CPPM Chapter 2 – Practice Management Fundamentals (study guide
and exam preparation material)
Posting payment and collection policies in a prominent place in your office has what benefit?
a. complies with HIPAA regulations
b. eliminates the need to file claims
c. reduces overhead by eliminating the need to verify coverage
d. prepares the patient to make proper payments at the time of service - correct answer ✔✔d.
prepares the patient to make proper payments at the time of service
Which of the following are common billing errors?
a. Use of CPT® modifiers; no referring provider name or NPI
b. Service is not medically necessary; no referring provider name; address and ZIP code of
where service was provided
c. No ordering provider name or NPI; use of CPT® modifiers
d. No referring provider name; address and ZIP code of where service was provided; more than
one CPT code and diagnosis code - correct answer ✔✔b. Service is not medically necessary; no
referring provider name; address and ZIP code of where service was provided
In which of the following scenarios is Medicare the secondary payer?
a. A patient presenting for routine breast cancer screening
b. A patient who undergoes cosmetic surgery that is not covered by Medicare
c. A patient who requires surgery for a fractured hip because of a car accident
d.A patient with brain cancer who is under hospice care - correct answer ✔✔c. A patient who
requires surgery for a fractured hip because of a car accident
Of the services listed below, which are CPT® evaluation and management services?
I. Chest X-ray
, II. Allergy testing
III. Office consultation
IV. Comprehensive metabolic panel
V. New patient preventive medicine exam
a. II, III are correct
b. III, V are correct
c. I, III are correct
d. III, IV are correct - correct answer ✔✔d. III, V are correct
Payment for fee for service outpatient physician services is based on:
I. CPT®
II. APC
III. MS-DRG
IV. SCHIP
V. HCPCS Level II
a. II
b. III
c. I and V
d. II and IV - correct answer ✔✔c. I and V
Which health plans below are considered public health plans?
I. Medicare
II. Medicaid
III. Health savings account (HSA)
IV. CHAMPUS/TRICARE
V. Preferred provider organization (PPO)
and exam preparation material)
Posting payment and collection policies in a prominent place in your office has what benefit?
a. complies with HIPAA regulations
b. eliminates the need to file claims
c. reduces overhead by eliminating the need to verify coverage
d. prepares the patient to make proper payments at the time of service - correct answer ✔✔d.
prepares the patient to make proper payments at the time of service
Which of the following are common billing errors?
a. Use of CPT® modifiers; no referring provider name or NPI
b. Service is not medically necessary; no referring provider name; address and ZIP code of
where service was provided
c. No ordering provider name or NPI; use of CPT® modifiers
d. No referring provider name; address and ZIP code of where service was provided; more than
one CPT code and diagnosis code - correct answer ✔✔b. Service is not medically necessary; no
referring provider name; address and ZIP code of where service was provided
In which of the following scenarios is Medicare the secondary payer?
a. A patient presenting for routine breast cancer screening
b. A patient who undergoes cosmetic surgery that is not covered by Medicare
c. A patient who requires surgery for a fractured hip because of a car accident
d.A patient with brain cancer who is under hospice care - correct answer ✔✔c. A patient who
requires surgery for a fractured hip because of a car accident
Of the services listed below, which are CPT® evaluation and management services?
I. Chest X-ray
, II. Allergy testing
III. Office consultation
IV. Comprehensive metabolic panel
V. New patient preventive medicine exam
a. II, III are correct
b. III, V are correct
c. I, III are correct
d. III, IV are correct - correct answer ✔✔d. III, V are correct
Payment for fee for service outpatient physician services is based on:
I. CPT®
II. APC
III. MS-DRG
IV. SCHIP
V. HCPCS Level II
a. II
b. III
c. I and V
d. II and IV - correct answer ✔✔c. I and V
Which health plans below are considered public health plans?
I. Medicare
II. Medicaid
III. Health savings account (HSA)
IV. CHAMPUS/TRICARE
V. Preferred provider organization (PPO)
