AAPC CPB Final Exam Updated 140 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
AAPC CPB Final Exam 140 Questions &
Verified Answers Correctly
1. A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the
practice used x-rays of one patient to justify services on multiple other pa-
tients' claims.The office manager brought the civil suit. What type of case is
this?
Answer Qui Tam
2. In which of the following circumstances may PHI not be disclosed withoutthe
patient's authorization or permission?
Answer An office receives a call from the patient's husband asking for information
about his wife's recent office visit.
3. According to the Privacy Rule, what must a Business Associate and a
Covered Entity have in order to do business?
Answer A contract
1 of 33 10/30/2024, 9:36
,AAPC CPB Final Exam Updated 140 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
4. HMO plans require the enrollee to
Answer To have referrals to see a specialist that isgenerated by the patient's primary
care provider.
5. Which of the following is NOT a component of the PPO payer model?
Answer Re-quire the enrollee to maintain a Primary Care Provider.
6. Under the Privacy Rule a health plan, clearinghouses, and any entity trans-
mitting health information is considered?
Answer Covered entity
7. A request for medical records is received for a specific date of service from
a patient's insurance company with regards to a submitted claim. No
authorization for release of information is provided. What action should be
taken?
Answer Release the requested records to the insurance company.
8. Which of the following situations allows the release of PHI without autho-
rization from the patient?
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,AAPC CPB Final Exam Updated 140 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
Answer Workers' Compensation
9. HIPAA mandated what entity to adopt national standards for electronic
transactions and code sets?
Answer HHS
10. What is the standard time frame established for record retention?
Answer There isno single standard for record retention; it varies by state and federal
regulations.
11. CMS defines as billing for a lower level of care than is supportedin
documentation, making false statements to obtain undeserved benefits or
payment from a federal healthcare program, or billing for a service that was
not performed.
Answer Fraud
12. A claim is submitted for a patient on Medicare with a higher fee than a
patient on Insurance ABC.What is this considered by CMS?
Answer Abuse
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,AAPC CPB Final Exam Updated 140 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
13. A person that files a claim for a Medicare Beneficiary knowing that the
service is not correctly reported is in violation of what statute?
Answer False ClaimsAct
14. Which of the following actions is considered under the False Claims
Act?
Answer Up-coding or unbundling services
15. A practice sets up a payment plan with a patient. If more than four install-
ments are extended to the patient, what regulation is the practice subject to
that makes the practice a creditor?
Answer Truth in Lending Act
4 of 33 10/30/2024, 9:36
AAPC CPB Final Exam 140 Questions &
Verified Answers Correctly
1. A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the
practice used x-rays of one patient to justify services on multiple other pa-
tients' claims.The office manager brought the civil suit. What type of case is
this?
Answer Qui Tam
2. In which of the following circumstances may PHI not be disclosed withoutthe
patient's authorization or permission?
Answer An office receives a call from the patient's husband asking for information
about his wife's recent office visit.
3. According to the Privacy Rule, what must a Business Associate and a
Covered Entity have in order to do business?
Answer A contract
1 of 33 10/30/2024, 9:36
,AAPC CPB Final Exam Updated 140 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
4. HMO plans require the enrollee to
Answer To have referrals to see a specialist that isgenerated by the patient's primary
care provider.
5. Which of the following is NOT a component of the PPO payer model?
Answer Re-quire the enrollee to maintain a Primary Care Provider.
6. Under the Privacy Rule a health plan, clearinghouses, and any entity trans-
mitting health information is considered?
Answer Covered entity
7. A request for medical records is received for a specific date of service from
a patient's insurance company with regards to a submitted claim. No
authorization for release of information is provided. What action should be
taken?
Answer Release the requested records to the insurance company.
8. Which of the following situations allows the release of PHI without autho-
rization from the patient?
2 of 33 10/30/2024, 9:36
,AAPC CPB Final Exam Updated 140 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
Answer Workers' Compensation
9. HIPAA mandated what entity to adopt national standards for electronic
transactions and code sets?
Answer HHS
10. What is the standard time frame established for record retention?
Answer There isno single standard for record retention; it varies by state and federal
regulations.
11. CMS defines as billing for a lower level of care than is supportedin
documentation, making false statements to obtain undeserved benefits or
payment from a federal healthcare program, or billing for a service that was
not performed.
Answer Fraud
12. A claim is submitted for a patient on Medicare with a higher fee than a
patient on Insurance ABC.What is this considered by CMS?
Answer Abuse
3 of 33 10/30/2024, 9:36
,AAPC CPB Final Exam Updated 140 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
13. A person that files a claim for a Medicare Beneficiary knowing that the
service is not correctly reported is in violation of what statute?
Answer False ClaimsAct
14. Which of the following actions is considered under the False Claims
Act?
Answer Up-coding or unbundling services
15. A practice sets up a payment plan with a patient. If more than four install-
ments are extended to the patient, what regulation is the practice subject to
that makes the practice a creditor?
Answer Truth in Lending Act
4 of 33 10/30/2024, 9:36
