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CPPM AAPC Review Test 2024 Questions With Correct Solutions
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CPPM AAPC Review Test 2024 Questions With Correct Solutions
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CPPM AAPC Review Test 2024Questions With Correct Solutions
Which are good options when initiating a difficult conversation? CORRECT ANSWERS Ask: Is this a good time to talk?; Prepare a short statement in advance that gets right to the point, Empathize with the person, Sympathize with the person.
Which is an effective response when a provider is complaining about how hard it is to use the new EMR system the owners of the practice selected? CORRECT ANSWERS This is a major change. I'll do my best to show you how it works.
What is the best description of an office manager? CORRECT ANSWERS Focuses on tactical activités and often have amore directive and controlling appeal AND manages the activities of others.
The difference between efficiency and effectiveness is: CORRECT ANSWERS Efficiency is doing things right while effectiveness is doing the right things.
Staff accountability is best achieved by: CORRECT ANSWERS Assigning object goals; assigning measurable goals; define the responsibility for tasks.
When should the staff obtain a photocopy of the patients insurance card? CORRECT ANSWERS When the patient arrives for their appointment
Which of the following is the best example of communicating in a difficult conversation? CORRECT ANSWERS Let the person know, "I understand how you feel."
Which of the following are benefits of using a mid-level provider? CORRECT ANSWERS Improved revenue; improved patient satisfactions; greater access to care for patients.
An established patient did not keep her scheduled appointment. There is or record that she called to cancel or reschedule. This is her third "No show" in one year. Based on the No-show policy, which of the following process should be followed? CORRECT ANSWERS Suspend services temporarily.
Which of the following is a road-block to active listening? CORRECT ANSWERS Give advice that is not asked for
What is the best way to handle a verbal attack? CORRECT ANSWERS Listen
Which of the following includes the payment amount and denial explanations for claims submitted. CORRECT ANSWERS Explanation of Benefits (EOB) Your office recently installed a new phone system. Training was provided to the staff and the physicians. One of the physicians can't seem to get the hang of it and is continually disconnecting his calls. He calls you into his office and blames you for the faulty phone system and his inability to learn how to use it. Using good communications skills, you would" CORRECT ANSWERS Be quiet and listen to all his concerns
Which of the following services would bet the most profitable and efficient use of mid-
level provider in a. physician's office and meets incident-to rules? CORRECT ANSWERS Sees established patient for follow-up visits of established conditions.
A patient is returning today for her second injection of denosumab for postmenopausal osteoporosis. To achieve the best staff efficiency which of the following staff members should perform the injection? CORRECT ANSWERS Medical Assistant
Which providers may write prescriptions? CORRECT ANSWERS Physician's Assistant; Nurse Practitioner
P is hired by a cardiology practice to help see patients in the hospital. The PA performs all the rounds and notifies the physician on call if there are any patients that need to be seen by a physician. Is it appropriate to bill for the PAs services as incident-to? CORRECT ANSWERS No, incident to services are not covered in a hospital setting - they can only be billed in the office setting or in a patient's home.
Which of the following support staff is typically not found in an outpatient physician practice? CORRECT ANSWERS CNA
Leadership and management have different characteristics. What is more representative of a leader? CORRECT ANSWERS Inspire and motivate employees.
One of the specialists walks into your office without knocking, sits down in the chair across from you, leans forward and begins berating you for the way you handled a recent office situation. What body language would you use to show you are listening and ready to discuss his complaint? CORRECT ANSWERS Stay seated and lean forward
What is not reported by evaluation nd management codes? CORRECT ANSWERS Physical therapy evaluations = E/M services are reported for visits made by physicians or other qualified healthcare providers in the office, hospital, and nursing home.
Electronic health records guide a provider to select E/M codes based on the number of elements documented. What does this leave out that causes a potential compliance risk? CORRECT ANSWERS Medical Necessity
You are tasked with hiring an employee with inpatient coding experience. Which code set will they need to understand for inpatient procedures? CORRECT ANSWERS ICD-
10-PCS The front desk plays an important role in: CORRECT ANSWERS Customer service, Optimizing physician time, Claim quality assurance
Medicare offers plans for Part A, Part B, Part C, and Part D. Which of these covers inpatient hospital care? CORRECT ANSWERS Part A
A MEDICARE PATIENT IS SEEN IN THE URGENT CARE CLINIC FOLLOWING A MINOR AUTOMOBILE ACCIDENT. THE PATEITN HAS MEDICARE PART A, B,AND C AS WELL AS No-FAULT THROUGH ATUO INSURANCE. WHO IS THE PRIMARY INSURANCE? CORRECT ANSWERS Automobile No-fault
Which is a common reason for denials? CORRECT ANSWERS The service is not medically necessary.
You work for. a pediatric office and the parents of a patient inform you they can No longer afford halter insurance. They do not qualify for Medicaid as their income is too high. What would you recommend? CORRECT ANSWERS Apply for CHIP coverage
Procedure codes are reported by the facility using which code set? CORRECT ANSWERS ICD-10-PCS - Inpatient Hospital Facilities. Only submitted by FACILITIES!
Posting payment and collection policies in a prominent place in your office has what benefit? CORRECT ANSWERS Prepares the patient to make proper payments at the time of service.
There are many elements to a successful appeals process. What is the first and most important process? CORRECT ANSWERS Analyze the reason for the denial.
Which of the following services is covered by Medicare Part B? CORRECT ANSWERS Physician services
Which services meet medical necessity? CORRECT ANSWERS A lipid panel for a patient with high cholesterol
A claim form that is complete and accurate and includes all provider information, member information and other additional information needed to process for payment is called? CORRECT ANSWERS A clean Claim
The Place of Service (POS) code on a claim form is important to determine correct reimbursement. Which statement is correct? CORRECT ANSWERS The professional component for services provided in a facility (for example, hospital or ASC) are less than when provided in the physicians office because the physician does not have any practice expense at the facility like rent, staff, and supplies.
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