice : What is the primary purpose of encounter
processing in healthcare?
- A) Increase patient volumes
- B) Ensure accurate billing and data reporting
- C) Improve staff productivity
- D) Eliminate the need for patient follow-ups
ANS : B
Rationale : Encounter processing ensures the collection and
validation of accurate data for billing and reporting purposes.
©2025
,2. Fill-in-the-Blank : Customer relations in healthcare
emphasize ________ to enhance patient satisfaction.
ANS : Effective communication
Rationale : Strong communication fosters trust and improves
patient experience.
3. True/False : Registration errors can significantly delay
revenue cycle processes.
ANS : True
Rationale : Inaccurate registration data leads to claim denials
and delayed reimbursements.
4. Multiple Response : What are critical steps in the registration
process?
- A) Insurance verification
- B) Collecting demographic information
- C) Pre-certification for procedures
- D) Clinical documentation
ANS : A, B, C
Rationale : Clinical documentation is not a registration step
but part of medical recordkeeping.
©2025
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Physician Coding and Payment Systems
5. Multiple Choice : Which code set is primarily used for
reporting physician procedures and services?
- A) ICD-10-CM
- B) CPT
- C) HCPCS Level II
- D) DRG
ANS : B
Rationale : Current Procedural Terminology (CPT) codes are
used for documenting physician services.
6. Fill-in-the-Blank : ________ ensures that coded services
accurately reflect the clinical care provided.
ANS : Documentation integrity
Rationale : Proper documentation is essential for accurate
coding and reimbursement.
7. True/False : HCPCS Level II codes are used exclusively for
inpatient services.
ANS : False
©2025
, Rationale : HCPCS Level II codes report non-physician
services and durable medical equipment, not limited to inpatient
care.
8. Multiple Response : Common issues in physician coding
include:
- A) Under-coding
- B) Up-coding
- C) Missing modifiers
- D) Standardized coding practices
ANS : A, B, C
Rationale : Standardized coding practices prevent issues
rather than contributing to them.
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Revenue Cycle: Accounts Receivable, Consumerism, and
Collections
9. Multiple Choice : What is the primary metric for assessing
the efficiency of accounts receivable management?
- A) Patient satisfaction score
- B) Days in accounts receivable (AR)
©2025
Management
Full Exam Review (Qns & Ans)
2025
1. Multiple Choice : What is the primary purpose of encounter
processing in healthcare?
- A) Increase patient volumes
- B) Ensure accurate billing and data reporting
- C) Improve staff productivity
- D) Eliminate the need for patient follow-ups
ANS : B
Rationale : Encounter processing ensures the collection and
validation of accurate data for billing and reporting purposes.
©2025
,2. Fill-in-the-Blank : Customer relations in healthcare
emphasize ________ to enhance patient satisfaction.
ANS : Effective communication
Rationale : Strong communication fosters trust and improves
patient experience.
3. True/False : Registration errors can significantly delay
revenue cycle processes.
ANS : True
Rationale : Inaccurate registration data leads to claim denials
and delayed reimbursements.
4. Multiple Response : What are critical steps in the registration
process?
- A) Insurance verification
- B) Collecting demographic information
- C) Pre-certification for procedures
- D) Clinical documentation
ANS : A, B, C
Rationale : Clinical documentation is not a registration step
but part of medical recordkeeping.
©2025
,---
Physician Coding and Payment Systems
5. Multiple Choice : Which code set is primarily used for
reporting physician procedures and services?
- A) ICD-10-CM
- B) CPT
- C) HCPCS Level II
- D) DRG
ANS : B
Rationale : Current Procedural Terminology (CPT) codes are
used for documenting physician services.
6. Fill-in-the-Blank : ________ ensures that coded services
accurately reflect the clinical care provided.
ANS : Documentation integrity
Rationale : Proper documentation is essential for accurate
coding and reimbursement.
7. True/False : HCPCS Level II codes are used exclusively for
inpatient services.
ANS : False
©2025
, Rationale : HCPCS Level II codes report non-physician
services and durable medical equipment, not limited to inpatient
care.
8. Multiple Response : Common issues in physician coding
include:
- A) Under-coding
- B) Up-coding
- C) Missing modifiers
- D) Standardized coding practices
ANS : A, B, C
Rationale : Standardized coding practices prevent issues
rather than contributing to them.
---
Revenue Cycle: Accounts Receivable, Consumerism, and
Collections
9. Multiple Choice : What is the primary metric for assessing
the efficiency of accounts receivable management?
- A) Patient satisfaction score
- B) Days in accounts receivable (AR)
©2025
