CPPM AAPC Review All Answers Correct
Communication
Which approach is effective when initiating a difficult conversation?
Options: a. Prepare a long statement; b. Ask if it's a good time to talk; c. Avoid empathizing with the
person
Answer: b. Ask if it's a good time to talk
What is an effective response when a provider complains about a new EMR system?
Options: a. Blame the provider; b. Show understanding and offer help
Answer: b. Show understanding and offer help
Office Management
What is the best description of an office manager?
Options: a. Focuses on strategic activities and has a collaborative approach; b. Focuses on tactical
activities and has a controlling appeal
Answer: b. Focuses on tactical activities and has a controlling appeal
Efficiency and Effectiveness
What is the difference between efficiency and effectiveness?
Options: a. Efficiency is doing things wrong, effectiveness is doing the right things; b. Efficiency is doing
things right, effectiveness is doing the right things
Answer: b. Efficiency is doing things right, effectiveness is doing the right things
Staff Accountability
How can staff accountability be achieved?
,Options: a. Assigning vague goals; b. Defining responsibility for tasks
Answer: b. Defining responsibility for tasks
Patient Communication
When should staff obtain a photocopy of patient insurance cards?
Options: a. When patients leave the office; b. When patients arrive for their appointment
Answer: b. When patients arrive for their appointment
What is not reported by evaluation nd management codes? ✅Physical therapy evaluations = E/M
services are reported for visits made by physicians or other qualified healthcare providers in the office,
hospital, and nursing home.
Electronic health records guide a provider to select E/M codes based on the number of elements
documented. What does this leave out that causes a potential compliance risk? ✅Medical Necessity
You are tasked with hiring an employee with inpatient coding experience. Which code set will they need
to understand for inpatient procedures? ✅ICD-10-PCS
The front desk plays an important role in: ✅Customer service, Optimizing physician time, Claim quality
assurance
Medicare offers plans for Part A, Part B, Part C, and Part D. Which of these covers inpatient hospital
care? ✅Part A
A MEDICARE PATIENT IS SEEN IN THE URGENT CARE CLINIC FOLLOWING A MINOR AUTOMOBILE
ACCIDENT. THE PATEITN HAS MEDICARE PART A, B,AND C AS WELL AS No-FAULT THROUGH ATUO
INSURANCE. WHO IS THE PRIMARY INSURANCE? ✅Automobile No-fault
Which is a common reason for denials? ✅The service is not medically necessary.
, You work for. a pediatric office and the parents of a patient inform you they can No longer afford halter
insurance. They do not qualify for Medicaid as their income is too high. What would you recommend?
✅Apply for CHIP coverage
Procedure codes are reported by the facility using which code set? ✅ICD-10-PCS - Inpatient Hospital
Facilities. Only submitted by FACILITIES!
Posting payment and collection policies in a prominent place in your office has what benefit?
✅Prepares the patient to make proper payments at the time of service.
There are many elements to a successful appeals process. What is the first and most important process?
✅Analyze the reason for the denial.
Which of the following services is covered by Medicare Part B? ✅Physician services
Which services meet medical necessity? ✅A lipid panel for a patient with high cholesterol
A claim form that is complete and accurate and includes all provider information, member information
and other additional information needed to process for payment is called? ✅A clean Claim
The Place of Service (POS) code on a claim form is important to determine correct reimbursement.
Which statement is correct? ✅The professional component for services provided in a facility (for
example, hospital or ASC) are less than when provided in the physicians office because the physician
does not have any practice expense at the facility like rent, staff, and supplies.
When reviewing denials, your biller notices that one fo the private payers is not paying for venipuncture
when performed during an office visit. What should be done? ✅Check the payer contract to see if the
denial is appropriate
In which kind of a scenario is Medicare the secondary payer? ✅A patient who requires surgery for a
fracture hip as a result of a car accident - auto insurance becomes primary payer.
Communication
Which approach is effective when initiating a difficult conversation?
Options: a. Prepare a long statement; b. Ask if it's a good time to talk; c. Avoid empathizing with the
person
Answer: b. Ask if it's a good time to talk
What is an effective response when a provider complains about a new EMR system?
Options: a. Blame the provider; b. Show understanding and offer help
Answer: b. Show understanding and offer help
Office Management
What is the best description of an office manager?
Options: a. Focuses on strategic activities and has a collaborative approach; b. Focuses on tactical
activities and has a controlling appeal
Answer: b. Focuses on tactical activities and has a controlling appeal
Efficiency and Effectiveness
What is the difference between efficiency and effectiveness?
Options: a. Efficiency is doing things wrong, effectiveness is doing the right things; b. Efficiency is doing
things right, effectiveness is doing the right things
Answer: b. Efficiency is doing things right, effectiveness is doing the right things
Staff Accountability
How can staff accountability be achieved?
,Options: a. Assigning vague goals; b. Defining responsibility for tasks
Answer: b. Defining responsibility for tasks
Patient Communication
When should staff obtain a photocopy of patient insurance cards?
Options: a. When patients leave the office; b. When patients arrive for their appointment
Answer: b. When patients arrive for their appointment
What is not reported by evaluation nd management codes? ✅Physical therapy evaluations = E/M
services are reported for visits made by physicians or other qualified healthcare providers in the office,
hospital, and nursing home.
Electronic health records guide a provider to select E/M codes based on the number of elements
documented. What does this leave out that causes a potential compliance risk? ✅Medical Necessity
You are tasked with hiring an employee with inpatient coding experience. Which code set will they need
to understand for inpatient procedures? ✅ICD-10-PCS
The front desk plays an important role in: ✅Customer service, Optimizing physician time, Claim quality
assurance
Medicare offers plans for Part A, Part B, Part C, and Part D. Which of these covers inpatient hospital
care? ✅Part A
A MEDICARE PATIENT IS SEEN IN THE URGENT CARE CLINIC FOLLOWING A MINOR AUTOMOBILE
ACCIDENT. THE PATEITN HAS MEDICARE PART A, B,AND C AS WELL AS No-FAULT THROUGH ATUO
INSURANCE. WHO IS THE PRIMARY INSURANCE? ✅Automobile No-fault
Which is a common reason for denials? ✅The service is not medically necessary.
, You work for. a pediatric office and the parents of a patient inform you they can No longer afford halter
insurance. They do not qualify for Medicaid as their income is too high. What would you recommend?
✅Apply for CHIP coverage
Procedure codes are reported by the facility using which code set? ✅ICD-10-PCS - Inpatient Hospital
Facilities. Only submitted by FACILITIES!
Posting payment and collection policies in a prominent place in your office has what benefit?
✅Prepares the patient to make proper payments at the time of service.
There are many elements to a successful appeals process. What is the first and most important process?
✅Analyze the reason for the denial.
Which of the following services is covered by Medicare Part B? ✅Physician services
Which services meet medical necessity? ✅A lipid panel for a patient with high cholesterol
A claim form that is complete and accurate and includes all provider information, member information
and other additional information needed to process for payment is called? ✅A clean Claim
The Place of Service (POS) code on a claim form is important to determine correct reimbursement.
Which statement is correct? ✅The professional component for services provided in a facility (for
example, hospital or ASC) are less than when provided in the physicians office because the physician
does not have any practice expense at the facility like rent, staff, and supplies.
When reviewing denials, your biller notices that one fo the private payers is not paying for venipuncture
when performed during an office visit. What should be done? ✅Check the payer contract to see if the
denial is appropriate
In which kind of a scenario is Medicare the secondary payer? ✅A patient who requires surgery for a
fracture hip as a result of a car accident - auto insurance becomes primary payer.
