AAPC CPC (CHAPTER 1-5) EXAM STUDY GUIDE. GRADED A+ WITH VERIFIED ANSWERS. LATEST 2024/2025 UPDATE. NEW!!! NEW!!! NEW!!!
4 views 0 purchase
Course
AAPC CPC
Institution
AAPC CPC
AAPC CPC (CHAPTER 1-5) EXAM STUDY GUIDE. GRADED A+
WITH VERIFIED ANSWERS. LATEST 2024/2025 UPDATE.
NEW!!! NEW!!! NEW!!!
CHAPTER 1.
Which type of information is not maintained in a medical record?
a. observations
b. medical or surgical interventions
c. Treatment outcomes
d. Financial reco...
AAPC CPC (CHAPTER 1-5) EXAM STUDY GUIDE. GRADED A+
WITH VERIFIED ANSWERS. LATEST 2024/2025 UPDATE.
NEW!!! NEW!!! NEW!!!
CHAPTER 1.
Which type of information is not maintained in a medical record?
a. observations
b. medical or surgical interventions
c. Treatment outcomes
d. Financial records - Ans -d. Financial records
EHR stands for:
a. Extended health record
b. Electronic health response
c. Electronic health record
d. Establish health record - Ans -C. Electronic health record
The Medicare program is made of several parts. Which part covers provider fees without the
use of a private insurer?
a. Part A
b. Part B
c. Part C
d. Part D - Ans -b. Part B
What does CMS-HCC stand for?
a. County Mandated Services-Heightened Control Center
b. Country Mandated Services- Hospital Coding Initiative
c. Centers for Medicare & Medicaid services- Hierarchal Condition Category
,d. Centers for Medicare & Medicaid Sercies- Hospital Correct Coding Initiative - Ans -c.
Centers for Medicare and Medicaid Services- Hierarchal Condition Category
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II, icd-10-cm, ICD-10-PCS
b. ICD-10-CM and ICD-10-PCS
c. CPT, HCPCS Levell II, ICD-10-CM
d. CPT and ICD-10-CM - Ans -c. CPT, HCPCS Level II, and ICD-10-CM
The____describes whether specific medical items, services, treatment procedures or
technologies are consider medically necessary under Medicare.
A. National Coverage Determinations Manual
B. Medicare Physician Fee Schedule
C. Medicare Severity-Diagnosis Related Groups (MS-DRG)
D. Internet Only Manual - Ans -A. National Coverage Determinations Manual
What does MAC stand for?
A. Medicaid Alert Contractor
B. Medicare Administrative Contractor
C. Medicare Advisory Contractor
D. Medicaid Administrative Contractor - Ans -B. Medicare Administrative Contractor
LCD's only have jurisdiction in their?
A. Locality
B. State
C. Region
D. District - Ans -c. Region
When are providers responsible for obtaining an ABN for a service Not considered medically
necessary?
A. After providing a service or item to a beneficiary
B. Prior to providing a service or item to a beneficiary
C. During a procedure or service
,D. After denial has been received from Medicare. - Ans -B. Prior to providing a service
or item to a beneficiary
In what year did HIPAA become Law?
a. 1992
b. 1995
c. 1997
d. 1996 - Ans -d. 1996
Evaluation and management services are often provide in a standard format such as SOAP
notes. What does the acronym SOAP stand for?
A. Standard, Objective, Activity, Period
B. Scope, Observation, Action, Plan
C. Subjective, Objective, Assessment, Plan
D. Source, Opinion, Advice, Provider - Ans -C. Subjective, Objective, Assessment, Plan
Voluntary compliance programs also provide benefits by not only helping to prevent
erroneous or ___, but also by showing that the physician practice is making additional good
faith efforts to submit claims appropriately.
A. Duplicate claims
B. Fraudulent claims
C. Mistaken principals
D. Over utilized codes - Ans -B. Fraudulent claims
According to AAPC's Code of Ethics, a member shall use only __ and ___ means in all
professional dealings.
A. Private and professional
B. Efficient and inexpensive
C. Legal and profitable
D. Legal and ethical - Ans -D. Legal and ethical
What type of health insurance provides coverage for low-income families?
, A. Medicaid
B. Medicare
C. Commercial PPO
D. Commercial HMO - Ans -A. Medicaid
What form is used to submit a providers charge to the insurance carrier?
A. UB-04
B. CMS-1500
C. ABN
D. Provider reimbursement form - Ans -B CMS-1500
Which of the followng is a benefit of electronic transactions?
A. Payment of claims
B. Security of claims
C. Timely submission of claims
d. None of the above - Ans -C. Timely submission of claims
The OIG recommends that provider practices enforce disciplinary actions through well
publicized compliance guidelines to ensure actions that are ______.
A. Frequent
B. Swift and enforceable
C. Consistent and appropriate
D. Permanent - Ans -C. Consistent and appropriate
Which provider is NOT a mid-level provider?
A. PA
B. NP
C. Anesthesiologist
D. All choices are mid-level - Ans -C. Anesthesiologist
According to the AAPC Code of Ethics, which term is NOT listed as an ethical principle of
professional conduct?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BESTGRADE32. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $25.49. You're not tied to anything after your purchase.
