CPPM COMPREHENSIVE EXAM 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔HR forms kept in a sperate file from employee's personnell file & in a locked location
- ✔✔OSHA Compliance
completed FMLA form
Employment eligibility forms INSS form I-9
Worker's compensation
disability forms
✔✔Income Statement Model - ✔✔This physician compensation model requires
allocation of revenue & expenses to each physician in the practice
✔✔Mid Levels - ✔✔Need Standard of Care agreement if only billing incident to
✔✔SWOT Analysis - ✔✔Strengths, Weakness, Opportunities, Threats
✔✔Anti-Kickback Law - ✔✔can't solicit or receive payment for patient referrals
✔✔Compliance Plan - ✔✔Includes: designated compliance officer
training & education
Written policies for denial mgmt software
Internal auditing
✔✔Stark Law - ✔✔Prohibits physicians from referring patients to medical facilities in
whic the physcican or member of immedicate family has a financial interest
✔✔Stark Law Exceptions - ✔✔preventative screening tests, immunizations & vaccines
✔✔OSHA - ✔✔Bloodborne pathogens
Occupational exposure determination
Use of universal precautions
Use of engineering & work practice controls
Use of personal protective equipment
Vaccination policy for HEP B
Evaluation for use of safer needles & sharps
Post-exposure evaluation & follow up
Containment of regulated waste
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 a CT scan. What laws to consider? - ✔✔Stark & Anti-Kickback
✔✔OIG published resource for Anti-Kickback Laws - ✔✔Fraud Alert
✔✔QI = Quality Improvement - ✔✔Routine measurement of performance; QI fixes
processes, not people
✔✔QA = Quality Assurance - ✔✔An internal audit of billing procedures to verify
compliance with fed & state regulations
✔✔QC = Quality Control - ✔✔A system of technical activities that measures against
criteria or standard (ie: Lab equipment calibrations)
✔✔Plan-Do-Check-Act - ✔✔A quality cycle & QI method that systematically impacts a
process or system
✔✔Insurance Reform - ✔✔1/1/2015 - payment reduction with no EHR
Medical cost ratio = 85%
Adult children until age 26 on family policies
Must provide preventative health
No annual or lifetime maximums
Can't cancel coverage when a beneficiary gets sick
no prior auth for ER
restrictions 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
empolyers with <25 will be offered subsidies
✔✔S Corp - ✔✔limits the # of shareholders, not taxed twice, profit can flow thru to
partners equally
✔✔Business Realtionships - ✔✔bankers, accountants, attorneys, investment advisors
✔✔C Corp - ✔✔most formal; offers stock with or without voting rights & have unlimited
shareholder. Provides ownership of the business to physicians as they join the practice,
but are taxed twice, 1st at the corporate level, then again at the phusicain level.
✔✔Efficiency - ✔✔Process & doing things right
✔✔Effectiveness - ✔✔Outcomes & doing the right thing
AND SOLUTIONS RATED A+
✔✔HR forms kept in a sperate file from employee's personnell file & in a locked location
- ✔✔OSHA Compliance
completed FMLA form
Employment eligibility forms INSS form I-9
Worker's compensation
disability forms
✔✔Income Statement Model - ✔✔This physician compensation model requires
allocation of revenue & expenses to each physician in the practice
✔✔Mid Levels - ✔✔Need Standard of Care agreement if only billing incident to
✔✔SWOT Analysis - ✔✔Strengths, Weakness, Opportunities, Threats
✔✔Anti-Kickback Law - ✔✔can't solicit or receive payment for patient referrals
✔✔Compliance Plan - ✔✔Includes: designated compliance officer
training & education
Written policies for denial mgmt software
Internal auditing
✔✔Stark Law - ✔✔Prohibits physicians from referring patients to medical facilities in
whic the physcican or member of immedicate family has a financial interest
✔✔Stark Law Exceptions - ✔✔preventative screening tests, immunizations & vaccines
✔✔OSHA - ✔✔Bloodborne pathogens
Occupational exposure determination
Use of universal precautions
Use of engineering & work practice controls
Use of personal protective equipment
Vaccination policy for HEP B
Evaluation for use of safer needles & sharps
Post-exposure evaluation & follow up
Containment of regulated waste
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 a CT scan. What laws to consider? - ✔✔Stark & Anti-Kickback
✔✔OIG published resource for Anti-Kickback Laws - ✔✔Fraud Alert
✔✔QI = Quality Improvement - ✔✔Routine measurement of performance; QI fixes
processes, not people
✔✔QA = Quality Assurance - ✔✔An internal audit of billing procedures to verify
compliance with fed & state regulations
✔✔QC = Quality Control - ✔✔A system of technical activities that measures against
criteria or standard (ie: Lab equipment calibrations)
✔✔Plan-Do-Check-Act - ✔✔A quality cycle & QI method that systematically impacts a
process or system
✔✔Insurance Reform - ✔✔1/1/2015 - payment reduction with no EHR
Medical cost ratio = 85%
Adult children until age 26 on family policies
Must provide preventative health
No annual or lifetime maximums
Can't cancel coverage when a beneficiary gets sick
no prior auth for ER
restrictions 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
empolyers with <25 will be offered subsidies
✔✔S Corp - ✔✔limits the # of shareholders, not taxed twice, profit can flow thru to
partners equally
✔✔Business Realtionships - ✔✔bankers, accountants, attorneys, investment advisors
✔✔C Corp - ✔✔most formal; offers stock with or without voting rights & have unlimited
shareholder. Provides ownership of the business to physicians as they join the practice,
but are taxed twice, 1st at the corporate level, then again at the phusicain level.
✔✔Efficiency - ✔✔Process & doing things right
✔✔Effectiveness - ✔✔Outcomes & doing the right thing
