AAPC CPMA Practice Exam Study Questions and Answers with complete solution
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Course
AAPC CPMA
Institution
AAPC CPMA
Commercial and Government carriers audit medical records. Select the statement that
is TRUE regarding commercial and government carriers. - ️️Commercial carriers
and Government carriers both use claims data to identify providers and services to
audit.
Example: Column 1 Code/Column 2 Code 45...
AAPC CPMA Practice Exam Study
Commercial and Government carriers audit medical records. Select the statement that
is TRUE regarding commercial and government carriers. - ✔️✔️Commercial carriers
and Government carriers both use claims data to identify providers and services to
audit.
Example: Column 1 Code/Column 2 Code 45385/45380 CPT Code 45385 -
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or
other lesion(s) by snare technique CPT Code 45380 - Colonoscopy, flexible, proximal to
splenic flexure; with biopsy, single or multiple Policy: More extensive procedure Modifier
-59 is: - ✔️✔️Only appropriate if the two procedures are performed on separate lesions
or at separate patient encounters.
What elements must be in a medical record - ✔️✔️Patient ID, Assignment of Benefits,
medical history, immunizations, physical exam, lab report, clinical impression, physician
orders
What is the minimum signature assignment of the author of entry in the medical record?
- ✔️✔️First initial, Last Name and credentials
Based on the JC accreditation guidelines for personal data, what 2 elements must be
evident in the medical record? - ✔️✔️There must be a patient information sheet that
contains biographical data, name, address, etc. along with authorization for treatment
whether it is an office visit, diagnostic services or surgical procedure.
What is the appropriate way to dispose of PHI that is no longer needed? - ✔️✔️Discard
it in a locked shredding receptacle
When must ABNs be signed? - ✔️✔️Far enough in advance that the beneficiary or
representative has time to consider the options and make an informed decision.
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 H in
CHEDDAR
Patients can request copies of disclosure of PHI under HIPAA: - ✔️✔️For a six (6) year
period of time
When can a RAC extrapolate the overpayment(s) on claims? - ✔️✔️If a RAC can
demonstrate a high level of error, the RAC can then extrapolate the findings and
request a refund.
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