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CPPM ''Final Exam''questions well answered to pass

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CPPM ''Final Exam''questions well answered to pass

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  • 25 septembre 2024
  • 13
  • 2024/2025
  • Examen
  • Questions et réponses
  • CPPM
  • CPPM
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CPPM ''Final Exam''

Obtain the patient's name, birth date, phone number, date and time of the call, and the name of
pharmacy. Attach the message to the patient's chart and give the message to the physician's nurse. -
correct answer ✔✔Our office has protocols for handling telephone calls. Use the protocol below to
answer this question: Telephone Protocol1. Answer the phone: "Doctor's office (use the name of doctor);
This is (your name); How may I help you?"2. When taking a message: Use the 2-ply carbon message
pads. Write the patient's name, birth date, phone number, where they can be reached, name of the
person calling, relationship to the patient if they are not the patient, today's date, and time of call. Write
a brief explanation for the call. Get the name of the pharmacy if a refill is requested. Pull the patient's
chart and attach the message to the physician's nurse. A patient calls to refill a prescription. How would
you apply the policy?



Be supportive and appreciative.

Could you spend more one-on-one time with each individual employee?

Be transparent about departmental and company changes.

Listen to employees' concerns.

Leverage employees' needs and desires to inspire productivity. - correct answer ✔✔Which of the
following will motivate employees?



Suspend services temporarily. - correct answer ✔✔No Show Policy:· A "no show" is a patient who misses
an appointment without canceling it within one (1) business day in advance.· A failure to present at the
time of a scheduled appointment will be recorded in your medical chart as a "no show."· An
administrative fee of $25.00 will be billed to your account. We will send a letter alerting you that you
failed to show for a scheduled appointment and did not cancel the appointment within one (1) business
day before the appointment. A bill for the administrative fee will be included with the letter.· A copy of
the letter will be put in your medical record.· Three "no-shows" in one calendar year will result in
temporary suspension of services.· To reinstate services, you will be required to meet with your Primary
Care Physician (PCP) within 30 days of the third no show letter to evaluate your situation.· If you do not
respond and/or schedule an appointment within 30 days, we will consider your patient status as
terminated.· No-show charges are a patient's responsibility and will not be billed to your insurance
company.An established patient did not keep her scheduled appointment. There is no record that she
called to cancel and/or reschedule. This is her third "no show" in one year. Based on the no show policy,
which of the following processes should be followed?

, Fidgeting or little eye contact - correct answer ✔✔The physician who owns the practice approaches you
to discuss an increased frequency of denials. Which of the following would give the physician the
impression that you have low interest in what he is saying?



Sit in the chair next to her and cross your legs. - correct answer ✔✔You arrive at your office to find a
patient waiting to speak with you. The patient is disgruntled about receiving a bill for her services when
it should have been covered by the insurance carrier. When you enter your office, the patient sits down
and crosses her legs to speak to you. What is the most effective use of body language to defuse the
situation?



No, incident-to services are not covered in a hospital setting - correct answer ✔✔A physician assistant
(PA) 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 PA's services as incident-to?



I and III - correct answer ✔✔Select the answer that fits the description of an office manager.I. Focuses
on tactical activities and often has a more directive and controlling approachII. Strategically focusedIII.
Manages the activities of others



ICD-10-PCS codes - correct answer ✔✔Procedure codes are reported by the facility using which code
set?



The service is not medically necessary - correct answer ✔✔Which option is a common reason for
denials?



I, III, and IV - correct answer ✔✔Which of the following are reasons a claim may be denied?I. An
incorrect place of serviceII. Multiple modifiers were used on a procedure codeIII. An incorrect NPIIV.
Truncated diagnosis codesV. More than one CPT® code on the claim



Medical necessity - correct answer ✔✔Which option is NOT a reason to append a modifier to a CPT® or
HCPCS Level II code?



HCPCS Level II - correct answer ✔✔What code set represents healthcare equipment, drugs, and
supplies?

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