CPPM Exam Prep Verified Answers
Revenue and Billing
What is Revenue Per Visit (RPV)?
Options: a. The total amount collected divided by the total number of patient visits; b. A type of
insurance plan
Answer: a. The total amount collected divided by the total number of patient visits
What...
CPPM Exam Prep Verified Answers
Revenue and Billing
What is Revenue Per Visit (RPV)?
Options: a. The total amount collected divided by the total number of patient visits; b. A type of
insurance plan
Answer: a. The total amount collected divided by the total number of patient visits
What is Advance Benefit Notification (ABN)?
Options: a. A notification given to patients advising Medicare may not cover a certain procedure or
service; b. A type of insurance plan
Answer: a. A notification given to patients advising Medicare may not cover a certain procedure or
service
Coding and Reimbursement
What codes are used to report professional services?
Options: a. CPT and HCPCS Level I; b. ICD-10-PCS and CPT
Answer: a. CPT and HCPCS Level II
What determines correct reimbursement when providing services in a facility?
Options: a. The POS determines correct reimbursement; b. The CPT code determines correct
reimbursement
Answer: a. The POS determines correct reimbursement
Front Desk Operations
What are key components of the Front Desk role?
Options: a. Customer service, optimizing physician time, and claim quality assurance; b. Claim
processing, patient scheduling, and billing
, Answer: a. Customer service, optimizing physician time, and claim quality assurance
Coding Guidelines
What can result in claim denial?
Options: a. Incorrect POS, incorrect NPI, and truncated diagnosis code; b. Incorrect CPT code, incorrect
ICD-10 code, and missing information
Answer: a. Incorrect POS, incorrect NPI, and truncated diagnosis code
Medical Records
What is the most important criterion to meet for E/M code selection?
Options: a. Medical necessity; b. Patient's age
Answer: a. Medical necessity
What is one purpose for a productivity report? ✔️To verify a good payer mix for a strong revenue
stream
What can add to an inefficient bad debt management process? ✔️Numerous clinical & administrative
approval requirements, unclear policies on write-off thresholds, and unclear policies that limit the
amount of balance billing
Capitation payment ✔️A prospective method of payment. Payments are based on a physician fee
schedules negotiated with the payer.
What accounts should be considered for collection? ✔️90+ days with a balance greater than $10
What should you consider when conducting a registration audit? ✔️Address, phone #, employer,
insurance verification, and co-pay collected
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