CPPM/AAPC EXAM QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
Incident-to services are defined as those services furnished incident to physician professional services
in the physician's office or in a patient's home. To qualify as "incident-to," services must be provided
by a NPP whom the physician __________________________ and _______________________.
directly supervises;
represents a direct financial expense
Incident-to services supervised by NPPs are typically reimbursed at ___________ of the Medicare
physician fee schedule.
85%
Four Requirements for Billing Incident-To
1. noninstitutional setting
2. care was initiated by Medicare-credentialed physician
3. physician actively participates in treatment
4. physician and NPP part of the same billing group entity
TRUE or FALSE: When billing incident-to, the supervising physician does not have to be on site.
FALSE
The supervising physician does not have to be physically present in the treatment room, but must be in
the same office suite and available to offer assistance.
What percent of communication happens through voice tone?
38%
What percent of communication happens in spoken words?
7%
What percent of communication happens via general body language?
55%
ICD-10-PCS codes are only submitted by _______________ and are not used for reporting
___________________.
facilities; professional services
What are Category I CPT Codes used for?
covers physicians' services and hospital outpatient coding.
LATEST UPDATE (GRADED A+)
Incident-to services are defined as those services furnished incident to physician professional services
in the physician's office or in a patient's home. To qualify as "incident-to," services must be provided
by a NPP whom the physician __________________________ and _______________________.
directly supervises;
represents a direct financial expense
Incident-to services supervised by NPPs are typically reimbursed at ___________ of the Medicare
physician fee schedule.
85%
Four Requirements for Billing Incident-To
1. noninstitutional setting
2. care was initiated by Medicare-credentialed physician
3. physician actively participates in treatment
4. physician and NPP part of the same billing group entity
TRUE or FALSE: When billing incident-to, the supervising physician does not have to be on site.
FALSE
The supervising physician does not have to be physically present in the treatment room, but must be in
the same office suite and available to offer assistance.
What percent of communication happens through voice tone?
38%
What percent of communication happens in spoken words?
7%
What percent of communication happens via general body language?
55%
ICD-10-PCS codes are only submitted by _______________ and are not used for reporting
___________________.
facilities; professional services
What are Category I CPT Codes used for?
covers physicians' services and hospital outpatient coding.
