CPPM/AAPC EXAM QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
What defines a provider as a participant in the quality payment program?
The provider is in an advanced APM or bills more than $30,000 in part B allowable charges and sees
more than 100 Medicare patients in a year
What will be needed to meet the demands of the patients that result from an expansion of Medicaid
and mandated insurance coverage?
An increase in the use of mid-level providers
Which MIPS component is calculated based on Medicare spending per beneficiary, total per capita
costs and conditions and treatment episode-based measures?
Cost
The objective of an ACO is to minimize incentives that promote quantity of care by realigning
incentive balances between
Providers and hospitals to better coordinate care and improve efficiency
What is a trend in healthcare that can be expected with healthcare reform?
The focus of care will shift from acute care to preventive care and wellness
Which MIPS component is designed to improve clinical practice or care delivery leading to improved
outcomes?
Improved activities
The state-based insurance exchange for small businesses (SHOP) stands for
Small business health options program
MIPS data for advancing care information is based on the CEHRT edition used. Which additions were
available as options?
2015 & 2016
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?
Providers are required to supply upon request documentation of DME and home health referrals
The new health legislation and ask several provisions uninsured companies that are aimed at
improving customer safeguards. Which provision is not included in the health reform?
Requires health plans to spend 75% or more of the premium dollars on medical related services
, Which provisions of the PPACA will reduce fraud and abuse?
Allow sharing of IRS data so I don't to five fraudulent providers or providers with tax debts
What is an Alternative payment model?
Risk bearing contracts that require a provider to put up more than a nominal financial risk.
MACRA provides automatic, annual payment increases of 0.5% for all doctors through what year?
2019
Is providing new and innovative ways for providers to expand offerings to patients a goal of the
Medicare access and CHIP reauthorization act of 2015?
No
Key elements of change management
Embrace the change, define the future, and engage everybody. It is not necessary to train all staff.
What is an ACO?
A group of doctors and hospitals who, as a team, agreed to be responsible for a patient's overall care
What are the primary objectives of the affordable care act?
Expanding health coverage, controlling healthcare costs, and modernizing the healthcare delivery
system
Expansion of Medicaid and insurance mandate will have the following affect
Expand the roles and scope of services for nonphysician providers
When using EMR's, storage space should be considered. Which part of a computer is permanent
storage of data
Hard disk drive
When determining the scanning equipment and process, which statement is best to keep in mind
Better scanners cost more money, but will usually pay for themselves in time spent quickly when
converting large volumes of paper records to electronic files.
Which component of the quality payment program (QPP)focuses on the secure exchange of health
information and the use of certified eat HR technology?
Advancing care information
What is important to inquire about when considering which EMR to purchase?
Potential interface with practice management systems, complete cost, training, templates, meaningful
use compliance, platform interfaces for interoperabi
True or faults. Interfacing is necessary to reduce duplicate entries of demographic information
LATEST UPDATE (GRADED A+)
What defines a provider as a participant in the quality payment program?
The provider is in an advanced APM or bills more than $30,000 in part B allowable charges and sees
more than 100 Medicare patients in a year
What will be needed to meet the demands of the patients that result from an expansion of Medicaid
and mandated insurance coverage?
An increase in the use of mid-level providers
Which MIPS component is calculated based on Medicare spending per beneficiary, total per capita
costs and conditions and treatment episode-based measures?
Cost
The objective of an ACO is to minimize incentives that promote quantity of care by realigning
incentive balances between
Providers and hospitals to better coordinate care and improve efficiency
What is a trend in healthcare that can be expected with healthcare reform?
The focus of care will shift from acute care to preventive care and wellness
Which MIPS component is designed to improve clinical practice or care delivery leading to improved
outcomes?
Improved activities
The state-based insurance exchange for small businesses (SHOP) stands for
Small business health options program
MIPS data for advancing care information is based on the CEHRT edition used. Which additions were
available as options?
2015 & 2016
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?
Providers are required to supply upon request documentation of DME and home health referrals
The new health legislation and ask several provisions uninsured companies that are aimed at
improving customer safeguards. Which provision is not included in the health reform?
Requires health plans to spend 75% or more of the premium dollars on medical related services
, Which provisions of the PPACA will reduce fraud and abuse?
Allow sharing of IRS data so I don't to five fraudulent providers or providers with tax debts
What is an Alternative payment model?
Risk bearing contracts that require a provider to put up more than a nominal financial risk.
MACRA provides automatic, annual payment increases of 0.5% for all doctors through what year?
2019
Is providing new and innovative ways for providers to expand offerings to patients a goal of the
Medicare access and CHIP reauthorization act of 2015?
No
Key elements of change management
Embrace the change, define the future, and engage everybody. It is not necessary to train all staff.
What is an ACO?
A group of doctors and hospitals who, as a team, agreed to be responsible for a patient's overall care
What are the primary objectives of the affordable care act?
Expanding health coverage, controlling healthcare costs, and modernizing the healthcare delivery
system
Expansion of Medicaid and insurance mandate will have the following affect
Expand the roles and scope of services for nonphysician providers
When using EMR's, storage space should be considered. Which part of a computer is permanent
storage of data
Hard disk drive
When determining the scanning equipment and process, which statement is best to keep in mind
Better scanners cost more money, but will usually pay for themselves in time spent quickly when
converting large volumes of paper records to electronic files.
Which component of the quality payment program (QPP)focuses on the secure exchange of health
information and the use of certified eat HR technology?
Advancing care information
What is important to inquire about when considering which EMR to purchase?
Potential interface with practice management systems, complete cost, training, templates, meaningful
use compliance, platform interfaces for interoperabi
True or faults. Interfacing is necessary to reduce duplicate entries of demographic information
