Practice Management AAPC ACTUAL
QUESTIONS AND CORRECT ANSWERS
You work for a primary care practice. A patient has recently suffered a transient ischemic attack
(TIA) and your physician wants to send the patient to a specialist for a consultation. Which
specialty would handle this type of diagnosis - Correct answers✔Neurologist?
he physician who owns the practice approaches you to discuss an increased frequency of denials.
Which of the following would give the physician the impression that you have low interest in
what he is saying? - Correct answers✔Fidgeting or little eye contact
Which of the following is a statement that includes the payment amount and denial explanations
for claims submitted? - Correct answers✔Remittance advice
What percentage of communication occurs through body language? - Correct answers✔55%
Best example of communicating in a difficult conversation? - Correct answers✔Let the person
know, "I understand how you feel
What is the best way to prevent denials for invalid codes? - Correct answers✔Update the
practice management system when new, deleted and revised codes are released
Payment for physician services is based on the _____ code. Select all that apply - Correct
answers✔CPT and
HCPCS Level II
You work for a pediatric office and one of your patient's parents informs you that they cannot
afford health insurance for their child. She does not qualify for Medicaid because she makes too
much money. What would you recommend? - Correct answers✔CHIPS
, Hospitals bill for inpatient services (charges for the room, time in the OR, meals, supplies and
nursing services) based on a _______________. - Correct answers✔MS-DRG
The front desk plays an important role in: Select all that apply - Correct answers✔Customer
service
Optimizing physician time
Claim quality assurance
Most insurance payers will pay a predetermined set amount for each procedure code. What is this
payment methodology known as? - Correct answers✔Prospective Fee Schedule
When a practice sees revenue decreasing, a manager should evaluate - Correct answers✔Patient
Volume
Staff errors
Coding
Billing
Insurance Delays
Denials
What is a benefit of using an ERA (electronic remittance advice)? - Correct answers✔Accurate
and efficient payment and adjustment posting
What is an important element to monitor with a clinic's fee schedule (chargemaster) - Correct
answers✔Every fee on the schedule is higher than the highest contracted rate for that service.
What instances below can add to an inefficient bad debt management process? - Correct
answers✔Numerous clinical and administrative approval requirements
QUESTIONS AND CORRECT ANSWERS
You work for a primary care practice. A patient has recently suffered a transient ischemic attack
(TIA) and your physician wants to send the patient to a specialist for a consultation. Which
specialty would handle this type of diagnosis - Correct answers✔Neurologist?
he physician who owns the practice approaches you to discuss an increased frequency of denials.
Which of the following would give the physician the impression that you have low interest in
what he is saying? - Correct answers✔Fidgeting or little eye contact
Which of the following is a statement that includes the payment amount and denial explanations
for claims submitted? - Correct answers✔Remittance advice
What percentage of communication occurs through body language? - Correct answers✔55%
Best example of communicating in a difficult conversation? - Correct answers✔Let the person
know, "I understand how you feel
What is the best way to prevent denials for invalid codes? - Correct answers✔Update the
practice management system when new, deleted and revised codes are released
Payment for physician services is based on the _____ code. Select all that apply - Correct
answers✔CPT and
HCPCS Level II
You work for a pediatric office and one of your patient's parents informs you that they cannot
afford health insurance for their child. She does not qualify for Medicaid because she makes too
much money. What would you recommend? - Correct answers✔CHIPS
, Hospitals bill for inpatient services (charges for the room, time in the OR, meals, supplies and
nursing services) based on a _______________. - Correct answers✔MS-DRG
The front desk plays an important role in: Select all that apply - Correct answers✔Customer
service
Optimizing physician time
Claim quality assurance
Most insurance payers will pay a predetermined set amount for each procedure code. What is this
payment methodology known as? - Correct answers✔Prospective Fee Schedule
When a practice sees revenue decreasing, a manager should evaluate - Correct answers✔Patient
Volume
Staff errors
Coding
Billing
Insurance Delays
Denials
What is a benefit of using an ERA (electronic remittance advice)? - Correct answers✔Accurate
and efficient payment and adjustment posting
What is an important element to monitor with a clinic's fee schedule (chargemaster) - Correct
answers✔Every fee on the schedule is higher than the highest contracted rate for that service.
What instances below can add to an inefficient bad debt management process? - Correct
answers✔Numerous clinical and administrative approval requirements
