CSPPM Exam

Insurance receivables fall into the following three specific categories, EXCEPT ________.

Rent receivables

Which option is NOT a source of capital?

Statistics

The authority to license a physician rests with the __________.

State in which he or she intends to practice

All of the following should be evaluated in a capital project, EXCEPT ___________.

Supply Costs

Which option is NOT true regarding patient surveys?

Surveys can only be developed by an outside organization that specializes in conducting surveys

Which option is NOT a protocol to general system security?

System Software

Which option is NOT a true statement regarding the IRS?

The IRS is charged with ensuring that practices are maintaining a non-profit status

Which of the following is NOT a key component of E/M services?

Time

What is the purpose of general liability insurance?

To cover general liability events that occur on property business

What is the purpose of HDHPs?

To increase employees' financial stake in their own health care by shifting more costs from employers to employees

What is one purpose of financial counseling?

To minimize accounts receivable outstanding, particularly long-term payments

Which option is NOT a responsibility of the licensing board?

To receive reports that identify actions that limits a physician's scope of practice

Which option is NOT one of the four major system design options?

Turn the project over to a consultant to do without further input from staff

Stark legislation addresses referrals among all of the following, EXCEPT _________.

Vendors who function at arms' length from the physician or practice

Which option is NOT a component of a compliance program?

Voluntary training programs

Which option is NOT a question that should be asked while evaluating a clearinghouse for electronic processing?

What format is the 1099 form used to submit information?

Which option is NOT a requirement for the management of third-party receivables in a discounted fee-for-service contract?

Where patients are unable to pay the full amount, a payment plan may be necessary

In order to budget effectively each year, physicians may change all of the following, EXCEPT __________.

units of service

What is a feature of claims made coverage?

A substitute for tail coverage

Which of the following forms is commonly used for paper encounter processing?

CMS 1500

What should be done once the payer contract has been agreed to?

Communicate the terms of the contract throughout the organization

Which option is NOT a primary section included in an encounter report?

Contract terms and payment rates for the health plan.

All of the following are roles of a coach EXCEPT______________.

Effectively Interview staff and physicians

Healthcare organizations typically have bylaws requiring re-credentialing of staff __________.

Every 1-2 years

Which of the following is NOT a primary objective/goal of the physician group practice?

Financially maximize the group's profit at all costs

A _ budget is prepared under the single assumption about the anticipated activity level.

Fixed

Under the RBRVS system, which of the following is NOT a component of resource consumption?

Geographic adjustments

All of the following components work together to manage risk in healthcare organizations, EXCEPT ________.

Point of Service Collections

All of the following are impacts of the E/M coding changes, EXCEPT __________.

Reduced Ability to code on total time

RVU's can be used in physician practice administration in all of the following ways, EXCEPT

Reviewing physician practice quality

Which of the following is NOT an area in which an IHS hopes to develop economies of scale?

Media coverage

Criteria-based contracting will include all of the following evaluation criteria EXCEPT:

Number and types of insurance plans offered

All of the following are activities required for a detailed budget plan, EXCEPT __________.

Obtaining historical data on costs and volumes by the provider

What option is NOT true regarding electronic health record (EHR)?

Patient data may only appear in the form of clinical notes

All of the following are examples of applications of internal and external physician benchmarking, EXCEPT ______

patient days

What does casualty insurance protect in a medical practice?

property damage or loss

Which option is NOT an accounts receivable function that most immediately benefits from electronic information systems management?

staff scheduling

Which option is NOT a step included in the development of a medical group information system?

system training

Which option is NOT a method used to monitor progress in carrying out strategies/tactics and success in achieving goals/objectives?

Data Analysis

The E/M coding changes will have impact for all of the following, EXCEPT _____

All specialties will receive a reduction in payment

Which option is NOT an internal/external factor which drives the requirements to acquire and effectively utilize financial information systems?

Ambiguous contractual requirements by payers

What is a capital budget?

An annual process to estimate the resources committed for new projects, equipment, and facilities

What does the term credentialing mean?

An official review of the various information and qualifications of a physician and other licensed clinicians who have applied to participate in a system or plan.

Which option is NOT an area where internal controls are particularly critical?

Areas where budgets are generated

A compensation plan should distribute cash fairly and consistently by doing all of the following things, EXCEPT __________.

Being designed to maximize income

Which option is NOT a technique used to measure accounts receivables?

Benchmarks

All of the following are examples of capitated receivables goals, EXCEPT ________.

Depositing the capitation check within 30 days of receipt

Which option is NOT a possible ramification of HDHPs?

Health savings accounts may decrease in popularity

All of the following should be analyzed prior to and/or during contract negotiation, EXCEPT:

Historical member premiums

Which option is NOT a process used to establish the full cost in a specific activity?

Identifying all additional calculations

Why do healthcare organizations continue to seek strategic business affiliations?

In an effort to seek competitiveness in the marketplace

Which option is NOT a primary reason for rebilling?

Initial bill incorrect

The physician malpractice insurance market switched to claims made due to all of the following, EXCEPT ____________.

Insurers were able to sell occurrence-based coverage for a higher premium

Which statement is false regarding Directors and Officers (D&O) insurance?

It does not offer protection against liability judgments resulting from an action by dissatisfied shareholders for decisions that were made in good faith

Which option is NOT true regarding the contract evaluation model?

It identifies and prioritizes desired contract features before entering into contract negotiations

Which option is NOT true concerning a budget manual?

It is particularly valuable in small private and nonprofit organizations

Which of the following is NOT an activity leading to the final selection of an information system vendor?

Location analysis

An Encounter

is defined as a patient treatment period