Certified Specialist Ambulatory Practice
Management
Full Exam Review (Qns & Ans)
2025
1. Multiple Choice : Which coding system is primarily used for
reporting outpatient procedures?
- A) ICD-10-PCS
- B) HCPCS
- C) CPT
- D) SNOMED
ANS : C
Rationale : The Current Procedural Terminology (CPT) is the
standard for outpatient procedures.
©2025
,2. Fill-in-the-Blank : In ambulatory care, the ________ is used
to assign codes for durable medical equipment.
ANS : HCPCS (Healthcare Common Procedure Coding
System)
Rationale : HCPCS codes are used for billing durable medical
equipment and other non-physician services.
3. True/False : Ambulatory payment classifications (APCs) are
used to group outpatient services for reimbursement.
ANS : True
Rationale : APCs are a Medicare payment system used for
grouping outpatient services.
4. Multiple Response : What are key components of accurate
coding in ambulatory care?
- A) Documenting medical necessity
- B) Following coding guidelines
- C) Using unspecified codes
- D) Ensuring up-to-date coding resources
ANS : A, B, D
Rationale : Unspecified codes should be avoided unless
absolutely necessary to ensure specificity and accuracy.
©2025
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Revenue Cycle: Accounts Receivable, Consumerism, and
Collections
5. Multiple Choice : What is the primary goal of consumerism
in healthcare revenue cycle management?
- A) Increasing staff productivity
- B) Enhancing patient financial experience
- C) Reducing insurance claim delays
- D) Maximizing denial rates
ANS : B
Rationale : Consumerism focuses on improving patients’
financial understanding and experience.
6. Fill-in-the-Blank : Accounts receivable turnover measures
the number of times ________ is collected in a given period.
ANS : Accounts receivable
Rationale : This metric reflects the efficiency of collecting
outstanding balances.
7. True/False : Collection efforts for self-pay patients should
begin post-discharge to improve payment rates.
©2025
, ANS : False
Rationale : Collection efforts should begin as early as the pre-
service phase.
8. Multiple Response : Which strategies improve collections in
ambulatory care revenue cycles?
- A) Early patient financial counseling
- B) Automated billing systems
- C) Transparent pricing tools
- D) Delayed claim submission
ANS : A, B, C
Rationale : Delayed claims can hinder revenue cycle
efficiency.
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Information Systems
9. Multiple Choice : What is the primary role of a Practice
Management System (PMS) in ambulatory care?
- A) Patient treatment coordination
- B) Financial and administrative management
- C) Medication inventory management
©2025
Management
Full Exam Review (Qns & Ans)
2025
1. Multiple Choice : Which coding system is primarily used for
reporting outpatient procedures?
- A) ICD-10-PCS
- B) HCPCS
- C) CPT
- D) SNOMED
ANS : C
Rationale : The Current Procedural Terminology (CPT) is the
standard for outpatient procedures.
©2025
,2. Fill-in-the-Blank : In ambulatory care, the ________ is used
to assign codes for durable medical equipment.
ANS : HCPCS (Healthcare Common Procedure Coding
System)
Rationale : HCPCS codes are used for billing durable medical
equipment and other non-physician services.
3. True/False : Ambulatory payment classifications (APCs) are
used to group outpatient services for reimbursement.
ANS : True
Rationale : APCs are a Medicare payment system used for
grouping outpatient services.
4. Multiple Response : What are key components of accurate
coding in ambulatory care?
- A) Documenting medical necessity
- B) Following coding guidelines
- C) Using unspecified codes
- D) Ensuring up-to-date coding resources
ANS : A, B, D
Rationale : Unspecified codes should be avoided unless
absolutely necessary to ensure specificity and accuracy.
©2025
,---
Revenue Cycle: Accounts Receivable, Consumerism, and
Collections
5. Multiple Choice : What is the primary goal of consumerism
in healthcare revenue cycle management?
- A) Increasing staff productivity
- B) Enhancing patient financial experience
- C) Reducing insurance claim delays
- D) Maximizing denial rates
ANS : B
Rationale : Consumerism focuses on improving patients’
financial understanding and experience.
6. Fill-in-the-Blank : Accounts receivable turnover measures
the number of times ________ is collected in a given period.
ANS : Accounts receivable
Rationale : This metric reflects the efficiency of collecting
outstanding balances.
7. True/False : Collection efforts for self-pay patients should
begin post-discharge to improve payment rates.
©2025
, ANS : False
Rationale : Collection efforts should begin as early as the pre-
service phase.
8. Multiple Response : Which strategies improve collections in
ambulatory care revenue cycles?
- A) Early patient financial counseling
- B) Automated billing systems
- C) Transparent pricing tools
- D) Delayed claim submission
ANS : A, B, C
Rationale : Delayed claims can hinder revenue cycle
efficiency.
---
Information Systems
9. Multiple Choice : What is the primary role of a Practice
Management System (PMS) in ambulatory care?
- A) Patient treatment coordination
- B) Financial and administrative management
- C) Medication inventory management
©2025
