AAPC CPB Final Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/AAPC%20CPB%
AAPC CPB Final Exam Study Guide
Questions & Verified Answers
1. HIPPA OF 1996 includes a security rule that is established to provide what
national stands for protecting and transmitting patient data. Which of the
following is NOT true?
A) The security rule applies to healthcare providers, health plans, and any
covered entity involved in the care of a patient.
B) The security role applies only to the Institute that initiates the release of
protected health information
C) Standards for storing transmitting patient data and electronic form include
portable electronic devices
D) The security rule states that safeguards must be in place to prevent unse-
cured release of information
Answer B
2. Eight standard transactions were adopted for electronic data, interchange
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under HIPAA which of the following is not included as a standard transaction
A) payment and remittance advice
B) eligibility in a health plan
C) coordination of benefits
D) physician unique identify number
Answer D
3. A claim is received by a payer that subsequently request the medical records
for the date of service on the claim what procedure should be followed by the
practice?
Answer Only the date of service on the claim should be sent to the payer. The records
can be sent as part of HIPAA based on treatment payment and operations.
4. HIPAA requires that privacy practice notices be provided in several circum-
stances, which of the following is not required
A) must be available on any website that practice maintains
B) must be provided upon request
C) must be presented to all patients
D) must be placed into the patient's file
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Answer D
5. When is subpoena is received by the practice for medical records, and 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) this 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 at the information
D) records cannot be released under any circumstances based on the subpoe- na
Answer B
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6. A physician received office space at a reduced rate for referring patients to
the hospitals, outpatient physical therapy center.What law does this violate?-
Answer Anti-Kickback Statute
7. Federal healthcare plans include what payers?
Answer Medicare, Medicaid, Tricare
8. One of the most severe penalties that can be associated with violations at the
Social Security act is exclusion from federal healthcare plans, which of the
following statements is true of excluded individuals?
A) physicians that have been excluded can build the patient for services, but
cannot bill federal health plans
B) physicians that have been excluded can refer further patients to other
facilities for treatment
C) physicians that have been excluded or prohibited from billing for any
service 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
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