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Exam (elaborations)

AAPC CPMA Practice Exam Study Questions and Answers

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AAPC CPMA Practice Exam Study Questions and Answers What elements must be in a medical record - Answer-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 ...

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  • October 3, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPMA
  • CPMA
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

AAPC CPMA Practice Exam Study
Questions and Answers

What elements must be in a medical record - Answer✔✔-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?

- Answer✔✔-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? - Answer✔✔-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? -

Answer✔✔-Discard it in a locked shredding receptacle

When must ABNs be signed? - Answer✔✔-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? - Answer✔✔-S in SOAP and H in

CHEDDAR



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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
Patients can request copies of disclosure of PHI under HIPAA: - Answer✔✔-For a six

(6) year period of time

When can a RAC extrapolate the overpayment(s) on claims? - Answer✔✔-If a RAC

can demonstrate a high level of error, the RAC can then extrapolate the findings and

request a refund.

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: - Answer✔✔-Only appropriate if the two procedures are performed on

separate lesions or at separate patient encounters.

Is reporting 14000 with 11401 unbundling? - Answer✔✔-Yes according to CPT

guidelines the excision of a benign lesion or malignant lesion is not separately

reportable.

Commercial and Government carriers audit medical records. Select the statement that

is TRUE regarding commercial and government carriers. - Answer✔✔-Commercial

carriers and Government carriers both use claims data to identify providers and services

to audit.

A comprehensive audit is: - Answer✔✔-sometimes referred to as a focused review, is

an audit of a specified number of medical records in which a previous audit has

identified problems based on procedure and/or diagnosis codes or other audit findings.


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