CPPM AAPC Review– Questions With Complete
Solutions
Which are good options when initiating a difficult conversation? Right Ans
- Ask: Is this a good time to talk?; Prepare a short statement in advance that
gets right to the point, Empathize with the person, Sympathize with the
person.
Which is an effective response when a provider is complaining about how
hard it is to use the new EMR system the owners of the practice selected?
Right Ans - This is a major change. I'll do my best to show you how it works.
What is the best description of an office manager? Right Ans - Focuses on
tactical activités and often have a more directive and controlling appeal AND
manages the activities of others.
The difference between efficiency and effectiveness is: Right Ans -
Efficiency is doing things right while effectiveness is doing the right things.
Staff accountability is best achieved by: Right Ans - Assigning object goals;
assigning measurable goals; define the responsibility for tasks.
When should the staff obtain a photocopy of the patients insurance card?
Right Ans - When the patient arrives for their appointment
Which of the following is the best example of communicating in a difficult
conversation? Right Ans - Let the person know, "I understand how you
feel."
Which of the following are benefits of using a mid-level provider? Right
Ans - Improved revenue; improved patient satisfactions; greater access to
care for patients.
An established patient did not keep her scheduled appointment. There is or
record that she called to cancel or reschedule. This is her third "No show" in
one year. Based on the No-show policy, which of the following process should
be followed? Right Ans - Suspend services temporarily.
,Which of the following is a road-block to active listening? Right Ans - Give
advice that is not asked for
What is the best way to handle a verbal attack? Right Ans - Listen
Which of the following includes the payment amount and denial explanations
for claims submitted. Right Ans - Explanation of Benefits (EOB)
Your office recently installed a new phone system. Training was provided to
the staff and the physicians. One of the physicians can't seem to get the hang
of it and is continually disconnecting his calls. He calls you into his office and
blames you for the faulty phone system and his inability to learn how to use it.
Using good communications skills, you would" Right Ans - Be quiet and
listen to all his concerns
Which of the following services would bet the most profitable and efficient use
of mid-level provider in a. physician's office and meets incident-to rules?
Right Ans - Sees established patient for follow-up visits of established
conditions.
A patient is returning today for her second injection of denosumab for
postmenopausal osteoporosis. To achieve the best staff efficiency which of the
following staff members should perform the injection? Right Ans - Medical
Assistant
Which providers may write prescriptions? Right Ans - Physician's
Assistant; Nurse Practitioner
P is hired by a cardiology practice to help see patients 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
PAs services as incident-to? Right Ans - No, incident to services are not
covered in a hospital setting - they can only be billed in the office setting or in
a patient's home.
Which of the following support staff is typically not found in an outpatient
physician practice? Right Ans - CNA
, Leadership and management have different characteristics. What is more
representative of a leader? Right Ans - Inspire and motivate employees.
One of the specialists walks into your office without knocking, sits down in the
chair across from you, leans forward and begins berating you for the way you
handled a recent office situation. What body language would you use to show
you are listening and ready to discuss his complaint? Right Ans - Stay
seated and lean forward
What is not reported by evaluation nd management codes? Right Ans -
Physical therapy evaluations = E/M services are reported for visits made by
physicians or other qualified healthcare providers in the office, hospital, and
nursing home.
Electronic health records guide a provider to select E/M codes based on the
number of elements documented. What does this leave out that causes a
potential compliance risk? Right Ans - Medical Necessity
You are tasked with hiring an employee with inpatient coding experience.
Which code set will they need to understand for inpatient procedures?
Right Ans - ICD-10-PCS
The front desk plays an important role in: Right Ans - Customer service,
Optimizing physician time, Claim quality assurance
Medicare offers plans for Part A, Part B, Part C, and Part D. Which of these
covers inpatient hospital care? Right Ans - Part A
A MEDICARE PATIENT IS SEEN IN THE URGENT CARE CLINIC FOLLOWING A
MINOR AUTOMOBILE ACCIDENT. THE PATEITN HAS MEDICARE PART A,
B,AND C AS WELL AS No-FAULT THROUGH ATUO INSURANCE. WHO IS THE
PRIMARY INSURANCE? Right Ans - Automobile No-fault
Which is a common reason for denials? Right Ans - The service is not
medically necessary.
You work for. a pediatric office and the parents of a patient inform you they
can No longer afford halter insurance. They do not qualify for Medicaid as
Solutions
Which are good options when initiating a difficult conversation? Right Ans
- Ask: Is this a good time to talk?; Prepare a short statement in advance that
gets right to the point, Empathize with the person, Sympathize with the
person.
Which is an effective response when a provider is complaining about how
hard it is to use the new EMR system the owners of the practice selected?
Right Ans - This is a major change. I'll do my best to show you how it works.
What is the best description of an office manager? Right Ans - Focuses on
tactical activités and often have a more directive and controlling appeal AND
manages the activities of others.
The difference between efficiency and effectiveness is: Right Ans -
Efficiency is doing things right while effectiveness is doing the right things.
Staff accountability is best achieved by: Right Ans - Assigning object goals;
assigning measurable goals; define the responsibility for tasks.
When should the staff obtain a photocopy of the patients insurance card?
Right Ans - When the patient arrives for their appointment
Which of the following is the best example of communicating in a difficult
conversation? Right Ans - Let the person know, "I understand how you
feel."
Which of the following are benefits of using a mid-level provider? Right
Ans - Improved revenue; improved patient satisfactions; greater access to
care for patients.
An established patient did not keep her scheduled appointment. There is or
record that she called to cancel or reschedule. This is her third "No show" in
one year. Based on the No-show policy, which of the following process should
be followed? Right Ans - Suspend services temporarily.
,Which of the following is a road-block to active listening? Right Ans - Give
advice that is not asked for
What is the best way to handle a verbal attack? Right Ans - Listen
Which of the following includes the payment amount and denial explanations
for claims submitted. Right Ans - Explanation of Benefits (EOB)
Your office recently installed a new phone system. Training was provided to
the staff and the physicians. One of the physicians can't seem to get the hang
of it and is continually disconnecting his calls. He calls you into his office and
blames you for the faulty phone system and his inability to learn how to use it.
Using good communications skills, you would" Right Ans - Be quiet and
listen to all his concerns
Which of the following services would bet the most profitable and efficient use
of mid-level provider in a. physician's office and meets incident-to rules?
Right Ans - Sees established patient for follow-up visits of established
conditions.
A patient is returning today for her second injection of denosumab for
postmenopausal osteoporosis. To achieve the best staff efficiency which of the
following staff members should perform the injection? Right Ans - Medical
Assistant
Which providers may write prescriptions? Right Ans - Physician's
Assistant; Nurse Practitioner
P is hired by a cardiology practice to help see patients 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
PAs services as incident-to? Right Ans - No, incident to services are not
covered in a hospital setting - they can only be billed in the office setting or in
a patient's home.
Which of the following support staff is typically not found in an outpatient
physician practice? Right Ans - CNA
, Leadership and management have different characteristics. What is more
representative of a leader? Right Ans - Inspire and motivate employees.
One of the specialists walks into your office without knocking, sits down in the
chair across from you, leans forward and begins berating you for the way you
handled a recent office situation. What body language would you use to show
you are listening and ready to discuss his complaint? Right Ans - Stay
seated and lean forward
What is not reported by evaluation nd management codes? Right Ans -
Physical therapy evaluations = E/M services are reported for visits made by
physicians or other qualified healthcare providers in the office, hospital, and
nursing home.
Electronic health records guide a provider to select E/M codes based on the
number of elements documented. What does this leave out that causes a
potential compliance risk? Right Ans - Medical Necessity
You are tasked with hiring an employee with inpatient coding experience.
Which code set will they need to understand for inpatient procedures?
Right Ans - ICD-10-PCS
The front desk plays an important role in: Right Ans - Customer service,
Optimizing physician time, Claim quality assurance
Medicare offers plans for Part A, Part B, Part C, and Part D. Which of these
covers inpatient hospital care? Right Ans - Part A
A MEDICARE PATIENT IS SEEN IN THE URGENT CARE CLINIC FOLLOWING A
MINOR AUTOMOBILE ACCIDENT. THE PATEITN HAS MEDICARE PART A,
B,AND C AS WELL AS No-FAULT THROUGH ATUO INSURANCE. WHO IS THE
PRIMARY INSURANCE? Right Ans - Automobile No-fault
Which is a common reason for denials? Right Ans - The service is not
medically necessary.
You work for. a pediatric office and the parents of a patient inform you they
can No longer afford halter insurance. They do not qualify for Medicaid as
