CPPM Exam Prep 2026 Exam Questions LATEST
VERSIONS 110 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT) A+ GRADED ASSURED
A part of the initiate cost control. There is a focus on fraud and abuse reform by HHS, OIG, FBI,
Medicare and Medicaid and DOJ. Which of the following is included in the fraud and abuse
provision? - CORRECT ANSWER: Providers are required to supply upon request
documentation of DME and home health referrals
According to the national alliance for health information technology, the difference in an EMR
and EHR is what? - CORRECT ANSWER: Electronic data stored in one practice versus
cumulatively across more than one healthcare organization
Accounts Payable - CORRECT ANSWER: Amounts to be paid in the future for goods or
services already acquired
Activity Based Costing - CORRECT ANSWER: A method of allocating overhead based on each
product's use of activities in making the product.
Advance Benefit Notification (ABN) - CORRECT ANSWER: Notification given to patients
advising Medicare may not cover a certain procedure or service
Capitation payment - CORRECT ANSWER: A prospective method of payment. Payments are
based on a physician fee schedules negotiated with the payer.
Cash Flow Statement - CORRECT ANSWER: A financial statement that shows the flow of
money in and out of the business.
Cash-based Accounting System - CORRECT ANSWER: When purchases and expenses are
reported the same month even if not being used until future dates.
, Clean Claim Form - CORRECT ANSWER: A form that is complete and accurate and includes
all provider information and other additional information to process for payment
Clinical data repository - CORRECT ANSWER: A database that compiles a patient's data from a
variety of clinical sources to present a unified view of a single patient
Common performance indicators for charge entry includes - CORRECT ANSWER: Days to
enter charges, missing charges, coding accuracy
CPT codes - CORRECT ANSWER: current procedural terminology represent procedures
performed & bilked by physicians and non-physicians practitioners (APP's)
Customer service, optimizing physician time and claim quality assurance are key components to
which role? - CORRECT ANSWER: Front Desk
DEA number - CORRECT ANSWER: Is not needed for the online application to CMS for an
NPI
During which phase of plan, and do, check and act would be necessary for staff to discuss the
success of a new process and potential issues? - CORRECT ANSWER: Check
Expansion of Medicaid and insurance mandate will have the following affect - CORRECT
ANSWER: Expand the roles and scope of services for nonphysician providers
Fixed costs + annual equipment cost/ revenue per unit - total fixed cost - CORRECT ANSWER:
HCPCS Level II - CORRECT ANSWER: for products and supplies and services not included in
level I. the code is alphanumeric
VERSIONS 110 QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT) A+ GRADED ASSURED
A part of the initiate cost control. There is a focus on fraud and abuse reform by HHS, OIG, FBI,
Medicare and Medicaid and DOJ. Which of the following is included in the fraud and abuse
provision? - CORRECT ANSWER: Providers are required to supply upon request
documentation of DME and home health referrals
According to the national alliance for health information technology, the difference in an EMR
and EHR is what? - CORRECT ANSWER: Electronic data stored in one practice versus
cumulatively across more than one healthcare organization
Accounts Payable - CORRECT ANSWER: Amounts to be paid in the future for goods or
services already acquired
Activity Based Costing - CORRECT ANSWER: A method of allocating overhead based on each
product's use of activities in making the product.
Advance Benefit Notification (ABN) - CORRECT ANSWER: Notification given to patients
advising Medicare may not cover a certain procedure or service
Capitation payment - CORRECT ANSWER: A prospective method of payment. Payments are
based on a physician fee schedules negotiated with the payer.
Cash Flow Statement - CORRECT ANSWER: A financial statement that shows the flow of
money in and out of the business.
Cash-based Accounting System - CORRECT ANSWER: When purchases and expenses are
reported the same month even if not being used until future dates.
, Clean Claim Form - CORRECT ANSWER: A form that is complete and accurate and includes
all provider information and other additional information to process for payment
Clinical data repository - CORRECT ANSWER: A database that compiles a patient's data from a
variety of clinical sources to present a unified view of a single patient
Common performance indicators for charge entry includes - CORRECT ANSWER: Days to
enter charges, missing charges, coding accuracy
CPT codes - CORRECT ANSWER: current procedural terminology represent procedures
performed & bilked by physicians and non-physicians practitioners (APP's)
Customer service, optimizing physician time and claim quality assurance are key components to
which role? - CORRECT ANSWER: Front Desk
DEA number - CORRECT ANSWER: Is not needed for the online application to CMS for an
NPI
During which phase of plan, and do, check and act would be necessary for staff to discuss the
success of a new process and potential issues? - CORRECT ANSWER: Check
Expansion of Medicaid and insurance mandate will have the following affect - CORRECT
ANSWER: Expand the roles and scope of services for nonphysician providers
Fixed costs + annual equipment cost/ revenue per unit - total fixed cost - CORRECT ANSWER:
HCPCS Level II - CORRECT ANSWER: for products and supplies and services not included in
level I. the code is alphanumeric
