CMM FINAL STUDY GUIDE (CERTIFIED
MEDICAL MANAGER) EXAM 2025
COMPILED QUESTIONS WITH
COMPLETE SOLUTIONS!!
, during the Affordable Care Negligent Vs. Careful claims -
Act in 2009 terminology updated in 2012
Don't know?
2 of 221
Definition
small groups of patients are scheduled at intervals throughout the
hour
Give this one a try later!
Modified wave scheduling Double booking
Open office hours/tidal wave
Clustering
scheduling
Don't know?
3 of 221
Term
RSUs are the sum what three components?
Give this one a try later!
, Relative Value Units (RVUs)
Geographic Practice Cost Indices (GPCI)
The national Conversion Factor (CF)
Physician's work
Practice expense and overhead
Malpractice
Patient Registration & Check in/ Clinical encounter/ Accurate Coding and Billing/
Claims Generation and Transmittal/ Processing Payments/ Preparation and
Transmittal of Patient Statements/ Collections and Finalizing Payments/ Denials,
Appeals & Refunds
Medically necessary services: Services or supplies that are needed to diagnose
or treat your medical condition and that meet accepted standards of medical
practice.
Preventive services: Health care to prevent illness (like the flu) or detect it at an
early stage, when treatment is most likely to work best.
Don't know?
4 of 221
Definition
Compliance programs enhance speed of proper payment of claims,
minimize billing mistakes, reduce chances of audit by CMS or OIG,
Avoid conflicts with the self-referral and anti-kickback statues
Give this one a try later!
, Risks of Non-Compliance in Strategies for Increasing Patient
Medical Billing Volume
Impact of Technology on Benefits of a Voluntary
Healthcare Costs Compliance Program
Don't know?
5 of 221
Definition
U.S act that protects privacy of background information and ensures
that information supplied is accurate.
Give this one a try later!
Consumer Privacy Protection Act of Background Information Accuracy
1994 Act of 2002
Fair Credit Reporting Act
Personal Data Security Act of 1999
(FCRA)
Don't know?
MEDICAL MANAGER) EXAM 2025
COMPILED QUESTIONS WITH
COMPLETE SOLUTIONS!!
, during the Affordable Care Negligent Vs. Careful claims -
Act in 2009 terminology updated in 2012
Don't know?
2 of 221
Definition
small groups of patients are scheduled at intervals throughout the
hour
Give this one a try later!
Modified wave scheduling Double booking
Open office hours/tidal wave
Clustering
scheduling
Don't know?
3 of 221
Term
RSUs are the sum what three components?
Give this one a try later!
, Relative Value Units (RVUs)
Geographic Practice Cost Indices (GPCI)
The national Conversion Factor (CF)
Physician's work
Practice expense and overhead
Malpractice
Patient Registration & Check in/ Clinical encounter/ Accurate Coding and Billing/
Claims Generation and Transmittal/ Processing Payments/ Preparation and
Transmittal of Patient Statements/ Collections and Finalizing Payments/ Denials,
Appeals & Refunds
Medically necessary services: Services or supplies that are needed to diagnose
or treat your medical condition and that meet accepted standards of medical
practice.
Preventive services: Health care to prevent illness (like the flu) or detect it at an
early stage, when treatment is most likely to work best.
Don't know?
4 of 221
Definition
Compliance programs enhance speed of proper payment of claims,
minimize billing mistakes, reduce chances of audit by CMS or OIG,
Avoid conflicts with the self-referral and anti-kickback statues
Give this one a try later!
, Risks of Non-Compliance in Strategies for Increasing Patient
Medical Billing Volume
Impact of Technology on Benefits of a Voluntary
Healthcare Costs Compliance Program
Don't know?
5 of 221
Definition
U.S act that protects privacy of background information and ensures
that information supplied is accurate.
Give this one a try later!
Consumer Privacy Protection Act of Background Information Accuracy
1994 Act of 2002
Fair Credit Reporting Act
Personal Data Security Act of 1999
(FCRA)
Don't know?
