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CPB Test Prep Questions and Answers

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CPB Test Prep Questions and Answers One of the most severe penalties that can be associated with violations of the Social Security Act is exclusion from federal health care plans. Which of the following statements is true of excluded individuals? a. Physicians that have been excluded can bill t...

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  • October 30, 2024
  • 63
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPB
  • CPB
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CPB Test Prep Questions and Answers


One of the most severe penalties that can be associated with violations of the Social Security Act is

exclusion from federal health care plans. Which of the following statements is true of excluded

individuals?




a. Physicians that have been excluded can bill the patient for services but cannot bill federal health plans.


b. Physicians that have been excluded can refer their patients to other facilities for treatment.


c. Physicians that have been excluded are prohibited from billing for any services to a federally

administered health plan.


d. Physicians that have been excluded are exempt from billing for services but are allowed to write

prescriptions and order tests. - ANSWER✔✔-C. Physicians that have been excluded are prohibited from

billing for any services to a federally administered health plan


Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of

the following is NOT


a. Payment and remittance advice


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b. Eligibility in a health plan


c. Coordination of Benefits


d.Physician unique identifier number - ANSWER✔✔-D. Physician unique identifier number


When a subpoena is received by the practice for medical records, in what circumstances may the records

be released according to the HIPAA Privacy Rule?


:a.


The subpoena allows for the release of the medical records.


b.


The subpoena is accompanied by a court order or the patient is notified and given a chance to object.


c.


The individual must sign an authorization for release of the information.


d.


Records cannot be released under any circumstance based on a subpoena. - ANSWER✔✔-B. The

subpoena is accompanied by a court order or the patient is notified and given a chance to object




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A physician billed claims to Medicare and Medicaid for procedures that were not performed on 800

patients resulting in loss of 2.6 million dollars. Is this fraud or abuse?


:a.


Fraud; subject to the Anti-kickback Statute


b.


Fraud; subject to the False Claims Act


c.


Abuse; subject only to education of the provider


d.


Abuse; subject to the Stark Law - ANSWER✔✔-B. Fraud; subject to the False Claims Act


HIPAA requires that privacy practice notices be provided in several circumstances. Which if the following

is NOT required?


a.


Must be available on any website the practice maintains


b.



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Must be provided upon request


c.


Must be presented to all patients


d.


Must be placed into the patient's file - ANSWER✔✔-D. Must be placed into the patient's file


Federal healthcare plans include what payers?


a.


Blue Cross, Medicare, Humana


b.


Medicare, Medicaid, TRICARE


c.


Medicare, TRICARE, Blue Cross


d.


Humana, VA, TRICARE - ANSWER✔✔-B. Medicare, Medicaid, TRICARE




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