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CPPM Cert Exam Questions With 100% Verified Solutions 2024
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CPPM Cert Exam Questions With 100% Verified Solutions 2024
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CPPM Cert Exam Questions With 100%Verified Solutions 2024
Current Liabilities CORRECT ANSWERS debts of the business that must be paid within
a year
Fixed Expenses CORRECT ANSWERS will not change base in revenue
Rent
LLC (Limited Liability Company) CORRECT ANSWERS All income flow through owners
individual income tax, LLC can sell interest nor stock. Unlimited # of owners, good for growing pract.
Basic Components of HIE CORRECT ANSWERS Governance
An image and data repository
EMPI
Security
Credentialing process for access to data
Post Disaster Checklist CORRECT ANSWERS 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
quantitive risk analysis CORRECT ANSWERS risk identification
risk likelihood
risk impact
recommendations/actions
cold site CORRECT ANSWERS a backup location that provides only rudimentary services and facilities
False Claims Act CORRECT ANSWERS Allows employees to sue employers on behalf of the federal government
Employee retains share of recovery
Labor Laws CORRECT ANSWERS 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 CORRECT ANSWERS based on assigning
all revenue and expenses to each provider of the pract. Most complex model
Emerg Prepard and Responce CORRECT ANSWERS Participation in domestic and Internationale humanitarian volunteer work greater than 60 days
Goals of Quality Care Improvement CORRECT ANSWERS Safety, Effectiveness, Patient Centered, Timely, Efficient, Equitable
Market Reform Insurance Rules CORRECT ANSWERS 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 CORRECT ANSWERS 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 CORRECT ANSWERS Pay for performance only if certain metric criteria is met
Net Collection Ratio CORRECT ANSWERS 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 CORRECT ANSWERS 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 CORRECT ANSWERS Inpatient care, SNIF, some home health, hospice
POS 20 CORRECT ANSWERS Urgent Care incident-to services CORRECT ANSWERS NPP's, Follow up est patients, 85% reimbursement
POS 11 CORRECT ANSWERS Office
POS 12 CORRECT ANSWERS Home
POS 19 CORRECT ANSWERS Off campus, outpatient hospital
MDM CORRECT ANSWERS Medical Decision Making, # of Dx's, Amount and complexity of data to review, risk of complications
Physical Exam CORRECT ANSWERS 1995 Guidelines, body areas and 12 organs
1997 Guidelines, expanded for specialty specific areas and bullet shading system
Components of History CORRECT ANSWERS CC, HPI, ROS, Past fam med/surg history
Key Complements to E/M Codes CORRECT ANSWERS History, Physical Exam, Medical Decision Making
HCPCS Level II CORRECT ANSWERS non-physician services, supply, equipment, ambulance services, prosthetic devices, drugs
CPT Cat 3 CORRECT ANSWERS Temp codes, new and developing tech, procedures, and services. DATA collection, May not use CAT 1 unlisted code in lieu of Cat 3 code
CPT Cat 2 CORRECT ANSWERS F codes, performance measurement, future patient care, data collection about quality of care
CPT Cat 1 CORRECT ANSWERS 00100-99499, E/M, Anesthesia, Surg, Rad, Path & Lab, Medicine
Code Sets CORRECT ANSWERS ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II
Body Language CORRECT ANSWERS 7% verbal, 38% tone, 55% body language
Positive Results= CORRECT ANSWERS Accountability+Responsibility+Pro-activity
POS 32 CORRECT ANSWERS nursing facility
Time for credentialing provider CORRECT ANSWERS 90 days
public healthcare systems CORRECT ANSWERS Medicare, Medicaid, Veterans Health
Admin, Military Healthcare, Indian Health Service, CHIP, Fed Employees Health Benefits
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