CPPM Exam- Questions With Correct Solutions (A+)
What percentage of communication occurs through body language ? Right
Ans - 55
The physician who owns the practice approaches you to discuss an increased
frequency of denials . Which of the following would give the physician the
impression that you have low interest in what he is saying ? Right Ans -
Fidgeting or little eye contact
Which of the following is NOT a typical duty of a practice manager ? Right
Ans - Preparation of the patient for the physician .
Which of the following support staff is typically not found in an outpatient
physician practice ? Right Ans - CNA
The difference between efficiency and effectiveness is : Right Ans -
Efficiency is doing things right while effectiveness is doing the right things .
In a typical patient flow , verification of benefits will typically occur : Right
Ans - After the patient calls to schedule an appointment .
You work for a primary care practice . A patient has recently suffered a
transient ischemic attack ( TIA ) and your physician wants to send the patient
to a specialist for a consultation . Which specialty would handle this type of
diagnosis ? Right Ans - Neurologist
Which of the following is an effective response when a provider is
complaining about how hard it is to use the new EMR system the owner's of
the practice selected ? Right Ans - This is a major change . I'll do my best to
show you how it works . "
The following are blocks of effective communication EXCEPT : Right Ans -
Speaking and expressing your thoughts
Which of the following statements is true ? Right Ans - A consolation
comment is considered a block to effective communication .
,A PA ( physician's assistant ) has been hired by a cardiology practice to help
see patients who are in the hospital . The PA performs all the rounds and
notifies the physician on call if there are any patients that need to be seen by a
physician . Is it appropriate to bill for the PA's services incident - to ? Right
Ans - No , incident to services are not covered in a hospital setting .
Which of the following will motivate employees ? Right Ans - Hold
employees accountable for reaching established goals .
When should the staff obtain a photocopy of the patient's insurance card ?
Right Ans - When the patient arrives for their appointment
Which of the following scenarios would violate the policy provided ? Right
Ans - patient calls to get a refill on his prescription . The receptionist takes
down the patient's name , birth date , phone number , date and time of the
call , and the phone number for the pharmacy The receptionist attaches the
message to the patient's chart and puts it in the physician's inbox .
Which of the following is a statement that includes the payment amount and
denial explanations for claims submitted ? Right Ans - Remittance advice
What is the most important criteria to meet for the selection of Evaluation and
Management codes ? Right Ans - Medical necessity
Which volume of the ICD - 9 is used to identify diagnoses ? Select all that apply
.
a. Volume 1
b. Volume 2
c. Volume 3 Right Ans - a . Volume 1 . b . Volume 2
When reviewing denials , your biller notices that one of the private payers is
not paying for venipuncture when performed during an office visit . What
should be done ? Right Ans - The biller should check the payer contract to
see if the denial is appropriate .
Payment for physician services is based on the _____ code . Select all that
apply .
a. CPT
b. APC
, c. MS-DRG
d. SCHIP
e. HCPCS Level II Right Ans - a . CPTⓇ e . HCPCS Level II
Hospitals bill for inpatient services ( charges for the room , time in the OR ,
meals , supplies and nursing services ) based on a ____ Right Ans - MS - DRG
a . Customer service
b . Optimizing physician time
c . Denials resolution
d . Claim quality assurance
e . Clinical assessment of patients Right Ans - a . Customer service b .
Optimizing physician time d . Claim quality assurance
Which of the following is NOT required to process the online application on
the CMS website for a NPI ( National Provider Identification ) ? Right Ans -
DEA number
An ABN form is used to : Right Ans - Notification to patients that Medicare
may not cover a certain procedure or service .
When reviewing payer contracts , how is the RPV ( Revenue Per Visit )
calculated ? Right Ans - Total amount collected divided by the total number
of patient visits .
Which of the following is a chronological description of the development of
the patient's complaints ? Right Ans - History of present illness
In which of the following scenarios is Medicare the secondary payer ? Right
Ans - A patient who requires surgery for a fractured hip as a result of a car
accident .
You work for a pediatric office and one of your patient's parents informs you
that they cannot afford health insurance for their child . She does not qualify
for Medicaid because she makes too much money . What would you
recommend ? Right Ans - Apply for CHIP coverage
Which of the following services is covered by Medicare Part B ? Right Ans -
covered Physician surgical fees
What percentage of communication occurs through body language ? Right
Ans - 55
The physician who owns the practice approaches you to discuss an increased
frequency of denials . Which of the following would give the physician the
impression that you have low interest in what he is saying ? Right Ans -
Fidgeting or little eye contact
Which of the following is NOT a typical duty of a practice manager ? Right
Ans - Preparation of the patient for the physician .
Which of the following support staff is typically not found in an outpatient
physician practice ? Right Ans - CNA
The difference between efficiency and effectiveness is : Right Ans -
Efficiency is doing things right while effectiveness is doing the right things .
In a typical patient flow , verification of benefits will typically occur : Right
Ans - After the patient calls to schedule an appointment .
You work for a primary care practice . A patient has recently suffered a
transient ischemic attack ( TIA ) and your physician wants to send the patient
to a specialist for a consultation . Which specialty would handle this type of
diagnosis ? Right Ans - Neurologist
Which of the following is an effective response when a provider is
complaining about how hard it is to use the new EMR system the owner's of
the practice selected ? Right Ans - This is a major change . I'll do my best to
show you how it works . "
The following are blocks of effective communication EXCEPT : Right Ans -
Speaking and expressing your thoughts
Which of the following statements is true ? Right Ans - A consolation
comment is considered a block to effective communication .
,A PA ( physician's assistant ) has been hired by a cardiology practice to help
see patients who are in the hospital . The PA performs all the rounds and
notifies the physician on call if there are any patients that need to be seen by a
physician . Is it appropriate to bill for the PA's services incident - to ? Right
Ans - No , incident to services are not covered in a hospital setting .
Which of the following will motivate employees ? Right Ans - Hold
employees accountable for reaching established goals .
When should the staff obtain a photocopy of the patient's insurance card ?
Right Ans - When the patient arrives for their appointment
Which of the following scenarios would violate the policy provided ? Right
Ans - patient calls to get a refill on his prescription . The receptionist takes
down the patient's name , birth date , phone number , date and time of the
call , and the phone number for the pharmacy The receptionist attaches the
message to the patient's chart and puts it in the physician's inbox .
Which of the following is a statement that includes the payment amount and
denial explanations for claims submitted ? Right Ans - Remittance advice
What is the most important criteria to meet for the selection of Evaluation and
Management codes ? Right Ans - Medical necessity
Which volume of the ICD - 9 is used to identify diagnoses ? Select all that apply
.
a. Volume 1
b. Volume 2
c. Volume 3 Right Ans - a . Volume 1 . b . Volume 2
When reviewing denials , your biller notices that one of the private payers is
not paying for venipuncture when performed during an office visit . What
should be done ? Right Ans - The biller should check the payer contract to
see if the denial is appropriate .
Payment for physician services is based on the _____ code . Select all that
apply .
a. CPT
b. APC
, c. MS-DRG
d. SCHIP
e. HCPCS Level II Right Ans - a . CPTⓇ e . HCPCS Level II
Hospitals bill for inpatient services ( charges for the room , time in the OR ,
meals , supplies and nursing services ) based on a ____ Right Ans - MS - DRG
a . Customer service
b . Optimizing physician time
c . Denials resolution
d . Claim quality assurance
e . Clinical assessment of patients Right Ans - a . Customer service b .
Optimizing physician time d . Claim quality assurance
Which of the following is NOT required to process the online application on
the CMS website for a NPI ( National Provider Identification ) ? Right Ans -
DEA number
An ABN form is used to : Right Ans - Notification to patients that Medicare
may not cover a certain procedure or service .
When reviewing payer contracts , how is the RPV ( Revenue Per Visit )
calculated ? Right Ans - Total amount collected divided by the total number
of patient visits .
Which of the following is a chronological description of the development of
the patient's complaints ? Right Ans - History of present illness
In which of the following scenarios is Medicare the secondary payer ? Right
Ans - A patient who requires surgery for a fractured hip as a result of a car
accident .
You work for a pediatric office and one of your patient's parents informs you
that they cannot afford health insurance for their child . She does not qualify
for Medicaid because she makes too much money . What would you
recommend ? Right Ans - Apply for CHIP coverage
Which of the following services is covered by Medicare Part B ? Right Ans -
covered Physician surgical fees
