CPPM

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Revenue Per Visit (RPV) Total amount collected divides by the total number of patient visits Advance Benefit Notification (ABN) Notification given to patients advising Medicare may not cover a certain procedure or service Payment for fee for service is based on CPT & HCPCS Level II MCO Private Health Plan Place of Service (POS) determines correct reimbursement when The professional component for services provided in a fac...

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 base...

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 a...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) For end-stage renal disease (ESRD) beneficiaries, Medicare is the secondary payer during the first _____________ months of the beneficiary's entitlement to ESRD benefits. 18-30 ABNs are not required for items or services that are either _____________________________________________ OR ______________________________________________. the service is routinely non-covered fails to meet benefit requirements for coverage An AB...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) One of the goals of the ACA was to change employer requirements as they pertain to employee health insurance benefits. Employers with less than______ employees AND average wages of less than _______________ receive a tax credit for providing health insurance. 25; $50,000 MACRA, introduced in 2015, stands for: Medicare Access and CHIP Reauthorization Act CMS's quality payment program includes two tracks: 1. Merit-Based Ince...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Exam A Question 1 What is a colporrhaphy? A. A surgical repair of the colon B. Plastic surgery of the vagina C. A surgical repair of the cornea D. A surgical repair of a defect in the vaginal wall D Colporrhaphy is a surgical repair of a defect in the vaginal wall. This procedure is also performed when the vagina is sutured to narrow it, and to repair a rupture of the vagina by excision and suturing of the edges of a tear. ...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Exam A Question 25 Spontaneous fracture of right humerus due to metastatic bone cancer, history of breast cancer previously removed. Code for the ICD-10-CM codes. A. M84.521A, C79.51, Z85.3 B. S42.301A, C79.51, C50.919 C. C79.51, S42.301A, Z85.3 D. M84.421A, C50.919, C79.51 A spontaneous fracture is not a traumatic fracture, but a pathologic fracture. The fracture resulted from bone cancer (secondary cancer). In the ICD-10-C...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Exam B Question 14 A Status Indicator of H establishes what? A. A drug pass through payment B. A supply pass through payment C. A device pass through payment D. An additional APC payment C Status Indicator H shows a devise pass through payment Exam B Question 15 An occurrence code of 32 notifies the payer that the beneficiary has been informed of what? A. The providers intent to bill for the procedure B. The providers in...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Exam B Question 41 A 47 year-old male presents today with a recurrent left hydrocele and chronic epididymitis. After being informed of the risks and benefits, patient consented and signed for a resection of the left hydrocele and a left epididymectomy. The patient is aware of the possible side effects of infection, chronic pain, and testicular atrophy. The patient is prepped and draped in the usual manner. General anesthesia, al...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) When reviewing the communication process of an EMR , which option would reflect a good communication plan for an EMR ? Messaging sent to a provider regarding a patient should have the ability to attach the patient's chart Which option below is an effective way to ease the transition to EMRS for providers ? Provide a super user to shadow the physician the first days or week after going live so they can confidently answer any ...