CPPM Exam Prep Questions With Correct
Answers
Revenue |Per |Visit |(RPV) |- |CORRECT |ANSWER✔✔-Total |amount |collected |divides |by |the |total
|number |of |patient |visits
Advance |Benefit |Notification |(ABN) |- |CORRECT |ANSWER✔✔-Notification |given |to |patients
|advising |Medicare |may |not |cover |a |certain |procedure |or |service
Payment |for |fee |for |service |is |based |on |- |CORRECT |ANSWER✔✔-CPT |& |HCPCS |Level |II
MCO |- |CORRECT |ANSWER✔✔-Private |Health |Plan
Place |of |Service |(POS) |determines |correct |reimbursement |when |- |CORRECT |ANSWER✔✔-The
|professional |component |for |services |provided |in |a |facility |(I.e. |HOD) |are |less |than |when
|provided |in |a |physician |office |as |the |physician |doesn't |have |any |practice |expense |at |the
|facility. |(In |private |practice |they |pay |rent, |staff |etc |whereas |is |HOD |these |are |paid |by |the
|facility)
DEA |number |- |CORRECT |ANSWER✔✔-Is |not |needed |for |the |online |application |to |CMS |for |an
|NPI
Customer |service, |optimizing |physician |time |and |claim |quality |assurance |are |key |components
to |which |role? |- |CORRECT |ANSWER✔✔-Front |Desk
|
What |can |result |in |claim |denial? |- |CORRECT |ANSWER✔✔-Incorrect |POS, |incorrect |NPI, |and |a
|truncated |diagnosis |code
, Patients |are |prepared |to |make |payments |at |the |time |of |there |visits |when? |- |CORRECT
ANSWER✔✔-Payment |& |collection |policies |are |prominently |posted |in |the |office
|
What |is |the |most |important |criteria |to |meet |for |the |selection |of |Evaluation |and |Management
(E/M) |codes? |- |CORRECT |ANSWER✔✔-Medical |necessity
|
What |code |set |represents |healthcare |equipment, |drugs |and |supplies? |- |CORRECT
ANSWER✔✔-ICD-10.PCS
|
ICD-10-CM |- |CORRECT |ANSWER✔✔-International |Classification |of |Diseases, |Tenth |Revision,
|Clinical |Modification |CM |codes |represent |the |diagnosis/reason |a |service |is |performed.
ICD-10-PCS |- |CORRECT |ANSWER✔✔-International |Classification |of |Diseases, |Revision
|Procedural |Coding |System. |These |represent |procedures |performed |at |inpatient |hospital
|facilities
CPT |codes |- |CORRECT |ANSWER✔✔-current |procedural |terminology |represent |procedures
|performed |& |bilked |by |physicians |and |non-physicians |practitioners |(APP's)
HCPCS |Level |II |- |CORRECT |ANSWER✔✔-for |products |and |supplies |and |services |not |included |in
|level |I. |the |code |is |alphanumeric
Clean |Claim |Form |- |CORRECT |ANSWER✔✔-A |form |that |is |complete |and |accurate |and |includes
|all |provider |information |and |other |additional |information |to |process |for |payment
History |of |present |illness |- |CORRECT |ANSWER✔✔-Chronological |description |of |the
|development |of |patients |complaint
Answers
Revenue |Per |Visit |(RPV) |- |CORRECT |ANSWER✔✔-Total |amount |collected |divides |by |the |total
|number |of |patient |visits
Advance |Benefit |Notification |(ABN) |- |CORRECT |ANSWER✔✔-Notification |given |to |patients
|advising |Medicare |may |not |cover |a |certain |procedure |or |service
Payment |for |fee |for |service |is |based |on |- |CORRECT |ANSWER✔✔-CPT |& |HCPCS |Level |II
MCO |- |CORRECT |ANSWER✔✔-Private |Health |Plan
Place |of |Service |(POS) |determines |correct |reimbursement |when |- |CORRECT |ANSWER✔✔-The
|professional |component |for |services |provided |in |a |facility |(I.e. |HOD) |are |less |than |when
|provided |in |a |physician |office |as |the |physician |doesn't |have |any |practice |expense |at |the
|facility. |(In |private |practice |they |pay |rent, |staff |etc |whereas |is |HOD |these |are |paid |by |the
|facility)
DEA |number |- |CORRECT |ANSWER✔✔-Is |not |needed |for |the |online |application |to |CMS |for |an
|NPI
Customer |service, |optimizing |physician |time |and |claim |quality |assurance |are |key |components
to |which |role? |- |CORRECT |ANSWER✔✔-Front |Desk
|
What |can |result |in |claim |denial? |- |CORRECT |ANSWER✔✔-Incorrect |POS, |incorrect |NPI, |and |a
|truncated |diagnosis |code
, Patients |are |prepared |to |make |payments |at |the |time |of |there |visits |when? |- |CORRECT
ANSWER✔✔-Payment |& |collection |policies |are |prominently |posted |in |the |office
|
What |is |the |most |important |criteria |to |meet |for |the |selection |of |Evaluation |and |Management
(E/M) |codes? |- |CORRECT |ANSWER✔✔-Medical |necessity
|
What |code |set |represents |healthcare |equipment, |drugs |and |supplies? |- |CORRECT
ANSWER✔✔-ICD-10.PCS
|
ICD-10-CM |- |CORRECT |ANSWER✔✔-International |Classification |of |Diseases, |Tenth |Revision,
|Clinical |Modification |CM |codes |represent |the |diagnosis/reason |a |service |is |performed.
ICD-10-PCS |- |CORRECT |ANSWER✔✔-International |Classification |of |Diseases, |Revision
|Procedural |Coding |System. |These |represent |procedures |performed |at |inpatient |hospital
|facilities
CPT |codes |- |CORRECT |ANSWER✔✔-current |procedural |terminology |represent |procedures
|performed |& |bilked |by |physicians |and |non-physicians |practitioners |(APP's)
HCPCS |Level |II |- |CORRECT |ANSWER✔✔-for |products |and |supplies |and |services |not |included |in
|level |I. |the |code |is |alphanumeric
Clean |Claim |Form |- |CORRECT |ANSWER✔✔-A |form |that |is |complete |and |accurate |and |includes
|all |provider |information |and |other |additional |information |to |process |for |payment
History |of |present |illness |- |CORRECT |ANSWER✔✔-Chronological |description |of |the
|development |of |patients |complaint
