CPB PRACTICE EXAMINATION TEST 2026
COMPLETE QUESTIONS AND ANSWERS
VERIFIED SOLUTIONS GRADED A+
⩥ healthcare consulting firm. Answer: Which of the following is not a
covered entity in the Privacy Rule
⩥ release reqt to ins co. Answer: A request for medical records is
received for a specific date of service from patient's insurance company
with regards to a submitted claim. No authorization for release of
information is provided. What action should be taken?
⩥ 12. Answer: How many national priority purposes under the Privacy
Rules for disclosure of specific PHI without an individual's authorization
or permission?
⩥ no. Answer: A health plan sends a request for medical records in order
to adjudicate a claim. Does the office have to notify the patient or have
them sign a release to send the information?
⩥ Truth in Lending Act. Answer: A practice sets up a payment plan with
a patient. If more than four installments are extended to the patient, what
regulation is the practice subject to that makes the practice a creditor?
,⩥ workers comp. Answer: Which of the following situations allows
release of PHI without authorization from the patient?
⩥ abuse. Answer: Entities that have been identified as having improper
billing practices is defined by CMS as a violation of what standard?
⩥ abuse. Answer: misusing any information on the claim, charging
excessively for services or supplies, billing for services not medically
necessary, failure to maintain adequate medical or financial records,
improper billing practices, or billing Medicare patients at a higher fee
scale that non-Medicare patients.
⩥ abuse. Answer: A claim is submitted for a patient on Medicare with a
higher fee than a patient on Insurance ABC. What is this considered by
CMS?
⩥ phys provider number. Answer: According to the Privacy Rule, what
health information may not be de-identified?
⩥ fraud. Answer: making false statements or misrepresenting facts to
obtain an undeserved benefit or payment from a federal healthcare
program
⩥ inadequate med recd. Answer: All the following are considered Fraud,
EXCEPT:
, ⩥ breach. Answer: A hospital records transporter is moving medical
records from the hospital to an off-site building. During the transport, a
chart falls from the box on to the street. It is discovered when the
transporter arrives at the off-site building and the number of charts is not
correct. What type of violation is this?
⩥ breach. Answer: impermissible release or disclosure of information is
discovered
⩥ waiver of liability. Answer: What standard transactions is NOT
included in EDI and adopted under HIPAA?
⩥ 7. Answer: The Federal False Claim Act allows for claims to be
reviewed for a standard of how many years after an incident?
⩥ anti kickback laws. Answer: A new radiology company opens in town.
The manager calls your practice and offers to pay $20 for every
Medicare patient you send to them for radiology services. What does
this offer violate?
⩥ biz associate. Answer: A private practice hires a consultant to come in
and audit some medical records. Under the Privacy Rule, what is this
consultant considered?
COMPLETE QUESTIONS AND ANSWERS
VERIFIED SOLUTIONS GRADED A+
⩥ healthcare consulting firm. Answer: Which of the following is not a
covered entity in the Privacy Rule
⩥ release reqt to ins co. Answer: A request for medical records is
received for a specific date of service from patient's insurance company
with regards to a submitted claim. No authorization for release of
information is provided. What action should be taken?
⩥ 12. Answer: How many national priority purposes under the Privacy
Rules for disclosure of specific PHI without an individual's authorization
or permission?
⩥ no. Answer: A health plan sends a request for medical records in order
to adjudicate a claim. Does the office have to notify the patient or have
them sign a release to send the information?
⩥ Truth in Lending Act. Answer: A practice sets up a payment plan with
a patient. If more than four installments are extended to the patient, what
regulation is the practice subject to that makes the practice a creditor?
,⩥ workers comp. Answer: Which of the following situations allows
release of PHI without authorization from the patient?
⩥ abuse. Answer: Entities that have been identified as having improper
billing practices is defined by CMS as a violation of what standard?
⩥ abuse. Answer: misusing any information on the claim, charging
excessively for services or supplies, billing for services not medically
necessary, failure to maintain adequate medical or financial records,
improper billing practices, or billing Medicare patients at a higher fee
scale that non-Medicare patients.
⩥ abuse. Answer: A claim is submitted for a patient on Medicare with a
higher fee than a patient on Insurance ABC. What is this considered by
CMS?
⩥ phys provider number. Answer: According to the Privacy Rule, what
health information may not be de-identified?
⩥ fraud. Answer: making false statements or misrepresenting facts to
obtain an undeserved benefit or payment from a federal healthcare
program
⩥ inadequate med recd. Answer: All the following are considered Fraud,
EXCEPT:
, ⩥ breach. Answer: A hospital records transporter is moving medical
records from the hospital to an off-site building. During the transport, a
chart falls from the box on to the street. It is discovered when the
transporter arrives at the off-site building and the number of charts is not
correct. What type of violation is this?
⩥ breach. Answer: impermissible release or disclosure of information is
discovered
⩥ waiver of liability. Answer: What standard transactions is NOT
included in EDI and adopted under HIPAA?
⩥ 7. Answer: The Federal False Claim Act allows for claims to be
reviewed for a standard of how many years after an incident?
⩥ anti kickback laws. Answer: A new radiology company opens in town.
The manager calls your practice and offers to pay $20 for every
Medicare patient you send to them for radiology services. What does
this offer violate?
⩥ biz associate. Answer: A private practice hires a consultant to come in
and audit some medical records. Under the Privacy Rule, what is this
consultant considered?
