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OCC Practice Management & Healthcare Systems Flashcards

6 cards from real OCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 OCC Practice Management & Healthcare Systems flashcards as text

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

    Answer: Moderate medical decision making OR 30-39 minutes total time

    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.

  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?

    Answer: Stark Law (Physician Self-Referral Law)

    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.

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

    Answer: Uniquely identify healthcare providers in electronic transactions

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

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

    Answer: Quality, Promoting Interoperability, Improvement Activities, Cost

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

  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?

    Answer: Claims-made policy

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

  6. A physician practice is considering adopting an Electronic Health Record (EHR). Under the 21st Century Cures Act, what requirement is placed on EHR vendors?

    Answer: Prohibit information blocking and ensure interoperability

    The 21st Century Cures Act prohibits information blocking practices that prevent access, exchange, or use of health information.

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Sources & references

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  1. certification.osteopathic.org — Test delivery, registration deadline, renewal, score validity, fees, exam format, passing score, registration, retake policy, test dates · verified Oct 2026