Certified Specialist Physician Practice
Management (CSPPM) Study Guide Exam
Questions with verified correct detailed
answers latest update 2025
43. CDHP--- correct answer --- Consumer Directed Health Plan
44. Components to a CDHP?--- correct answer --- *Underlying health
plan
*Healthcare savings account
45. Healthcare savings account--- correct answer --- allowing for the
management of spending for smaller healthcare expenses such as
office visits, routine care and prescriptions.
46. Underlying health plan--- correct answer --- these are typically a
high deductible health plan (HDHP) that will cover bigger health
expenses such as surgery or hospitalization
47. HDHP--- correct answer --- High Deductible Health Plan
48. Performance Standards--- correct answer --- Average days of
revenue in receivables
49. Outsourcing Disadvantages--- correct answer --- *Decrease in
direct control of accounts receiv- able
*Potential negative impact on patient relations
,*Increased cost if the vendor is unable to provide the service less
expensively than an in-house A/R
*Legal considerations if the vendor staff represent themselves as
employees of the medical group
50. Outsourcing Advantages--- correct answer --- *A vendor may
have access to staffing and/or com- puter systems not available to the
medical group.
*The vendor assumes responsibility for hiring, training, and
supervision of staff.
*The vendor may accept a contract that includes some financial risk if
the cost of handling A/R increases or that includes an "efficiency"
factor.
*A vendor may receive economies of scale, not available to smaller
medical groups, by handling A/R in a central location for a variety of
groups
*If A/R billing and collections are outsourced, it is critical to manage
the vendor closely and hold them accountable for pre-determined and
agreed-to deliverables.
51. Bad Debts--- correct answer --- results when a patient who has
been determined to have the financial capacity to pay for healthcare
services is unwilling to settle the claim (for example, a patient who
has a bank account or other assets but chooses not to pay a legitimate
bill).
,52. Charity Accounts--- correct answer --- is defined as a legitimate
debt that the patient does not have the ability to pay, and
reimbursement for services is not expected (for example, a patient
who has no insurance and incurs a bill far in excess of any assets or
income).
53. Accounts will be written off to the bad debt account and, in most
cases, should be transferred to a collection agency for follow-up
against the patient's assets.--- correct answer --- Bad debt
54. Where the patient has no assets, would not be transferred to a
collection agency, as the patient has no assets.--- correct answer ---
Charity Account
55. Two major deductions from accounts receivables?--- correct
answer --- Bad debt and Charity Account
56. Purpose of financial counseling?--- correct answer --- To
minimize accounts receivables out- standing , particularly long-term
payments
57. Chapter 7--- correct answer --- Chapter Seven bankruptcy is
used when the patient has too few assets and little or no income to
satisfy the debts.
58. Chapter 11--- correct answer --- is generally restricted to those
who operate a business.
59. Chapter 12--- correct answer --- is available only to family
farmers.
, 60. Chapter 13--- correct answer --- the patient uses existing assets
and current and future income to pay the debts
61. Fee-for-service--- correct answer --- Authorization and referrals
62. Insurance receivables fall into the following three specific
categories--- correct answer ------ correct answer --- -
*Fee-for-service Collection
*Capitation Payment Collection
*Collection of Balances Arising from Patient Co-pays, Co-insurance,
and De- ductibles
63. Charge posting--- correct answer --- Collection of funds. It
should occur as rapidly as possible, normally within 24 hours of
service.
64. Encounter report--- correct answer --- to advise the health plans
that patients have been treated, list the types of treatment rendered,
and track specific diagnoses and procedures as required for other
reporting mechanisms.
65. RFI--- correct answer --- Request for information
66. RFP--- correct answer --- Request for Proposal
67. Criteria for Choosing a Collection Agency--- correct answer ------
correct answer --- *Reputation
*Patient relations
*Agency fees
Management (CSPPM) Study Guide Exam
Questions with verified correct detailed
answers latest update 2025
43. CDHP--- correct answer --- Consumer Directed Health Plan
44. Components to a CDHP?--- correct answer --- *Underlying health
plan
*Healthcare savings account
45. Healthcare savings account--- correct answer --- allowing for the
management of spending for smaller healthcare expenses such as
office visits, routine care and prescriptions.
46. Underlying health plan--- correct answer --- these are typically a
high deductible health plan (HDHP) that will cover bigger health
expenses such as surgery or hospitalization
47. HDHP--- correct answer --- High Deductible Health Plan
48. Performance Standards--- correct answer --- Average days of
revenue in receivables
49. Outsourcing Disadvantages--- correct answer --- *Decrease in
direct control of accounts receiv- able
*Potential negative impact on patient relations
,*Increased cost if the vendor is unable to provide the service less
expensively than an in-house A/R
*Legal considerations if the vendor staff represent themselves as
employees of the medical group
50. Outsourcing Advantages--- correct answer --- *A vendor may
have access to staffing and/or com- puter systems not available to the
medical group.
*The vendor assumes responsibility for hiring, training, and
supervision of staff.
*The vendor may accept a contract that includes some financial risk if
the cost of handling A/R increases or that includes an "efficiency"
factor.
*A vendor may receive economies of scale, not available to smaller
medical groups, by handling A/R in a central location for a variety of
groups
*If A/R billing and collections are outsourced, it is critical to manage
the vendor closely and hold them accountable for pre-determined and
agreed-to deliverables.
51. Bad Debts--- correct answer --- results when a patient who has
been determined to have the financial capacity to pay for healthcare
services is unwilling to settle the claim (for example, a patient who
has a bank account or other assets but chooses not to pay a legitimate
bill).
,52. Charity Accounts--- correct answer --- is defined as a legitimate
debt that the patient does not have the ability to pay, and
reimbursement for services is not expected (for example, a patient
who has no insurance and incurs a bill far in excess of any assets or
income).
53. Accounts will be written off to the bad debt account and, in most
cases, should be transferred to a collection agency for follow-up
against the patient's assets.--- correct answer --- Bad debt
54. Where the patient has no assets, would not be transferred to a
collection agency, as the patient has no assets.--- correct answer ---
Charity Account
55. Two major deductions from accounts receivables?--- correct
answer --- Bad debt and Charity Account
56. Purpose of financial counseling?--- correct answer --- To
minimize accounts receivables out- standing , particularly long-term
payments
57. Chapter 7--- correct answer --- Chapter Seven bankruptcy is
used when the patient has too few assets and little or no income to
satisfy the debts.
58. Chapter 11--- correct answer --- is generally restricted to those
who operate a business.
59. Chapter 12--- correct answer --- is available only to family
farmers.
, 60. Chapter 13--- correct answer --- the patient uses existing assets
and current and future income to pay the debts
61. Fee-for-service--- correct answer --- Authorization and referrals
62. Insurance receivables fall into the following three specific
categories--- correct answer ------ correct answer --- -
*Fee-for-service Collection
*Capitation Payment Collection
*Collection of Balances Arising from Patient Co-pays, Co-insurance,
and De- ductibles
63. Charge posting--- correct answer --- Collection of funds. It
should occur as rapidly as possible, normally within 24 hours of
service.
64. Encounter report--- correct answer --- to advise the health plans
that patients have been treated, list the types of treatment rendered,
and track specific diagnoses and procedures as required for other
reporting mechanisms.
65. RFI--- correct answer --- Request for information
66. RFP--- correct answer --- Request for Proposal
67. Criteria for Choosing a Collection Agency--- correct answer ------
correct answer --- *Reputation
*Patient relations
*Agency fees
