AAPC CPB Final Exam
Study online at https://quizlet.com/_d202y8
Medicare was passed into law under the
title XVIII of what Act?
a. HIPAA d. Social Security Act
b. Stabilization Act
c. HMO
d. Social Security Act
A new radiology company opens in town.
The manager calls your practice and of-
fers to pay $20 for every Medicare pa-
tient you send to them for radiology ser-
vices. What does this offer violate?
a. Anti-Kickback law
a. Anti-Kickback law
b. Stark Laws
c. HIPAA
d. Qui Tam
A practice agrees to pay $250,000 to
settle a lawsuit alleging that the practice
used X-rays of one patient to justify ser-
vices on multiple other patients' claims.
The manager of the office brought the
d. Qui Tam
civil suit. What type of case is this?
a. HIPAA
b. Stark case
c. Anti-Kickback
d. Qui Tam
A private practice hires a consultant to
come in and audit some medical records.
Under the Privacy Rule, what is this con-
sultant considered?
b. A business associate
a. A covered entity
b. A business associate
c. An employee
d. A clearinghouse
, AAPC CPB Final Exam
Study online at https://quizlet.com/_d202y8
What is the standard time frame estab-
lished for record retention?
a. Seven years d. There is no single standard record
b. The life of the patient retention, it varies by state and federal
c .Five years regulation
d. There is no single standard record
retention, it varies by state and federal
regulation
What entities are exempt from HIPAA
and not considered to be covered enti-
ties?
a. Workers' compensation a. Workers' compensation
b. Employers with less than 100 employ-
ees
c .Church-sponsored plans
d. Sponsored group plans
A patient is seen in your clinic. Her hus-
band calls later in the day to ask for infor-
mation about the visit. The practice pulls
the patient's privacy authorization to see
if they can speak to the husband. What
act does this action fall under? b. HIPAA
a. Health Information Act
b. HIPAA
c. Social Security Act
d. ADA
When a patient is enrolled in an HMO,
which options below are the responsibili-
ties of the primary care physician (PCP)?
I. Manage the member's treatment
II. Be the only provider for all of the pa- b. I, III, IV
tient's healthcare
III. Provide referrals to specialists
IV. Approve emergency department vis-
its
, AAPC CPB Final Exam
Study online at https://quizlet.com/_d202y8
V. Provide referrals for inpatient admis-
sions
a. I, II, III
b. I, III, IV
c. I, III, V
d. I, II
What is the benefit of using NPI numbers
for payers?
I. It is a single identifier for all payers
II. It contains the providers' birthdates to
allow certain identification
III. Each payer can make their own num-
ber
d. I, IV
IV. It has no personal identifying informa-
tion in the number
a. I, II
b. I, II, IV
c. III, IV
d. I, IV
A group contracts with a third-party ad-
ministrator to manage paperwork. This
group pays for the operation of the insur-
ance plan and the costs of administra-
tion. What type of plan does this repre-
sent? c. Self-Funded ERISA
a. Association Group
b. Management Service Organization
c. Self-Funded ERISA
d. Fully Insured Employer Group
A patient presents for an immunization.
When the patient pays his bill, he asks for
a receipt so that he may turn it in to meet
c. Medicaid
his spenddown. What type of coverage
does this patient have?
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