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
