CPPM Certification Exam – Questions With Complete
Solutions
Basic Components of HIE Right Ans - Governance
An image and data repository
EMPI
Security
Credentialing process for access to data
5 goals of meaningful use of EHR Right Ans - Improve patient quality,
safety, efficiency
Engage pt and families
Promote public health
Improve care coord
Promote Privacy and security of EHR
EMR Out of Pocket Expenses Right Ans - Costs of hardware
EMR Costs
Training
Hardware needed throughout clinic
Ongoing support
Post Disaster Checklist Right Ans - Contact employees
Contact landlord
Contact insurance
Keep accounting log of all damage related costs
Conduct salvage operations
Call meeting of key players
Obtain new office space
Equip needs for new office space
Contact patients
Quantities risk analysis Right Ans - risk identification
risk likelihood
risk impact
recommendations/actions
,Cold site Right Ans - a backup location that provides only rudimentary
services and facilities
False Claims Act Right Ans - Allows employees to sue employers on behalf
of the federal government
Employee retains share of recovery
Labor Laws Right Ans - Laws which regulated how workers could be paid
and treated
Discrimination and wrongful termination
ADA
FMLA
Fair Labor Standards Act
OSHA
Income Statement Model Provider Payment Right Ans - based on assigning
all revenue and expenses to each provider of the pract. Most complex model
Emerg Prepard and Responce Right Ans - Participation in domestic and
Internationale humanitarian volunteer work greater than 60 days
Goals of Quality Care Improvement Right Ans - Safety, Effectiveness,
Patient Centered, Timely, Efficient, Equitable
Market Reform Insurance Rules Right Ans - Cannot deny based on
preexisting conditions, children to age 26, must provider first dollar
preventive health for women care and screenings, infance child, and
adolescent services. No prior auth for ED, cannot cancel insurance when
patient becomes ill, may not place lifetime dollar limits, limit insurance
coverage waiting periods to 90 days.
Break -Even Point Analysis Right Ans - performed to decide in investing in
a new kine of business
X=(fixed cost+annual equip cost)/(RPU-variable cost per unit)
Value based reimbursement Right Ans - Pay for performance only if certain
metric criteria is met
, Net Collection Ratio Right Ans - Measures how well a practice collects
allowable charges
3,6,19, 12 months, should fall between 90-100%
(total receipts-refunds)/(total charges-contract adjustments)= New collection
ratio
150,000-25,000/250,000-45,000=X
125,000/205,000=.609=61%
HSA Right Ans - Health savings account---employer and employee pre-tax
dollars to the account for expected medical expenses for the coming year-
often set up through your employer-submit claims and receipts for
reimbursement up to amount deposited.
Medicare Part A Right Ans - Inpatient care, SNIF, some home health,
hospice
POS 20 Right Ans - Urgent Care
incident-to services Right Ans - NPP's, Follow up est patients, 85%
reimbursement
POS 11 Right Ans - Office
POS 12 Right Ans - Home
POS 19 Right Ans - Off campus, outpatient hospital
MDM Right Ans - Medical Decision Making, # of Dx's, Amount and
complexity of data to review, risk of complications
Physical Exam Right Ans - 1995 Guidelines, body areas and 12 organs
1997 Guidelines, expanded for specialty specific areas and bullet shading
system
Components of History Right Ans - CC, HPI, ROS, Past fam med/surg history
Key Complements to E/M Codes Right Ans - History, Physical Exam,
Medical Decision Making
Solutions
Basic Components of HIE Right Ans - Governance
An image and data repository
EMPI
Security
Credentialing process for access to data
5 goals of meaningful use of EHR Right Ans - Improve patient quality,
safety, efficiency
Engage pt and families
Promote public health
Improve care coord
Promote Privacy and security of EHR
EMR Out of Pocket Expenses Right Ans - Costs of hardware
EMR Costs
Training
Hardware needed throughout clinic
Ongoing support
Post Disaster Checklist Right Ans - Contact employees
Contact landlord
Contact insurance
Keep accounting log of all damage related costs
Conduct salvage operations
Call meeting of key players
Obtain new office space
Equip needs for new office space
Contact patients
Quantities risk analysis Right Ans - risk identification
risk likelihood
risk impact
recommendations/actions
,Cold site Right Ans - a backup location that provides only rudimentary
services and facilities
False Claims Act Right Ans - Allows employees to sue employers on behalf
of the federal government
Employee retains share of recovery
Labor Laws Right Ans - Laws which regulated how workers could be paid
and treated
Discrimination and wrongful termination
ADA
FMLA
Fair Labor Standards Act
OSHA
Income Statement Model Provider Payment Right Ans - based on assigning
all revenue and expenses to each provider of the pract. Most complex model
Emerg Prepard and Responce Right Ans - Participation in domestic and
Internationale humanitarian volunteer work greater than 60 days
Goals of Quality Care Improvement Right Ans - Safety, Effectiveness,
Patient Centered, Timely, Efficient, Equitable
Market Reform Insurance Rules Right Ans - Cannot deny based on
preexisting conditions, children to age 26, must provider first dollar
preventive health for women care and screenings, infance child, and
adolescent services. No prior auth for ED, cannot cancel insurance when
patient becomes ill, may not place lifetime dollar limits, limit insurance
coverage waiting periods to 90 days.
Break -Even Point Analysis Right Ans - performed to decide in investing in
a new kine of business
X=(fixed cost+annual equip cost)/(RPU-variable cost per unit)
Value based reimbursement Right Ans - Pay for performance only if certain
metric criteria is met
, Net Collection Ratio Right Ans - Measures how well a practice collects
allowable charges
3,6,19, 12 months, should fall between 90-100%
(total receipts-refunds)/(total charges-contract adjustments)= New collection
ratio
150,000-25,000/250,000-45,000=X
125,000/205,000=.609=61%
HSA Right Ans - Health savings account---employer and employee pre-tax
dollars to the account for expected medical expenses for the coming year-
often set up through your employer-submit claims and receipts for
reimbursement up to amount deposited.
Medicare Part A Right Ans - Inpatient care, SNIF, some home health,
hospice
POS 20 Right Ans - Urgent Care
incident-to services Right Ans - NPP's, Follow up est patients, 85%
reimbursement
POS 11 Right Ans - Office
POS 12 Right Ans - Home
POS 19 Right Ans - Off campus, outpatient hospital
MDM Right Ans - Medical Decision Making, # of Dx's, Amount and
complexity of data to review, risk of complications
Physical Exam Right Ans - 1995 Guidelines, body areas and 12 organs
1997 Guidelines, expanded for specialty specific areas and bullet shading
system
Components of History Right Ans - CC, HPI, ROS, Past fam med/surg history
Key Complements to E/M Codes Right Ans - History, Physical Exam,
Medical Decision Making
