CPPM FINAL EXAM 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔True or faults. The future of healthcare will likely see a shift from acute care to
prevention and wellness. - ✔✔True. Preventive care visits are on the rise, as a result of
health insurance is redesigning the benefits offered
✔✔What defines a provider as a participant in the quality payment program? - ✔✔The
provider is in an advanced APM or bills more than $30,000 in part B allowable charges
and sees more than 100 Medicare patients in a year
✔✔What will be needed to meet the demands of the patients that result from an
expansion of Medicaid and mandated insurance coverage? - ✔✔An increase in the use
of mid-level providers
✔✔Which MIPS component is calculated based on Medicare spending per beneficiary,
total per capita costs and conditions and treatment episode-based measures? - ✔✔Cost
✔✔The objective of an ACO is to minimize incentives that promote quantity of care by
realigning incentive balances between - ✔✔Providers and hospitals to better coordinate
care and improve efficiency
✔✔What is a trend in healthcare that can be expected with healthcare reform? - ✔✔The
focus of care will shift from acute care to preventive care and wellness
✔✔Which MIPS component is designed to improve clinical practice or care delivery
leading to improved outcomes? - ✔✔Improved activities
✔✔The state-based insurance exchange for small businesses (SHOP) stands for -
✔✔Small business health options program
✔✔MIPS data for advancing care information is based on the CEHRT edition used.
Which additions were available as options? - ✔✔2015 & 2016
✔✔A part of the initiate cost control. There is a focus on fraud and abuse reform by
HHS, OIG, FBI, Medicare and Medicaid and DOJ. Which of the following is included in
the fraud and abuse provision? - ✔✔Providers are required to supply upon request
documentation of DME and home health referrals
✔✔The new health legislation and ask several provisions uninsured companies that are
aimed at improving customer safeguards. Which provision is not included in the health
reform? - ✔✔Requires health plans to spend 75% or more of the premium dollars on
medical related services
, ✔✔Which provisions of the PPACA will reduce fraud and abuse? - ✔✔Allow sharing of
IRS data so I don't to five fraudulent providers or providers with tax debts
✔✔What is an Alternative payment model? - ✔✔Risk bearing contracts that require a
provider to put up more than a nominal financial risk.
✔✔MACRA provides automatic, annual payment increases of 0.5% for all doctors
through what year? - ✔✔2019
✔✔Is providing new and innovative ways for providers to expand offerings to patients a
goal of the Medicare access and CHIP reauthorization act of 2015? - ✔✔No
✔✔Key elements of change management - ✔✔Embrace the change, define the future,
and engage everybody. It is not necessary to train all staff.
✔✔What is an ACO? - ✔✔A group of doctors and hospitals who, as a team, agreed to
be responsible for a patient's overall care
✔✔What are the primary objectives of the affordable care act? - ✔✔Expanding health
coverage, controlling healthcare costs, and modernizing the healthcare delivery system
✔✔Expansion of Medicaid and insurance mandate will have the following affect -
✔✔Expand the roles and scope of services for nonphysician providers
✔✔When using EMR's, storage space should be considered. Which part of a computer
is permanent storage of data - ✔✔Hard disk drive
✔✔When determining the scanning equipment and process, which statement is best to
keep in mind - ✔✔Better scanners cost more money, but will usually pay for themselves
in time spent quickly when converting large volumes of paper records to electronic files.
✔✔Which component of the quality payment program (QPP)focuses on the secure
exchange of health information and the use of certified eat HR technology? -
✔✔Advancing care information
✔✔What is important to inquire about when considering which EMR to purchase? -
✔✔Potential interface with practice management systems, complete cost, training,
templates, meaningful use compliance, platform interfaces for interoperabi
✔✔True or faults. Interfacing is necessary to reduce duplicate entries of demographic
information - ✔✔True
SOLUTIONS RATED A+
✔✔True or faults. The future of healthcare will likely see a shift from acute care to
prevention and wellness. - ✔✔True. Preventive care visits are on the rise, as a result of
health insurance is redesigning the benefits offered
✔✔What defines a provider as a participant in the quality payment program? - ✔✔The
provider is in an advanced APM or bills more than $30,000 in part B allowable charges
and sees more than 100 Medicare patients in a year
✔✔What will be needed to meet the demands of the patients that result from an
expansion of Medicaid and mandated insurance coverage? - ✔✔An increase in the use
of mid-level providers
✔✔Which MIPS component is calculated based on Medicare spending per beneficiary,
total per capita costs and conditions and treatment episode-based measures? - ✔✔Cost
✔✔The objective of an ACO is to minimize incentives that promote quantity of care by
realigning incentive balances between - ✔✔Providers and hospitals to better coordinate
care and improve efficiency
✔✔What is a trend in healthcare that can be expected with healthcare reform? - ✔✔The
focus of care will shift from acute care to preventive care and wellness
✔✔Which MIPS component is designed to improve clinical practice or care delivery
leading to improved outcomes? - ✔✔Improved activities
✔✔The state-based insurance exchange for small businesses (SHOP) stands for -
✔✔Small business health options program
✔✔MIPS data for advancing care information is based on the CEHRT edition used.
Which additions were available as options? - ✔✔2015 & 2016
✔✔A part of the initiate cost control. There is a focus on fraud and abuse reform by
HHS, OIG, FBI, Medicare and Medicaid and DOJ. Which of the following is included in
the fraud and abuse provision? - ✔✔Providers are required to supply upon request
documentation of DME and home health referrals
✔✔The new health legislation and ask several provisions uninsured companies that are
aimed at improving customer safeguards. Which provision is not included in the health
reform? - ✔✔Requires health plans to spend 75% or more of the premium dollars on
medical related services
, ✔✔Which provisions of the PPACA will reduce fraud and abuse? - ✔✔Allow sharing of
IRS data so I don't to five fraudulent providers or providers with tax debts
✔✔What is an Alternative payment model? - ✔✔Risk bearing contracts that require a
provider to put up more than a nominal financial risk.
✔✔MACRA provides automatic, annual payment increases of 0.5% for all doctors
through what year? - ✔✔2019
✔✔Is providing new and innovative ways for providers to expand offerings to patients a
goal of the Medicare access and CHIP reauthorization act of 2015? - ✔✔No
✔✔Key elements of change management - ✔✔Embrace the change, define the future,
and engage everybody. It is not necessary to train all staff.
✔✔What is an ACO? - ✔✔A group of doctors and hospitals who, as a team, agreed to
be responsible for a patient's overall care
✔✔What are the primary objectives of the affordable care act? - ✔✔Expanding health
coverage, controlling healthcare costs, and modernizing the healthcare delivery system
✔✔Expansion of Medicaid and insurance mandate will have the following affect -
✔✔Expand the roles and scope of services for nonphysician providers
✔✔When using EMR's, storage space should be considered. Which part of a computer
is permanent storage of data - ✔✔Hard disk drive
✔✔When determining the scanning equipment and process, which statement is best to
keep in mind - ✔✔Better scanners cost more money, but will usually pay for themselves
in time spent quickly when converting large volumes of paper records to electronic files.
✔✔Which component of the quality payment program (QPP)focuses on the secure
exchange of health information and the use of certified eat HR technology? -
✔✔Advancing care information
✔✔What is important to inquire about when considering which EMR to purchase? -
✔✔Potential interface with practice management systems, complete cost, training,
templates, meaningful use compliance, platform interfaces for interoperabi
✔✔True or faults. Interfacing is necessary to reduce duplicate entries of demographic
information - ✔✔True
