OCC OCC Practice Management & Healthcare Systems 2

Question 1

A physician wants to document a level 4 office visit (99214). Which elements must be present under the 2021 E/M guidelines?

Accepted Answer

Moderate medical decision making OR 30-39 minutes total time

Answer

Under 2021 CMS E/M guidelines, 99214 requires either moderate MDM or 30–39 minutes of total physician time; history and exam are no longer separately scored.

Question 2

Which Stark Law provision prohibits a physician from making a referral for designated health services to an entity with which the physician has a financial relationship?

Accepted Answer

Stark Law (Physician Self-Referral Law)

Answer

The Stark Law (42 U.S.C. § 1395nn) prohibits physician self-referrals for designated health services when a financial relationship exists with the receiving entity.

Question 3

What is the primary purpose of a National Provider Identifier (NPI) number?

Accepted Answer

Uniquely identify healthcare providers in electronic transactions

Answer

The NPI is a unique 10-digit identification number for covered health care providers required for electronic HIPAA transactions.

Question 4

Under the Medicare Merit-based Incentive Payment System (MIPS), physicians are evaluated on which four performance categories?

Accepted Answer

Quality, Promoting Interoperability, Improvement Activities, Cost

Answer

MIPS evaluates eligible clinicians on Quality, Promoting Interoperability (EHR use), Improvement Activities, and Cost.

Question 5

Which type of medical malpractice insurance provides coverage only if the claim is filed while the policy is active, regardless of when the incident occurred?

Accepted Answer

Claims-made policy

Answer

A claims-made policy covers incidents only if both the event and the claim filing occur during the policy period.

OCC - Osteopathic Continuous Certification Practice Test

OCC - Osteopathic Continuous Certification Practice Test

OCC OCC Practice Management & Healthcare Systems 2