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CPPM Final Exam Study Guide Questions and Answers Updated 2026

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CPPM Final Exam Study Guide Questions and Answers Updated 2026

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CPPM Final Exam Study Guide Questions and Answers Updated 2026

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CPPM Final Exam Study Guide
Questions and Answers Updated
2026
WhichBofBtheBfollowingBisBNOTBaBtypicalBdutyBofBaBpracticeBmanager?

Ba.BImplementBstrategiesBtoBreduceBtheBA/R

Bb.BInventoryBcontrolBforBsuppliesBneededBforBminorBsurgeries

Bc.BFosteringBaBreferralBsourceBforBnewBpatients

Bd.BPreparationBofBtheBpatientBforBtheBphysicianB-
BAnswerPreparationBofBtheBpatientBforBtheBphysician

WhichBofBtheBfollowingBincludesBtheBpaymentBamountBandBdenialBexplanationsBforBclaimsBsu
bmitted?

Ba.BDenialBreconciliationBreport

Bb.BAccountsBreceivableBreport

Bc.BExplanationBofBbenefitsB(EOB)

Bd.BEncounterBformB-BAnswerExplanationBofBbenefitsB(EOB)

YouBworkBforBaBprimaryBcareBpractice.BABpatientBhasBrecentlyBsufferedBaBtransientBischemicB
attackB(TIA)BandByourBphysicianBwantsBtoBsendBtheBpatientBtoBaBspecialistBforBaBconsultation
.BWhichBspecialtyBwouldBhandleBthisBtypeBofBdiagnosis?

Ba.BInfectiousBdisease

Bb.BEndocrinology

Bc.BRheumatology

Bd.BNeurologyB-BAnswerNeurology

ABphysicianBassistantB(PA)BisBhiredBbyBaBcardiologyBpracticeBtoBhelpBseeBpatientsBinBtheBhos
pital.BTheBPABperformsBallBtheBroundsBandBnotifiesBtheBphysicianBonBcallBifBthereBareBanyBp
atientsBthatBneedBtoBbeBseenBbyBaBphysician.BIsBitBappropriateBtoBbillBforBtheBPA'sBservicesB
asBincident-to?

Ba.BNo,Bincident-toBservicesBareBnotBcoveredBinBaBhospitalBsetting.

Bb.BYes,BasBlongBasBtheBphysicianBseesBtheBpatientBlaterBinBtheBday.

Bc.BYes,BasBlongBasBtheBservicesBareBconsistentBwithBanBestablishedBplanBofBcare.

,Bd.BNo,BtheBphysicianBneedsBtoBseeBeveryBpatientBinBorderBtoBbillBincidentBto.B-
BAnswerNo,Bincident-toBservicesBareBnotBcoveredBinBaBhospitalBsetting.

WhatBisBaBgoodBwayBtoBimproveBefficiencyBandBaccuracyBinBtheBregistrationBprocess?

Ba.BMailBanBinvoiceBratherBthanBcollectBatBtimeBofBservice.

Bb.BAuditBtwoBrecordsBperBstaffBmemberBeveryByearBforBaccuracy.

Bc.BScanBaBcopyBofBtheBpatient'sBinsuranceBcard.

Bd.BEmailBauditBresultsBtoBstaffBmembersBwithBinstructionsBtoBimprove.BTrainingBtakesBupBto
oBmuchBtime.B-BAnswerScanBaBcopyBofBtheBpatient'sBinsuranceBcard.

WhatBpercentageBofBcommunicationBoccursBthroughBbodyBlanguage?

Ba.B35

Bb.B85

Bc.B55

Bd.B15B-BAnswer55

WhichBofBtheBfollowingBisBtheBbestBexampleBofBcommunicatingBinBaBdifficultBconversation?

Ba.BArguingBorBdisagreeingBwithBtheBspeaker.

Bb.BLetBtheBpersonBknow,B"IBunderstandBhowByouBfeel."

Bc.BLetBtheBpersonBknow,B"It'sBgoingBtoBbeBalright."

Bd.BProvideBsomeBadviceBforBtheBpersonBwhoBisBwrong.B-
BAnswerLetBtheBpersonBknow,B"IBunderstandBhowByouBfeel."

WhichBoptionBisBNOTBaBreasonBtoBappendBaBmodifierBtoBaBCPT®BorBHCPCSBLevelBIIBcode?

Ba.BSeparateBandBdistinctBserviceBperformed

Bb.BMedicalBnecessity

Bc.BDiscontinuedBprocedure

Bd.BMultipleBproceduresBwereBperformedB-BAnswerMedicalBnecessity

WhichBtwoBcodeBsetsBareBusedBbyBphysiciansBandBnon-
physicianBpractitionersB(NPPs)BtoBreportBprofessionalBservicesBforBproceduresBinBanBoutpatient
Bsetting?

I.BCPT®

, II.BICD-10-CM

III.BICD-10-PCS

IV.BHCPCSBLevelBIIB-BAnswerCPT®

HCPCSBLevelBII

WhatBdoesBtheBabbreviationBMBIBstandBfor?

Ba.BMedicareBbenefitBidentifier

Bb.BMedicareBbillingBindicator

Bc.BMedicareBbeneficiaryBidentifier

Bd.BMedicareBbenefitsBindicatorB-BAnswerMedicareBbeneficiaryBidentifier

WhatBtypeBofBreimbursementBmethodologyBisBbasedBonBtheBaverageBresourcesBrequiredBtoBc
areBforBanBinpatientBwithBaBspecificBdiagnosis?

Ba.BFFS

Bb.BMS-DRGs

Bc.BAPCs

Bd.BNPIB-BAnswerMS-DRGs

ABcommonBbillingBerrorBisBinvalidBorBtruncatedBICD-10-
CMBcodes.BHowBcanByouBpreventBthis?

Ba.BAlwaysBuseBtheBcodeBselectedBbyBtheBprovider.

Bb.BOnlyBuseBcodesBwithBsevenBcharacters.

Bc.BMakeBsureBtheBcodeBonBencounterBformBmatchesBtheBcodeBthatBisBbilled.

Bd.BUpdateBtheBpracticeBmanagementBsystemBwhenBnew,Bdeleted,BandBrevisedBcodesBareBrel
eased.B-
BAnswerUpdateBtheBpracticeBmanagementBsystemBwhenBnew,Bdeleted,BandBrevisedBcodesBare
Breleased.

WhichBoptionBisBaBcommonBreasonBforBdenials?

Ba.BTheBproviderBisBcredentialedBwithBmultipleBinsuranceBcarriers.

Bb.BTheBpatient'sBinsuranceBwasBterminatedBfollowingBaBservice.

Bc.BTheBpatientBdidBnotBshowBforBaBscheduledBappointment.

Bd.BTheBserviceBisBnotBmedicallyBnecessary.B-BAnswerTheBserviceBisBnotBmedicallyBnecessary.

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