6/29/25, 11:00 AM AAPC CPB Final
AAPC CPB COMPREHENSIVE TEST BANK FINAL EXAM
NEWEST VERSION WITH COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS \\ACTUAL EXAM WITH
VERIFIED ANSWERS ASSURED PASS GRADED A+ \\BRAND
NEW!!!2025
Terms in this set (200)
A hospital records transporter breach
is moving
medical records from the
hospital to an off- site
building. During the
transport, a chart falls from
the box on to the street. It
is discovered when the
transporter arrives at the
off-site building and the
number of charts is not
correct. What type of
violation is this?
impermissible release or breach
disclosure of information is
discovered
What standard transactions waiver of liability
is NOT included in EDI and
adopted under HIPAA?
The Federal False Claim 7
Act allows for claims to be
reviewed for a standard of
how many years after an
incident?
/ 1/34
,6/29/25, 11:00 AM AAPC CPB Final
A new radiology company anti kickback laws
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 private practice hires a biz associate
consultant to come in and
audit some medical records.
Under the Privacy Rule, what
is this consultant
considered?
Medicare overpayments 60
should be returned within
___ days after the
overpayment has been
identified
HIPAA mandated what entity HHS
to adopt national
standards for electronic
transactions and code sets?
Entities that have been abuse
identified as having
improper billing practices
is defined by
CMS as a violation of what
standard?
In addition to the unique id
standardization of the codes
(ICD-10, CPT, HCPCS, and
NDC)
used to request payment for
medical services, what
must be used on all
transactions for employers
and providers?
/ 2/34
,6/29/25, 11:00 AM AAPC CPB Final
A person that files a claim False Claims Act
for a Medicare beneficiary
knowing that the service is
not correctly reported is in
violation of what statute?
Medicare was passed into SS Act
law under the title XVIII of
what Act?
While working in a large fraud
practice, Medicare
overpayments are found in
several patient accounts.
The manager states that
the
practice will keep the money
until
Medicare asks for it back.
What does this action
constitute?
A practice agrees to pay qui tam
$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?
OIG, CMS, and Department fed abuse and fraud laws
of Justice are the
government agencies
enforcing
________________________ _
.
/ 3/34
, 6/29/25, 11:00 AM AAPC CPB Final
A practice allows patients to TILA
pay large
balances over a six month
time period with a finance
charge applied. The
patient receives a
statement every month that
only shows the unpaid
balance. What does this
violate?
An insurance plan that HMO
provides a
gatekeeper to manage the
patient's health care is
known as a/an
a corporate umbrella for IPO
management of diversified
healthcare delivery
systems
An employee has signed up FSA
for a program through her
employer. It allows her to
put pre-tax money away
from her paycheck in order
to pay for out-of-pocket
healthcare expenses. She
may contribute up to $2650
(2018) per year. If she
does not use all of the
money during the current
year, she forfeits it. What
is this?
Which option is not HSA
considered an MCO?
/ 4/34
AAPC CPB COMPREHENSIVE TEST BANK FINAL EXAM
NEWEST VERSION WITH COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS \\ACTUAL EXAM WITH
VERIFIED ANSWERS ASSURED PASS GRADED A+ \\BRAND
NEW!!!2025
Terms in this set (200)
A hospital records transporter breach
is moving
medical records from the
hospital to an off- site
building. During the
transport, a chart falls from
the box on to the street. It
is discovered when the
transporter arrives at the
off-site building and the
number of charts is not
correct. What type of
violation is this?
impermissible release or breach
disclosure of information is
discovered
What standard transactions waiver of liability
is NOT included in EDI and
adopted under HIPAA?
The Federal False Claim 7
Act allows for claims to be
reviewed for a standard of
how many years after an
incident?
/ 1/34
,6/29/25, 11:00 AM AAPC CPB Final
A new radiology company anti kickback laws
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 private practice hires a biz associate
consultant to come in and
audit some medical records.
Under the Privacy Rule, what
is this consultant
considered?
Medicare overpayments 60
should be returned within
___ days after the
overpayment has been
identified
HIPAA mandated what entity HHS
to adopt national
standards for electronic
transactions and code sets?
Entities that have been abuse
identified as having
improper billing practices
is defined by
CMS as a violation of what
standard?
In addition to the unique id
standardization of the codes
(ICD-10, CPT, HCPCS, and
NDC)
used to request payment for
medical services, what
must be used on all
transactions for employers
and providers?
/ 2/34
,6/29/25, 11:00 AM AAPC CPB Final
A person that files a claim False Claims Act
for a Medicare beneficiary
knowing that the service is
not correctly reported is in
violation of what statute?
Medicare was passed into SS Act
law under the title XVIII of
what Act?
While working in a large fraud
practice, Medicare
overpayments are found in
several patient accounts.
The manager states that
the
practice will keep the money
until
Medicare asks for it back.
What does this action
constitute?
A practice agrees to pay qui tam
$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?
OIG, CMS, and Department fed abuse and fraud laws
of Justice are the
government agencies
enforcing
________________________ _
.
/ 3/34
, 6/29/25, 11:00 AM AAPC CPB Final
A practice allows patients to TILA
pay large
balances over a six month
time period with a finance
charge applied. The
patient receives a
statement every month that
only shows the unpaid
balance. What does this
violate?
An insurance plan that HMO
provides a
gatekeeper to manage the
patient's health care is
known as a/an
a corporate umbrella for IPO
management of diversified
healthcare delivery
systems
An employee has signed up FSA
for a program through her
employer. It allows her to
put pre-tax money away
from her paycheck in order
to pay for out-of-pocket
healthcare expenses. She
may contribute up to $2650
(2018) per year. If she
does not use all of the
money during the current
year, she forfeits it. What
is this?
Which option is not HSA
considered an MCO?
/ 4/34
