AAPC – CPB – CHAPTER 1 CHECK YOUR UNDERSTANDING QUIZ – FULL
QUESTIONS AND ANSWERS – QUESTIONS 1 TO 10
QUESTION# 1
Federal healthcare plans include what payers?
A. Blue Cross, Medicare, Humana
B. Correct: Medicare, Medicaid, TRICARE
C. Medicare, TRICARE, Blue Cross
D. Humana, VA, TRICARE
Feedback: Federal health care plans are any plans paid through government
reimbursement – Medicare, Medicaid, TRICARE, and VA programs are all
administered by the Federal government.
QUESTION# 2
A physician received office space at a reduced rate for referring patients to
the hospital’s out- patient physical therapy center. What law does this
violate?
A. Correct: Anti-kickback statute
B. Stark law
C. False Claims Act
D. Truth in Lending Act
Feedback: Rationale: The anti-kickback law states that anyone who
knowingly or willingly accepts or offers any items or services to induce
referral is a violation of the law.
QUESTION# 3
HIPAA requires that privacy practice notices be provided in several
circumstances. Which if the following is NOT required?
A. Must be available on any website the practice maintains
B. Must be provided upon request
C. Must be presented to all patients
D. Correct: Must be placed into the patient’s file
, Feedback: HIPAA states that the privacy practice should be available
electronically on any websites they maintain, and presented to patients as
they present for care, as well as providing a notice upon request. The notice
does not need to be filed in the patient’s file, however the signature showing
that the patient received the notice should be filed.
QUESTION# 4
The regulation of finance charges or interest applied to outstanding balances
in the medical practice is under what law?
A. Correct: Truth in Lending Act
B. Criminal Health Care Act
C. HIPAA
D. Conditions of Participation
Feedback: The Truth in Lending Act is also called the Consumer Credit
Protection Act of 1968 that is designed to protect consumers dealing with
lenders and creditors.
QUESTION# 5
A claim is received by a payer that subsequently requests the medical
records for the date of service on the claim. What procedure should be
followed by the practice?
A. Correct: Only the date of service on the claim should be sent to the
payer. The records can be sent as part of HIPAA based on treatment,
payment, and operations (TPO).
B. The records for the claim can be sent after authorization is received
from the patient.
C. The entire patient record should be sent as part of HIPAA based on
treatment, payment, and operations.
D. The payer is required to provide authorization signed from the patient
prior to requesting the medical records.
Feedback: Medical records requested from a payer may be sent to the payer
based on the Treatment, Payment, and Operations provision of HIPAA.
However, in doing so, the Minimum Necessary provision should be followed
and only the date of service requested should be sent.
QUESTIONS AND ANSWERS – QUESTIONS 1 TO 10
QUESTION# 1
Federal healthcare plans include what payers?
A. Blue Cross, Medicare, Humana
B. Correct: Medicare, Medicaid, TRICARE
C. Medicare, TRICARE, Blue Cross
D. Humana, VA, TRICARE
Feedback: Federal health care plans are any plans paid through government
reimbursement – Medicare, Medicaid, TRICARE, and VA programs are all
administered by the Federal government.
QUESTION# 2
A physician received office space at a reduced rate for referring patients to
the hospital’s out- patient physical therapy center. What law does this
violate?
A. Correct: Anti-kickback statute
B. Stark law
C. False Claims Act
D. Truth in Lending Act
Feedback: Rationale: The anti-kickback law states that anyone who
knowingly or willingly accepts or offers any items or services to induce
referral is a violation of the law.
QUESTION# 3
HIPAA requires that privacy practice notices be provided in several
circumstances. Which if the following is NOT required?
A. Must be available on any website the practice maintains
B. Must be provided upon request
C. Must be presented to all patients
D. Correct: Must be placed into the patient’s file
, Feedback: HIPAA states that the privacy practice should be available
electronically on any websites they maintain, and presented to patients as
they present for care, as well as providing a notice upon request. The notice
does not need to be filed in the patient’s file, however the signature showing
that the patient received the notice should be filed.
QUESTION# 4
The regulation of finance charges or interest applied to outstanding balances
in the medical practice is under what law?
A. Correct: Truth in Lending Act
B. Criminal Health Care Act
C. HIPAA
D. Conditions of Participation
Feedback: The Truth in Lending Act is also called the Consumer Credit
Protection Act of 1968 that is designed to protect consumers dealing with
lenders and creditors.
QUESTION# 5
A claim is received by a payer that subsequently requests the medical
records for the date of service on the claim. What procedure should be
followed by the practice?
A. Correct: Only the date of service on the claim should be sent to the
payer. The records can be sent as part of HIPAA based on treatment,
payment, and operations (TPO).
B. The records for the claim can be sent after authorization is received
from the patient.
C. The entire patient record should be sent as part of HIPAA based on
treatment, payment, and operations.
D. The payer is required to provide authorization signed from the patient
prior to requesting the medical records.
Feedback: Medical records requested from a payer may be sent to the payer
based on the Treatment, Payment, and Operations provision of HIPAA.
However, in doing so, the Minimum Necessary provision should be followed
and only the date of service requested should be sent.
