CPAR Exam Questions with Correct Solved Solutions
1. The amount of money set aside to cover an expense is called?: B. An Accrual
2. In a physician practice, Pre-service Revenue Cycle consists of:: D. All the answers are correct
3. Intentional misrepresentations that can result in criminal prosecution, civil liability and
Administrative sanctions are known as?: Abuse
4. A benefit period is a method Medicare uses to measure inpatient utilization for each
Medicare patient, There is no limit on the number of benefits period. What are the 2019
Deductible, Co-Insurance and Life Time Reserve amounts?-
: Deductible $1364.00 Co-
Insurance $341.00
Life Time Recovery Days $682.00
5. In following up on an unpaid claim, simply asking for a status of the claim:-
: Will always result in honest responses
6. are organizations that are hired by employers to process claims, admin-ister
benefits Per the employer's policies and pay claims as they determine them to be
reasonable.: TPA's
7. Which of the following are true statements?: D. All of the answers are correct
8. EMTALA stands for:: Emergency Medical Treatment and Active Labor Act
9. The automatic assignment of a person to a
health insurance plan, typically under Medicaid plans is known as : C. Auto-enrollment
10. In a physician practice revenue cycle structure, point of service consists of::
Coding and Charge Capture
,11. Patient access has a direct impact on several areas of the healthcare
provider organization Including the following:: D. All of the answers are correct
12. Doctor services, outpatient care, and some home health care are
services covered by .: B. Medicare Part B
13. All of the following codes EXCEPT are
frequently used when billing a claim to Medicare on the UB-04.: D. All of the Above
14. The CMS 838 is:: B. The Medicare quarterly credit balance report
15. Tricare for Life is:: B. Sometimes the primary payer
16. If a CT scan is ordered for neck pain for a Medicare beneficiary, but Medicare may
not cover the CT Scan with the diagnosis noted, what form should be signed by the
patient?: A. An ABN
17. Missing patient information can lead to incorrectly selecting the correct
insurance plan code.: A. True
18. Disclosures made regarding a
patient's protected health information with-out their Authorization are considered : A. A
violation of the privacy rule (HIPPA)
19. Physician Office staff should provide hospital schedulers with the follow-ing:: D.
All of the answers are correct
20. Which statement below is NOT true?: A. Medicare Part B does not cover self-administered drugs.
21. The type of bill used to void
or cancel a claim is : D. xx8
22. DRG stands for:: Diagnosis Related Group
, 23. An ABN (Advanced Beneficiary Notice) should be issued to the patient at the time
of:: Pre-Service Review
24. The medical coding and charging for services may be performed manually in a
Physician practice via a:: A. Superbill
25. Each medical record must contain information that will:: D. All of the answers are
correct
26. Failure to submit Medicare credit balance report on a timely basis will result in
suspension of future payments from the Medicare program. When payments are
suspended, when will the Provider payments be re-instated?: B. After the delinquent submission is
accepted by intermediary
27. Diagnosis codes serve the purpose of establishing medical necessity, re-
flecting the acuity of the illness, and:: Providing data for statistical analysis
28. An organization that accesses a discounted rate for services from a physi-cian,
hospital, or other healthcare provider without direct authorization from the provider
(insurance company) is Known as : A. A silent PPO
29. At least days prior to filing a lien, a letter of intent to file a lien
must be sent to the patient and all known possible responsible parties.: B. 15
30. A spouse is responsible for debts of their mates if they don't sign the
financial guarantee.: B. FALSE
31. To yield optimum positive results the following recommendations should be
considered for front end processes:: A. Ongoing compliance and quality assurance
32. The practice of acquiring, analyzing, and protecting digital and traditional medical
information is known as:: HIM - Health Information Management
1. The amount of money set aside to cover an expense is called?: B. An Accrual
2. In a physician practice, Pre-service Revenue Cycle consists of:: D. All the answers are correct
3. Intentional misrepresentations that can result in criminal prosecution, civil liability and
Administrative sanctions are known as?: Abuse
4. A benefit period is a method Medicare uses to measure inpatient utilization for each
Medicare patient, There is no limit on the number of benefits period. What are the 2019
Deductible, Co-Insurance and Life Time Reserve amounts?-
: Deductible $1364.00 Co-
Insurance $341.00
Life Time Recovery Days $682.00
5. In following up on an unpaid claim, simply asking for a status of the claim:-
: Will always result in honest responses
6. are organizations that are hired by employers to process claims, admin-ister
benefits Per the employer's policies and pay claims as they determine them to be
reasonable.: TPA's
7. Which of the following are true statements?: D. All of the answers are correct
8. EMTALA stands for:: Emergency Medical Treatment and Active Labor Act
9. The automatic assignment of a person to a
health insurance plan, typically under Medicaid plans is known as : C. Auto-enrollment
10. In a physician practice revenue cycle structure, point of service consists of::
Coding and Charge Capture
,11. Patient access has a direct impact on several areas of the healthcare
provider organization Including the following:: D. All of the answers are correct
12. Doctor services, outpatient care, and some home health care are
services covered by .: B. Medicare Part B
13. All of the following codes EXCEPT are
frequently used when billing a claim to Medicare on the UB-04.: D. All of the Above
14. The CMS 838 is:: B. The Medicare quarterly credit balance report
15. Tricare for Life is:: B. Sometimes the primary payer
16. If a CT scan is ordered for neck pain for a Medicare beneficiary, but Medicare may
not cover the CT Scan with the diagnosis noted, what form should be signed by the
patient?: A. An ABN
17. Missing patient information can lead to incorrectly selecting the correct
insurance plan code.: A. True
18. Disclosures made regarding a
patient's protected health information with-out their Authorization are considered : A. A
violation of the privacy rule (HIPPA)
19. Physician Office staff should provide hospital schedulers with the follow-ing:: D.
All of the answers are correct
20. Which statement below is NOT true?: A. Medicare Part B does not cover self-administered drugs.
21. The type of bill used to void
or cancel a claim is : D. xx8
22. DRG stands for:: Diagnosis Related Group
, 23. An ABN (Advanced Beneficiary Notice) should be issued to the patient at the time
of:: Pre-Service Review
24. The medical coding and charging for services may be performed manually in a
Physician practice via a:: A. Superbill
25. Each medical record must contain information that will:: D. All of the answers are
correct
26. Failure to submit Medicare credit balance report on a timely basis will result in
suspension of future payments from the Medicare program. When payments are
suspended, when will the Provider payments be re-instated?: B. After the delinquent submission is
accepted by intermediary
27. Diagnosis codes serve the purpose of establishing medical necessity, re-
flecting the acuity of the illness, and:: Providing data for statistical analysis
28. An organization that accesses a discounted rate for services from a physi-cian,
hospital, or other healthcare provider without direct authorization from the provider
(insurance company) is Known as : A. A silent PPO
29. At least days prior to filing a lien, a letter of intent to file a lien
must be sent to the patient and all known possible responsible parties.: B. 15
30. A spouse is responsible for debts of their mates if they don't sign the
financial guarantee.: B. FALSE
31. To yield optimum positive results the following recommendations should be
considered for front end processes:: A. Ongoing compliance and quality assurance
32. The practice of acquiring, analyzing, and protecting digital and traditional medical
information is known as:: HIM - Health Information Management
