1|Page
AAPC CPB TEST FINAL EXAM AND PRACTICE EXAM
20262027 BANK 2 VERSIONS QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXAM QUESTIONS WILL COME
FROM HERE (100% CORRECT ANSWERS A+ GRADED
Eight standard transactions were adopted for Electronic Data
Interchange (EDI) under HIPAA. Which of the following is NOT included
as a standard transaction?
a. Payment and remittance advice
b. Eligibility in a health plan
c. Coordination of benefits
d. Physician unique identifier number - ANSWER--d. Physician unique
identifier number
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. Anti-Kickback Statute
b. Stark Law
c. False Claims Act
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d. Truth in Lending Act - ANSWER--a. Anti-Kickback Statute
One of the most severe penalties that can be associated with violations
of the Social Security Act is exclusion from federal health care plans.
Which of the following statements is true of excluded individuals?
a. Physicians that have been excluded can bill the patient for services
but cannot bill federal health plans.
b. Physicians that have been excluded can refer their patients to other
facilities for treatment.
c. Physicians that have been excluded are prohibited from billing for
any services to a federally administered health plan.
d. Physicians that have been excluded are exempt from billing for
services but are allowed to write prescriptions and order tests. -
ANSWER--c. Physicians that have been excluded are prohibited from
billing for any services to a federally administered health plan.
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. 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.
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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. - ANSWER--a. 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).
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. Must be placed into the patient's file - ANSWER--d. Must be placed
into the patient's file
The regulation of finance charges or interest applied to outstanding
balances in the medical practice is under what law?
a. Truth in Lending Act
b. Criminal Health Care Act
c. HIPAA
d. Conditions of Participation - ANSWER--a. Truth in Lending Act
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Federal healthcare plans include what payers?
a. Blue Cross, Medicare, Humana
b. Medicare, Medicaid, TRICARE
c. Medicare, TRICARE, Blue Cross
d. Humana, VA, TRICARE - ANSWER--b. Medicare, Medicaid, TRICARE
HIPAA of 1996 includes a Security Rule that is established to provide
what national standards for protecting and transmitting patient data.
Which of the following is NOT true.
a. The Security rule applies to health care providers, health plans, and
any covered entity involved in the care of the patient.
b. The Security Rule applies only to the entity that initiates the release
of protected health information.
c. Standards for storing and transmitting patient data in electronic form
includes portable electronic devices.
d. The Security Rule states that safeguards must be in place to prevent
unsecured release of information. - ANSWER--b. The Security Rule
applies only to the entity that initiates the release of protected health
information.
AAPC CPB TEST FINAL EXAM AND PRACTICE EXAM
20262027 BANK 2 VERSIONS QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXAM QUESTIONS WILL COME
FROM HERE (100% CORRECT ANSWERS A+ GRADED
Eight standard transactions were adopted for Electronic Data
Interchange (EDI) under HIPAA. Which of the following is NOT included
as a standard transaction?
a. Payment and remittance advice
b. Eligibility in a health plan
c. Coordination of benefits
d. Physician unique identifier number - ANSWER--d. Physician unique
identifier number
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. Anti-Kickback Statute
b. Stark Law
c. False Claims Act
,2|Page
d. Truth in Lending Act - ANSWER--a. Anti-Kickback Statute
One of the most severe penalties that can be associated with violations
of the Social Security Act is exclusion from federal health care plans.
Which of the following statements is true of excluded individuals?
a. Physicians that have been excluded can bill the patient for services
but cannot bill federal health plans.
b. Physicians that have been excluded can refer their patients to other
facilities for treatment.
c. Physicians that have been excluded are prohibited from billing for
any services to a federally administered health plan.
d. Physicians that have been excluded are exempt from billing for
services but are allowed to write prescriptions and order tests. -
ANSWER--c. Physicians that have been excluded are prohibited from
billing for any services to a federally administered health plan.
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. 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.
,3|Page
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. - ANSWER--a. 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).
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. Must be placed into the patient's file - ANSWER--d. Must be placed
into the patient's file
The regulation of finance charges or interest applied to outstanding
balances in the medical practice is under what law?
a. Truth in Lending Act
b. Criminal Health Care Act
c. HIPAA
d. Conditions of Participation - ANSWER--a. Truth in Lending Act
, 4|Page
Federal healthcare plans include what payers?
a. Blue Cross, Medicare, Humana
b. Medicare, Medicaid, TRICARE
c. Medicare, TRICARE, Blue Cross
d. Humana, VA, TRICARE - ANSWER--b. Medicare, Medicaid, TRICARE
HIPAA of 1996 includes a Security Rule that is established to provide
what national standards for protecting and transmitting patient data.
Which of the following is NOT true.
a. The Security rule applies to health care providers, health plans, and
any covered entity involved in the care of the patient.
b. The Security Rule applies only to the entity that initiates the release
of protected health information.
c. Standards for storing and transmitting patient data in electronic form
includes portable electronic devices.
d. The Security Rule states that safeguards must be in place to prevent
unsecured release of information. - ANSWER--b. The Security Rule
applies only to the entity that initiates the release of protected health
information.
