AAPC CPC PRACTICE EXAM E
Questions and Answers
1. Which service is covered by Medicare Part B?
A. Inpatient chemotherapy
B. Minor surgery performed in a physician's office
C. Routine dental care
D. Assisted living facility
ANS B. Minor surgery performed in a physician's office
Services performed by physicians are covered by Medicare Part B. Inpatient services are covered by Part A. Medicare does not cover
routine dental care.
2. Which one of the following statements regarding advanced beneficiary no-
tices (ABN) is TRUE?
A. ABN must specify only the CPT® code that Medicare is expected to deny.
B. Generic ABN which states that a Medicare denial of payment is possible, or the
internist is unaware whether Medicare will deny payment or not is acceptable.
C.An ABN must be completed before delivery of items or services are provided.
D.An ABN must be obtained from a patient even in a medical emergency when the
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, services to be provided are not covered.
ANS C. An ABN must be completed before delivery of items or services are provided.
An ABN must include the service that may be denied, an estimated cost of the patient's responsibility if Medicare denies the service
and the response for the potential denial. Generic ABNs are not allowed. Signing of the ABN cannot be obtained during a
medical emergency. The patient must be stable. The ABN must be signed prior to providing the service.
3. In order to use the critical care codes, which statement is TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but less than 30
minutes should be billed with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the critically ill
patient's care with other medical staff in the unit or at the nursing station on the
floor cannot be included in the determination of critical care time.
D. Critical care services are never reported with endotracheal intubation (31500)E.
Physician can provide services to another patient during the same time providing
critical care services to a critically ill patient
ANS A. Critical care services can be provided in an internist's office
Critical care services can be provided at any site. If the patient is critically ill, the services provided can be coded with critical care
regardless of where the services take place. A minimum of 30 minutes of critical care must be performed in order to report 99291. If
less than 30 minutes, select the appropriate E/M code based on the three key components. Time spent reviewing results and
discussing the critically ill patient with medical start is included in the critical care time. Endotracheal intubation, code 31500, can be
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Questions and Answers
1. Which service is covered by Medicare Part B?
A. Inpatient chemotherapy
B. Minor surgery performed in a physician's office
C. Routine dental care
D. Assisted living facility
ANS B. Minor surgery performed in a physician's office
Services performed by physicians are covered by Medicare Part B. Inpatient services are covered by Part A. Medicare does not cover
routine dental care.
2. Which one of the following statements regarding advanced beneficiary no-
tices (ABN) is TRUE?
A. ABN must specify only the CPT® code that Medicare is expected to deny.
B. Generic ABN which states that a Medicare denial of payment is possible, or the
internist is unaware whether Medicare will deny payment or not is acceptable.
C.An ABN must be completed before delivery of items or services are provided.
D.An ABN must be obtained from a patient even in a medical emergency when the
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6
, services to be provided are not covered.
ANS C. An ABN must be completed before delivery of items or services are provided.
An ABN must include the service that may be denied, an estimated cost of the patient's responsibility if Medicare denies the service
and the response for the potential denial. Generic ABNs are not allowed. Signing of the ABN cannot be obtained during a
medical emergency. The patient must be stable. The ABN must be signed prior to providing the service.
3. In order to use the critical care codes, which statement is TRUE?
A. Critical care services can be provided in an internist's office
B. Critical care services provided for more than 15 minutes but less than 30
minutes should be billed with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the critically ill
patient's care with other medical staff in the unit or at the nursing station on the
floor cannot be included in the determination of critical care time.
D. Critical care services are never reported with endotracheal intubation (31500)E.
Physician can provide services to another patient during the same time providing
critical care services to a critically ill patient
ANS A. Critical care services can be provided in an internist's office
Critical care services can be provided at any site. If the patient is critically ill, the services provided can be coded with critical care
regardless of where the services take place. A minimum of 30 minutes of critical care must be performed in order to report 99291. If
less than 30 minutes, select the appropriate E/M code based on the three key components. Time spent reviewing results and
discussing the critically ill patient with medical start is included in the critical care time. Endotracheal intubation, code 31500, can be
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