CPPM MAIN EXAMINATION 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔**Stark Law - ✔✔Prohibits physicians from referring pts to medical facilities in which
the physician or member of immediate family has a financial interest
✔✔**Stark Law Exceptions - ✔✔preventive screeing tests, immunications & vaccines
✔✔**OSHA - ✔✔Bloodborne pathogens
Occupationsal exposure determination
Use of universal precatuions
Use of engineering & work practice controls
Use of personal protective equipment
Vaccincation policy for Hep B
Evaluation for use of safer needles & sharps
Post exposure evaluation & follow up
Containment of regulated aste
Communication of hazards to employees
✔✔OSHA - types that must be reported - ✔✔Death
missed days from work
restricted work or job transfer
medical treatment beyond first aid
loss of consciousness
✔✔You're buying aCT scan. What laws to consider? - ✔✔Stark & AntiKickback
✔✔**OIG published resource for AntiKickback Laws - ✔✔Fraud Alert
✔✔QI = Quality Improvement - ✔✔Routine measurement of performance; QI fixes
processes, not people
✔✔QA = Quality Assurance - ✔✔Internal audit of billing procedures to verify compliance
with fed & state regulations
✔✔QC = Quality Control - ✔✔a system of technical activities that measures against a
criteria or standard (i.e. lab equipment calibrations)
✔✔**Plan-Do-Check-Act - ✔✔A quality cycle & QI method that systematically impacts a
process or system
✔✔Insurance Reform - ✔✔* 1/1/15 - pymt reduction for MDs with no EHR
* Medical cost ratio = 85%
* Adult children til age 26 on family policies
* Must provide preventive health
, * No annual or lifetime maxiums
* Can't cancel coverage when beneficiary gets sick
* no prior auth for ER
* restriction on out of pocket maximum, copay & deductibles
* no pre-existing conditions
* 5% increase in mental health services
* employers with 50+ employees are fined for not offering coverage
* employers with <25 ill be offered subsidies
✔✔S Corp - ✔✔limits the # of shareholders, not taxed twice, profit can flow thru to
partners equally
✔✔Business Relationships - ✔✔bankers, accountants, attorneys, investment adviosrs
✔✔C Corp - ✔✔most formal; offers stock with or without voting rights & have unlimited
shareholder. Provides ownership of business to physicians as they join the practice, but
are taxed twice, 1st at the corporate level, then again at the physicain level
✔✔*Efficiency - ✔✔Process & doing things right
✔✔*Effectiveness - ✔✔Outcomes & doing the right thing
✔✔Accural Accounting - ✔✔Records revenues when they are earned & expenses when
they have been accrued. Provides a more accurate reflection of your current financial
situation
✔✔Cash Based Accounting - ✔✔Recognizes revenue only when cash is collected &
expenses when cash is paid. Provides a truer reflection of actual cash on hand &
requires less reconciliation
✔✔Chart of Accounts - ✔✔Lists all potential accounts for all financial information
(income, expenses, assets, liabilities, equities
✔✔Income Statement - ✔✔Records all revenues & expenses associated with the
business for a specified time. Summary of a company's profit or loss during a given
period
✔✔Balance Sheet - ✔✔Snapshot of buisness' financial condition at specific time.
Includes values for assets, liabilities & stockholders equity
✔✔Cash Flow Statement - ✔✔Financial statement used to maintain awareness of funds
(cash available) to support ongoing business operations
SOLUTIONS RATED A+
✔✔**Stark Law - ✔✔Prohibits physicians from referring pts to medical facilities in which
the physician or member of immediate family has a financial interest
✔✔**Stark Law Exceptions - ✔✔preventive screeing tests, immunications & vaccines
✔✔**OSHA - ✔✔Bloodborne pathogens
Occupationsal exposure determination
Use of universal precatuions
Use of engineering & work practice controls
Use of personal protective equipment
Vaccincation policy for Hep B
Evaluation for use of safer needles & sharps
Post exposure evaluation & follow up
Containment of regulated aste
Communication of hazards to employees
✔✔OSHA - types that must be reported - ✔✔Death
missed days from work
restricted work or job transfer
medical treatment beyond first aid
loss of consciousness
✔✔You're buying aCT scan. What laws to consider? - ✔✔Stark & AntiKickback
✔✔**OIG published resource for AntiKickback Laws - ✔✔Fraud Alert
✔✔QI = Quality Improvement - ✔✔Routine measurement of performance; QI fixes
processes, not people
✔✔QA = Quality Assurance - ✔✔Internal audit of billing procedures to verify compliance
with fed & state regulations
✔✔QC = Quality Control - ✔✔a system of technical activities that measures against a
criteria or standard (i.e. lab equipment calibrations)
✔✔**Plan-Do-Check-Act - ✔✔A quality cycle & QI method that systematically impacts a
process or system
✔✔Insurance Reform - ✔✔* 1/1/15 - pymt reduction for MDs with no EHR
* Medical cost ratio = 85%
* Adult children til age 26 on family policies
* Must provide preventive health
, * No annual or lifetime maxiums
* Can't cancel coverage when beneficiary gets sick
* no prior auth for ER
* restriction on out of pocket maximum, copay & deductibles
* no pre-existing conditions
* 5% increase in mental health services
* employers with 50+ employees are fined for not offering coverage
* employers with <25 ill be offered subsidies
✔✔S Corp - ✔✔limits the # of shareholders, not taxed twice, profit can flow thru to
partners equally
✔✔Business Relationships - ✔✔bankers, accountants, attorneys, investment adviosrs
✔✔C Corp - ✔✔most formal; offers stock with or without voting rights & have unlimited
shareholder. Provides ownership of business to physicians as they join the practice, but
are taxed twice, 1st at the corporate level, then again at the physicain level
✔✔*Efficiency - ✔✔Process & doing things right
✔✔*Effectiveness - ✔✔Outcomes & doing the right thing
✔✔Accural Accounting - ✔✔Records revenues when they are earned & expenses when
they have been accrued. Provides a more accurate reflection of your current financial
situation
✔✔Cash Based Accounting - ✔✔Recognizes revenue only when cash is collected &
expenses when cash is paid. Provides a truer reflection of actual cash on hand &
requires less reconciliation
✔✔Chart of Accounts - ✔✔Lists all potential accounts for all financial information
(income, expenses, assets, liabilities, equities
✔✔Income Statement - ✔✔Records all revenues & expenses associated with the
business for a specified time. Summary of a company's profit or loss during a given
period
✔✔Balance Sheet - ✔✔Snapshot of buisness' financial condition at specific time.
Includes values for assets, liabilities & stockholders equity
✔✔Cash Flow Statement - ✔✔Financial statement used to maintain awareness of funds
(cash available) to support ongoing business operations
