CPAR Exam Complete Questions and Guide
Answers, 100% Verified Graded A+
1. The amount of money set aside to cover an expense is called?
Answer B. An Accrual
2. In a physician practice, Pre-service Revenue Cycle consists of
Answer D. All theanswers are correct
3. Intentional misrepresentations that can result in criminal prosecution, civil liability
and Administrative sanctions are known as?
Answer Abuse
4. A benefit period is a method Medicare uses to measure inpatient utilization for
each Medicare patient, There is no limit on the number of benefits period. What are the
2019 Deductible, Co-Insurance and Life Time Reserve amounts?-
Answer Deductible
$1364.00 Co-Insurance
,$341.00
Life Time Recovery Days $682.00
5. In following up on an unpaid claim, simply asking for a status of the claim
Answer Will always result in honest responses
6. are organizations that are hired by employers to process claims, administer benefits
Per the employer's policies and pay claims as they determine them to be reasonable.
Answer TPA's
7. Which of the following are true statements?
Answer D. All of the answers are correct
8. EMTALA stands for
Answer Emergency Medical Treatment and Active Labor Act
9. The automatic assignment of a person to a health insurance plan, typically under
Medicaid plans is known as
Answer C. Auto-enrollment
10. In a physician practice revenue cycle structure, point of service consists of
Answer Coding and Charge Capture
11. Patient access has a direct impact on several areas of the healthcare provider
organization Including the following
,Answer D. All of the answers are correct
12. Doctor services, outpatient care, and some home health care are services covered
by .
Answer B. Medicare Part B
13. All of the following codes EXCEPT are frequently used when billing a claim
to Medicare on the UB-04.
Answer D. All of the Above
14. The CMS 838 is
Answer B. The Medicare quarterly credit balance report
15. Tricare for Life is
Answer B. Sometimes the primary payer
16. If a CT scan is ordered for neck pain for a Medicare beneficiary, but Medicare may not
cover the CT Scan with the diagnosis noted, what form should be signed by the patient?
Answer A. An ABN
17. Missing patient information can lead to incorrectly selecting the correct
insurance plan code.
Answer A. True
18. Disclosures made regarding a patient's protected health information with- out
, their Authorization are considered
Answer A. A violation of the privacy rule (HIPPA)
19. Physician Office staff should provide hospital schedulers with the following
Answer D. All of the answers are correct
20. Which statement below is NOT true?
Answer A. Medicare Part B does not cover self-administered drugs.
21. The type of bill used to void or cancel a claim is
Answer D. xx8
22. DRG stands for
Answer Diagnosis Related Group
23. An ABN (Advanced Beneficiary Notice) should be issued to the patient at the time of
Answer Pre-Service Review
24. The medical coding and charging for services may be performed manually in a
Physician practice via a
Answer A. Superbill
25. Each medical record must contain information that will
Answers, 100% Verified Graded A+
1. The amount of money set aside to cover an expense is called?
Answer B. An Accrual
2. In a physician practice, Pre-service Revenue Cycle consists of
Answer D. All theanswers are correct
3. Intentional misrepresentations that can result in criminal prosecution, civil liability
and Administrative sanctions are known as?
Answer Abuse
4. A benefit period is a method Medicare uses to measure inpatient utilization for
each Medicare patient, There is no limit on the number of benefits period. What are the
2019 Deductible, Co-Insurance and Life Time Reserve amounts?-
Answer Deductible
$1364.00 Co-Insurance
,$341.00
Life Time Recovery Days $682.00
5. In following up on an unpaid claim, simply asking for a status of the claim
Answer Will always result in honest responses
6. are organizations that are hired by employers to process claims, administer benefits
Per the employer's policies and pay claims as they determine them to be reasonable.
Answer TPA's
7. Which of the following are true statements?
Answer D. All of the answers are correct
8. EMTALA stands for
Answer Emergency Medical Treatment and Active Labor Act
9. The automatic assignment of a person to a health insurance plan, typically under
Medicaid plans is known as
Answer C. Auto-enrollment
10. In a physician practice revenue cycle structure, point of service consists of
Answer Coding and Charge Capture
11. Patient access has a direct impact on several areas of the healthcare provider
organization Including the following
,Answer D. All of the answers are correct
12. Doctor services, outpatient care, and some home health care are services covered
by .
Answer B. Medicare Part B
13. All of the following codes EXCEPT are frequently used when billing a claim
to Medicare on the UB-04.
Answer D. All of the Above
14. The CMS 838 is
Answer B. The Medicare quarterly credit balance report
15. Tricare for Life is
Answer B. Sometimes the primary payer
16. If a CT scan is ordered for neck pain for a Medicare beneficiary, but Medicare may not
cover the CT Scan with the diagnosis noted, what form should be signed by the patient?
Answer A. An ABN
17. Missing patient information can lead to incorrectly selecting the correct
insurance plan code.
Answer A. True
18. Disclosures made regarding a patient's protected health information with- out
, their Authorization are considered
Answer A. A violation of the privacy rule (HIPPA)
19. Physician Office staff should provide hospital schedulers with the following
Answer D. All of the answers are correct
20. Which statement below is NOT true?
Answer A. Medicare Part B does not cover self-administered drugs.
21. The type of bill used to void or cancel a claim is
Answer D. xx8
22. DRG stands for
Answer Diagnosis Related Group
23. An ABN (Advanced Beneficiary Notice) should be issued to the patient at the time of
Answer Pre-Service Review
24. The medical coding and charging for services may be performed manually in a
Physician practice via a
Answer A. Superbill
25. Each medical record must contain information that will
