AAPC CPB Final Exam Questions With
100% Verified Answers
Health plan, clearinghouses, and any entity transmitting health
information is considered by the Privacy Rule to be a: -
correct answer ✅covered entity
Which of the following is not a covered entity in the Privacy Rule -
correct answer ✅healthcare consulting firm
A request for medical records is received for a specific date of
service from patient's insurance company with regards to a
submitted claim. No authorization for release of information is
provided. What action should be taken? -
correct answer ✅release reqt to ins co
How many national priority purposes under the Privacy Rules for
disclosure of specific PHI without an individual's authorization or
permission? -
correct answer ✅12
A health plan sends a request for medical records in order to
adjudicate a claim. Does the office have to notify the patient or
have them sign a release to send the information? -
correct answer ✅no
,AAPC CPB Final Exam Questions With
100% Verified Answers
A practice sets up a payment plan with a patient. If more than four
installments are extended to the patient, what regulation is the
practice subject to that makes the practice a creditor? -
correct answer ✅Truth in Lending Act
Which of the following situations allows release of PHI without
authorization from the patient? -
correct answer ✅workers comp
misusing any information on the claim, charging excessively for
services or supplies, billing for services not medically necessary,
failure to maintain adequate medical or financial records, improper
billing practices, or billing Medicare patients at a higher fee scale
that non-Medicare patients. -
correct answer ✅abuse
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? -
correct answer ✅abuse
According to the Privacy Rule, what health information may not be
de-identified? -
correct answer ✅phys provider number
,AAPC CPB Final Exam Questions With
100% Verified Answers
making false statements or misrepresenting facts to obtain an
undeserved benefit or payment from a federal healthcare program
-
correct answer ✅fraud
All the following are considered Fraud, EXCEPT: -
correct answer ✅inadequate med recd
A hospital records transporter is moving medical records from the
hospital to an off-site building. During the transport, a chart falls
from the box on to the street. It is discovered when the transporter
arrives at the off-site building and the number of charts is not
correct. What type of violation is this? -
correct answer ✅breach
impermissible release or disclosure of information is discovered -
correct answer ✅breach
What standard transactions is NOT included in EDI and adopted
under HIPAA? -
correct answer ✅waiver of liability
, AAPC CPB Final Exam Questions With
100% Verified Answers
The Federal False Claim Act allows for claims to be reviewed for a
standard of how many years after an incident? -
correct answer ✅7
A new radiology company opens in town. The manager calls your
practice and offers to pay $20 for every Medicare patient you send
to them for radiology services. What does this offer violate? -
correct answer ✅anti kickback laws
A private practice hires a consultant to come in and audit some
medical records. Under the Privacy Rule, what is this consultant
considered? -
correct answer ✅biz associate
Medicare overpayments should be returned within ___ days after
the overpayment has been identified -
correct answer ✅60
HIPAA mandated what entity to adopt national standards for
electronic transactions and code sets? -
correct answer ✅HHS
100% Verified Answers
Health plan, clearinghouses, and any entity transmitting health
information is considered by the Privacy Rule to be a: -
correct answer ✅covered entity
Which of the following is not a covered entity in the Privacy Rule -
correct answer ✅healthcare consulting firm
A request for medical records is received for a specific date of
service from patient's insurance company with regards to a
submitted claim. No authorization for release of information is
provided. What action should be taken? -
correct answer ✅release reqt to ins co
How many national priority purposes under the Privacy Rules for
disclosure of specific PHI without an individual's authorization or
permission? -
correct answer ✅12
A health plan sends a request for medical records in order to
adjudicate a claim. Does the office have to notify the patient or
have them sign a release to send the information? -
correct answer ✅no
,AAPC CPB Final Exam Questions With
100% Verified Answers
A practice sets up a payment plan with a patient. If more than four
installments are extended to the patient, what regulation is the
practice subject to that makes the practice a creditor? -
correct answer ✅Truth in Lending Act
Which of the following situations allows release of PHI without
authorization from the patient? -
correct answer ✅workers comp
misusing any information on the claim, charging excessively for
services or supplies, billing for services not medically necessary,
failure to maintain adequate medical or financial records, improper
billing practices, or billing Medicare patients at a higher fee scale
that non-Medicare patients. -
correct answer ✅abuse
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? -
correct answer ✅abuse
According to the Privacy Rule, what health information may not be
de-identified? -
correct answer ✅phys provider number
,AAPC CPB Final Exam Questions With
100% Verified Answers
making false statements or misrepresenting facts to obtain an
undeserved benefit or payment from a federal healthcare program
-
correct answer ✅fraud
All the following are considered Fraud, EXCEPT: -
correct answer ✅inadequate med recd
A hospital records transporter is moving medical records from the
hospital to an off-site building. During the transport, a chart falls
from the box on to the street. It is discovered when the transporter
arrives at the off-site building and the number of charts is not
correct. What type of violation is this? -
correct answer ✅breach
impermissible release or disclosure of information is discovered -
correct answer ✅breach
What standard transactions is NOT included in EDI and adopted
under HIPAA? -
correct answer ✅waiver of liability
, AAPC CPB Final Exam Questions With
100% Verified Answers
The Federal False Claim Act allows for claims to be reviewed for a
standard of how many years after an incident? -
correct answer ✅7
A new radiology company opens in town. The manager calls your
practice and offers to pay $20 for every Medicare patient you send
to them for radiology services. What does this offer violate? -
correct answer ✅anti kickback laws
A private practice hires a consultant to come in and audit some
medical records. Under the Privacy Rule, what is this consultant
considered? -
correct answer ✅biz associate
Medicare overpayments should be returned within ___ days after
the overpayment has been identified -
correct answer ✅60
HIPAA mandated what entity to adopt national standards for
electronic transactions and code sets? -
correct answer ✅HHS
