Which coding manuals do outpatient coders focus on learning? - correct answers CPT®, HCPCS Level II
and ICD-10-CM
In what year was the AAPC founded? - correct answers1988
What type of provider goes through approximately 26 1⁄2 months of education and is licensed to practice
medicine with the oversight of a physician? - correct answersPhysician Assistant (PA)
In what year did HIPAA become law? - correct answers1996
Which type of information is NOT maintained in a medical record? - correct answersFinancial Records
The minimum necessary rule is based on sound current practice that protected health information
should NOT be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a
function. What does this mean? - correct answersProviders should develop safeguards to prevent
unauthorized access to protected health information.
If an NCD does not exist for a particular service/procedure performed on a Medicare patient, who
determines coverage? - correct answersMedicare Administrative Contractor (MAC)
Professionals who specialize in coding are called:q - correct answersCoding specialists
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act? - correct
answers2009
LCDs only have jurisdiction in their ____. - correct answersRegion
, How many components are included in an effective compliance plan? - correct answers7
Many coding professionals go on to find work as: - correct answersConsultants
The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare &
Medicaid Services - Hierarchical Condition Categories (CMS-HCC)? - correct answersPart C
According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____ means in all
professional dealings. - correct answersLegal and Ethical
What is the value of a remittance advice? - correct answersIt states what will be paid and why any
changes to charges were made.
AAPC credentialed coders have proven mastery of what information? - correct answersAll code sets,
evaluation & management principles, and documentation guidelines
Evaluation and management services are often provided in a standard format such as SOAP notes. What
does the acronym SOAP stand for? - correct answersSubjective, Objective, Assessment, Plan
HITECH provides a ____ day window during which any violation not due to willful neglect may be
corrected without penalty. - correct answers30
What form is used to submit a provider's charge to the insurance carrier? - correct answersCMS-1500
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or ____,
but also by showing that the provider practice is making additional good faith efforts to submit claims
appropriately. - correct answersFraudulent Claims
Which of the following choices is NOT a benefit of an active compliance plan? - correct
answersEliminates risk of an audit