AAPC Official CPC Certification Exam
Questions with Correct Verified
Answers Latest Update (2024/2025)
Guaranteed Pass
HIPAA stands for - ANS ✓Health Insurance Portability and Accountability
Act of 1996
HITECH - ANS ✓The Health Information Technology for Economic and
Clinical Health Act
HITECH allows patients to request - ANS ✓an audit trail showing all
disclosures of their health information made through an electronic record.
HITECH requires that an individual be notified if - ANS ✓there is an
unauthorized disclosure or use of his or her health information.
HITECH was enacted as part of - ANS ✓the American Recovery and
Reinvestment Act of 2009 (ARRA)
HMO - ANS ✓Health Maintenance Organization
Hemiplegia is a disorder caused by a defect in which anatomic
system? - ANS ✓nervous
AAPC Official CPC Certification
, 2
AAPC
ICD-9-CM - ANS ✓International Classification of Disease, 9th Clinical
Modification
IF:
Work RVUs = 0.48
Work GPCI = 1.000
Practice Expense CPCI = 0.943
MP GPCI = 0.572
transitioned non-facility practice RVUs = 0.70
Calculate non-facility pricing amount for cpt code 99212 using 2011
CF of $33.9764 - ANS ✓$39.51 Non-facility pricing amount
(physician office, private practice)
If a sevice fails to support medical necessity requirements per the
LCD, and the service is not covered, the practice would be responsible
for obtaining a(n) - ANS ✓Advance Beneficiary Notice of Noncoverage
(Advance Benefiary Notice, or ABN)
AAPC Official CPC Certification
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AAPC
If an NCD doesn't exist for a particular item, its up to the ______ to
determine coverage. - ANS ✓MAC
If an inbuilding pharmacy delivers medication (for home use) to an
individual receiving outpatient chemotherapy, which part of Medicare
should be billed for the pain medication by the pharmacy? - ANS ✓Part
D
Incus, stapes, _____ - ANS ✓malleus
Intentional billing of services not provided is considered - ANS ✓
LCD - ANS ✓Local Coverage Determinations
LCDs have jurisdiction only within - ANS ✓their regional area
LCDs give guidance when - ANS ✓* a given service is indicated or
necessary,
* give guidance on coverage limitations
* describe the specific CPT codes to which the policy applies
* lists IICD-9-CM codes that support medical necessity for the given
service or procedure
MP - ANS ✓Malpractice
MS-DRG - ANS ✓Medical Severity-Diagnosis Related Group
AAPC Official CPC Certification
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