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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller bestscores1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.98. You're not tied to anything after your purchase.
