AAPC CPB Final Exam Cardiopulmonary bypass
questions and answers 2025/2026
Pam works for a medical practice. She discovered a claim was overpaid by
Medicare. What Act requires the money to be refunded?
A. Health Insurance Portability and Accountability Act
B. The Stark Act
C. False Claims Act
D. Consumer Credit Protection Act - CORRECT ANSWER-C. False Claims Act
Security involves the safekeeping of patient information by:
I. Setting office policies to protect PHI from alteration, destruction, tampering,
or loss
II. Allowing full access to all employees to the electronic medical records
III. Giving employees a policy on confidentiality to read
IV. Requiring employees to sign a confidentiality statement that details the
consequences of not maintaining patient confidentiality, including termination
A. I and IV
B. I, II, and IV
C. II, III, and IV
D. II and III - CORRECT ANSWER-A. I and IV
,Dr. Taylor's office has a new medical assistant (MA) who is responsible for blood
collection for lab specimens. Because the MA is new, she often misses when
obtaining blood on the first stick. To be sure the office is billing for all services,
the office now has a rule that all patients will be billed a minimum of two blood
draws to demonstrate the work that is being done for lab collection. Which
statement is true regarding this rule?
A. The rule covers the office and allows them to get paid for all services
performed.
B. The rule is fraudulent because the office is billing for services not performed
and services that are a result of provider error.
C. The rule would be legal if changed to only bill for two blood draws on the
patients the MA misses on the first stick.
D. The rule is only legal if the clinic is in a hospital-based office. - CORRECT
ANSWER-B. The rule is fraudulent because the office is billing for services not
performed and services that are a result of provider error.
An example of an overpayment that must be refunded is _____________?
A. Payment based on a reasonable charge.
B. An unprocessed voided claim.
C. Incorrect posting of an EOB.
D. Duplicate processing of a claim - CORRECT ANSWER-D. Duplicate processing
of a claim
Which of the following is true regarding provider credentialing?
,A. A provider can complete an application with CAQH which handles
credentialing for many payers.
B. A provider is required to complete the credentialing process with private
payers before an NPI application can be submitted.
C. A provider can complete an application with NCQA to credential with private
payers and obtain an NPI.
D. Approval of the NPI number is all the provider needs to be credentialed with
all payers. - CORRECT ANSWER-A. A provider can complete an application with
CAQH which handles credentialing for many payers.
Which Act protects information collected by consumer reporting agencies?
A. Equal Credit Opportunity Act
B. Fair Credit Reporting Act
C. Fair Debt Collection Practices Act
D. Truth in Lending Act - CORRECT ANSWER-B. Fair Credit Reporting Act
There is a written office policy to write off patients co-insurance and copayment
amounts as a professional courtesy. Is this appropriate?
A. Yes, if it is a policy in writing it must be followed.
B. Yes, if it is a written policy and everyone in the office adheres to it.
C. No, it is considered fraud to write off the patients' responsibility for all
patients.
D. No, it is a violation of Stark law to write off patients' responsibility. -
CORRECT ANSWER-C. No, it is considered fraud to write off the patients'
responsibility for all patients.
, Which statement is TRUE regarding the Fair Debt Collection Practices Act
(FDCPA)?
A. Collectors are allowed to threaten legal action even if it will not be pursued.
B. The FDPCA does not apply to medical practices.
C. Collectors are allowed to contact debtors repeatedly.
D. Collectors are not allowed to contact debtors at odd hours. - CORRECT
ANSWER-D. Collectors are not allowed to contact debtors at odd hours.
Which of the following is an allowed collection policy after a patient files for
bankruptcy?
A. Unpaid insurance claims for dates of service occurring after the date of the
bankruptcy can be collected.
B. Any co-payments or deductibles that are past due and owed by the patient
can be collected.
C. Unpaid claims for dates of service occurring before the date of the
bankruptcy and any co-pays or deductibles adjudicated on that same claim.
D. Discuss a payment arrangement with the patient to settle the past due
account. - CORRECT ANSWER-A. Unpaid insurance claims for dates of service
occurring after the date of the bankruptcy can be collected.
A patient with an acute myocardial infarction is brought by ambulance to the
emergency department. The patient is taken into the cardiac catheterization
lab. Angioplasty and a stent was placed in the LAD. The patient's insurance
requires preauthorization for all surgical procedures. Which of the following
statements is true for most payers?
questions and answers 2025/2026
Pam works for a medical practice. She discovered a claim was overpaid by
Medicare. What Act requires the money to be refunded?
A. Health Insurance Portability and Accountability Act
B. The Stark Act
C. False Claims Act
D. Consumer Credit Protection Act - CORRECT ANSWER-C. False Claims Act
Security involves the safekeeping of patient information by:
I. Setting office policies to protect PHI from alteration, destruction, tampering,
or loss
II. Allowing full access to all employees to the electronic medical records
III. Giving employees a policy on confidentiality to read
IV. Requiring employees to sign a confidentiality statement that details the
consequences of not maintaining patient confidentiality, including termination
A. I and IV
B. I, II, and IV
C. II, III, and IV
D. II and III - CORRECT ANSWER-A. I and IV
,Dr. Taylor's office has a new medical assistant (MA) who is responsible for blood
collection for lab specimens. Because the MA is new, she often misses when
obtaining blood on the first stick. To be sure the office is billing for all services,
the office now has a rule that all patients will be billed a minimum of two blood
draws to demonstrate the work that is being done for lab collection. Which
statement is true regarding this rule?
A. The rule covers the office and allows them to get paid for all services
performed.
B. The rule is fraudulent because the office is billing for services not performed
and services that are a result of provider error.
C. The rule would be legal if changed to only bill for two blood draws on the
patients the MA misses on the first stick.
D. The rule is only legal if the clinic is in a hospital-based office. - CORRECT
ANSWER-B. The rule is fraudulent because the office is billing for services not
performed and services that are a result of provider error.
An example of an overpayment that must be refunded is _____________?
A. Payment based on a reasonable charge.
B. An unprocessed voided claim.
C. Incorrect posting of an EOB.
D. Duplicate processing of a claim - CORRECT ANSWER-D. Duplicate processing
of a claim
Which of the following is true regarding provider credentialing?
,A. A provider can complete an application with CAQH which handles
credentialing for many payers.
B. A provider is required to complete the credentialing process with private
payers before an NPI application can be submitted.
C. A provider can complete an application with NCQA to credential with private
payers and obtain an NPI.
D. Approval of the NPI number is all the provider needs to be credentialed with
all payers. - CORRECT ANSWER-A. A provider can complete an application with
CAQH which handles credentialing for many payers.
Which Act protects information collected by consumer reporting agencies?
A. Equal Credit Opportunity Act
B. Fair Credit Reporting Act
C. Fair Debt Collection Practices Act
D. Truth in Lending Act - CORRECT ANSWER-B. Fair Credit Reporting Act
There is a written office policy to write off patients co-insurance and copayment
amounts as a professional courtesy. Is this appropriate?
A. Yes, if it is a policy in writing it must be followed.
B. Yes, if it is a written policy and everyone in the office adheres to it.
C. No, it is considered fraud to write off the patients' responsibility for all
patients.
D. No, it is a violation of Stark law to write off patients' responsibility. -
CORRECT ANSWER-C. No, it is considered fraud to write off the patients'
responsibility for all patients.
, Which statement is TRUE regarding the Fair Debt Collection Practices Act
(FDCPA)?
A. Collectors are allowed to threaten legal action even if it will not be pursued.
B. The FDPCA does not apply to medical practices.
C. Collectors are allowed to contact debtors repeatedly.
D. Collectors are not allowed to contact debtors at odd hours. - CORRECT
ANSWER-D. Collectors are not allowed to contact debtors at odd hours.
Which of the following is an allowed collection policy after a patient files for
bankruptcy?
A. Unpaid insurance claims for dates of service occurring after the date of the
bankruptcy can be collected.
B. Any co-payments or deductibles that are past due and owed by the patient
can be collected.
C. Unpaid claims for dates of service occurring before the date of the
bankruptcy and any co-pays or deductibles adjudicated on that same claim.
D. Discuss a payment arrangement with the patient to settle the past due
account. - CORRECT ANSWER-A. Unpaid insurance claims for dates of service
occurring after the date of the bankruptcy can be collected.
A patient with an acute myocardial infarction is brought by ambulance to the
emergency department. The patient is taken into the cardiac catheterization
lab. Angioplasty and a stent was placed in the LAD. The patient's insurance
requires preauthorization for all surgical procedures. Which of the following
statements is true for most payers?
