CPPM

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Most insurance payers will pay a predetermined set amount for each procedure code . What is this payment methodology known as ? Prospective Fee Schedule Using the denial code / reason report below , the performance of multiple procedures on the same day of service is : Is not as significant as claims denied for timely filing . From the productivity chart below , Dr. Wannabee's use of these codes is : The service generating...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) What percentage of communication occurs through body language ? 55 The 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 ? Fidgeting or little eye contact Which of the following is NOT a typical duty of a practice manager ? Preparation of the patient for the physician . Wh...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Health Care Reform - Part 1 The American Recovery & Reinvestment Act of 2009 (ARRA) -created an economic stimulus package enacted by Congress to help stimulate economy & consumer spending during recession. Resulting from ARRA - key pieces of legislature aimed at transforming US health care used technology. HITECH Act - allocates $36 billion in incentive payments for providers to adopt the use of electronic records (EMR)- late/...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) HIPPA applies to providers, health plans, clearinghouses, anyone who submits any health info in an electronic manner Business Associates Agreement needed when any entity is sharing PHI. NOT used for employees. Also, NOT used for janitors, building maintenance or tax accountants HIPPA Breech of PHI of 45 records requires pt notification within 60 days of breech Offsite biller Required to log on to remote server that has auto...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) You work for. a pediatric office and the parents of a patient inform you they can No longer afford halter insurance. They do not qualify for Medicaid as their income is too high. What would you recommend? Apply for CHIP coverage Procedure codes are reported by the facility using which code set? ICD-10-PCS - Inpatient Hospital Facilities. Only submitted by FACILITIES! Posting payment and collection policies in a prominent place...

CPPM/AAPC EXAM QUESTIONS AND ANSWERS LATEST UPDATE (GRADED A+) Which are good options when initiating a difficult conversation? Ask: Is this a good time to talk?; Prepare a short statement in advance that gets right to the point, Empathize with the person, Sympathize with the person. Which is an effective response when a provider is complaining about how hard it is to use the new EMR system the owners of the practice selected? This is a major change. I'll do my best to show you how it w...