Exam (elaborations)
AAPC - MEDICAL CODING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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AAPC - MEDICAL CODING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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AAPC - MEDICAL CODING QUESTIONSAND ANSWERS WITH SOLUTIONS 2024
Many coding professionals go on to find work as: - ANSWER Consultant
A medical record contains information on all but what areas? - ANSWER Financial records
Technicians who specialize in coding are called: - ANSWER Coding specialists
EHR stands for: - ANSWER Electronic health record
What type of provider goes through approximately 26.5 months of education and is licensed to practice
medicine with the oversight of a physician? - ANSWER Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to coders working in
physician offices and covers physician fees without the use of a private insurer? - ANSWER Part B
The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare
and Medicaid Services' - hierarchal condition categories (CMS-HCC)? - ANSWER Part C
What does CMS-HCC stand for? - ANSWER Centers for Medicare and Medicaid Services - Hierarchal
Condition Category
When coding an operative report, what action would NOT be recommended? - ANSWER Coding from the
header without reading the body of the report
Outpatient coders focus on learning which coding manuals? - ANSWER CPT, HCPCS Level II, and ICD-9-CM
Volumes 1 and 2
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient, who
determines coverage? - ANSWER Medicare Administrative Contractor (MAC)
, The __ describes whether specific medical items, services, treatment procedures, or technologies are
considered medically necessary under Medicare. - ANSWER National Coverage Determinations Manual
National Coverage Determinations serve what purpose? - ANSWER To spell out CMS policies on when
Medicare will pay for items or services
MAC stands for what? - ANSWER Medicare Administrative Contractor
Local Coverage Determinations are administered by __? - ANSWER Each regional MAC
LCD's only have jurisdiction in their __ area. - ANSWER Regional
ABN stands for - ANSWER Advance Beneficiary Notice
When are providers responsible for obtaining an ABN for a service not considered medically necessary? -
ANSWER Prior to providing a service or item to a beneficiary
HIPAA stands for - ANSWER Health Insurance Portability and Accountability Act
HIPAA was made into law in what year? - ANSWER 1996
A covered entity does NOT include - ANSWER Patient
What is the definition of coding? - ANSWER Translating documentation into numerical/alphanumerical
codes used to obtain reimbursement
Who is responsible for enforcing he HIPAA security rule? - ANSWER OCR
Healthcare providers are responsible for developing __ and policies and procedures regarding privacy in
their practices. - ANSWER Notices of Privacy Practices
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