AAPC CASES CPMA Review Questions and answers, 100% Accurate, rated A+
You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best describes what you...
You are performing an audit of evaluation and management services for a family practice office. In the
encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best
describes what you would expect to see in the medical record? - ✔✔-Patient identification, assignment
of benefits, patient's medical history, immunizations, physical examination, lab report, clinical
impression, and physician orders.
As an auditor, who of the following would NOT be expected to submit operative notes? - ✔✔-Surgical
assistants
A provider knows that an evaluation and management service they provide on the same date as a major
procedure will be bundled, so he submits the claim for the E/M with a different date of service. This is
an example of: - ✔✔-Fraud
In preparation for a high volume of patients coming in for chemotherapy, the nurse documents the
chemotherapy treatments in advance. The purpose is to speed up the treatment process so patients do
not have to wait long. Would this cause concern in an audit? - ✔✔-Yes, chart entry should not be made
in advance of the treatment.
Patients can request copies of disclosure of PHI under HIPAA: - ✔✔-For a six (6) year period of time
SOAP and CHEDDAR are two formats of medical record documentation. Which section of each format
would you find the patient's history? - ✔✔-S in SOAP and C in CHEDDAR
When must ABNs be signed? - ✔✔-Far enough in advance that the beneficiary or representative has
time to consider the options and make an informed choice
What is the appropriate way to dispose of PHI that is no longer needed? - ✔✔-Discard it in a locked
shredding receptacle
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