AAPC CRC study guide questions and answers
2026\2027 A+ Grade
which medicare part is reimbursed based on the risk adjustment models
- correct answer part c
who typically employs risk adjustment coders
- correct answer health plans
is a health plan required to follow the minimum necessary rule
- correct answer yes, health plans are covered entities and are therefore required to follow the
minimum necessary rule
what is an example of fraud
- correct answer reporting a diagnosis or co-morbidity that does not exist to obtain higher
reimbursement
which part of medicare is also called medicare advantage
- correct answer part c
which health insurance assistance program is sponsored by federal and state governments
- correct answer medicaid
what OIG document should a medicare advantage participant review for potential problem areas that
will receive special scrutiny in the upcoming year
- correct answer OIG work plan
which code set is used by risk adjustment coders
- correct answer icd-10-cm
,which regulation strengthens HIPAA rules by addressing privacy and security concerns associated with
the electronic transmission of health information
- correct answer Health Information Technology for Economic and Clinical Health Act (HITECH)
what is coding
- correct answer translating a written or dictated medical record into a series of alphanumeric codes
which organ is in the thoracic cavity
- correct answer lungs
what does the term distal indicate
- correct answer farther from the point of attachment
blood is received back into the left atrium of the heart through....
- correct answer pulmonary veins
the root of the nail is also known as what
- correct answer germinal matrix
the documentation states: Past Surgical history: she had a lumpectomy of the breast for DCIS 12 years
ago which successfully eradicated the CA
how would this be reported
- correct answer personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation
- correct answer ocular
which organ does pulmonary refer to
- correct answer lungs
, what is a PEG tube
- correct answer a tube inserted into the stomach for long term feeding
angina pectoris refers to which system
- correct answer cardiovascular
what is cholelithiasis
- correct answer stones in the gallbladder
a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the patient
with ED due to diabetic autonomic neuropathy.
- correct answer e11.43, n52.1
a patient is transported from the nursing home for facial drooping, slurred speech, and dizziness. the
patient was admitted for testing. after an MRI, the provider diagnosed the patient with a TIA
- correct answer g45.9
the physician was called to the hospital floor for the medical management of a patient admitted one day
ago with a reduced oxygen level due to aspiration pneumonia and COPD. no chest pain at present, but
still SOB and some swelling in his lower extremities. patient was tachypneic yesterday; lungs reveal
course crackles in both bases, right worse than left. the physician writes instructions to continue with
intravenous antibiotic treatment and respiratory support with ventilator management. he reviewed the
chest X-ray which shows gastric contents in the lungs and labs. patient is improving and a pulmonary
consultation has been requested
- correct answer j69.0, t17.810a, j44.9
a patient with chronic DVT in the lower leg requires heparin to maintain therapeutic anticoagulation
levels. he has regular PTTs drawn to monitor his level of anticoagulation
- correct answer i82.5z1, z79.01
ch. 3, question 5
diagnosis with severe exacerbation of chi, poorly controlled hon, and worsening ckd and acute renal
failure
- correct answer i13.0, i50.9, n17.9, n18.9
2026\2027 A+ Grade
which medicare part is reimbursed based on the risk adjustment models
- correct answer part c
who typically employs risk adjustment coders
- correct answer health plans
is a health plan required to follow the minimum necessary rule
- correct answer yes, health plans are covered entities and are therefore required to follow the
minimum necessary rule
what is an example of fraud
- correct answer reporting a diagnosis or co-morbidity that does not exist to obtain higher
reimbursement
which part of medicare is also called medicare advantage
- correct answer part c
which health insurance assistance program is sponsored by federal and state governments
- correct answer medicaid
what OIG document should a medicare advantage participant review for potential problem areas that
will receive special scrutiny in the upcoming year
- correct answer OIG work plan
which code set is used by risk adjustment coders
- correct answer icd-10-cm
,which regulation strengthens HIPAA rules by addressing privacy and security concerns associated with
the electronic transmission of health information
- correct answer Health Information Technology for Economic and Clinical Health Act (HITECH)
what is coding
- correct answer translating a written or dictated medical record into a series of alphanumeric codes
which organ is in the thoracic cavity
- correct answer lungs
what does the term distal indicate
- correct answer farther from the point of attachment
blood is received back into the left atrium of the heart through....
- correct answer pulmonary veins
the root of the nail is also known as what
- correct answer germinal matrix
the documentation states: Past Surgical history: she had a lumpectomy of the breast for DCIS 12 years
ago which successfully eradicated the CA
how would this be reported
- correct answer personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation
- correct answer ocular
which organ does pulmonary refer to
- correct answer lungs
, what is a PEG tube
- correct answer a tube inserted into the stomach for long term feeding
angina pectoris refers to which system
- correct answer cardiovascular
what is cholelithiasis
- correct answer stones in the gallbladder
a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the patient
with ED due to diabetic autonomic neuropathy.
- correct answer e11.43, n52.1
a patient is transported from the nursing home for facial drooping, slurred speech, and dizziness. the
patient was admitted for testing. after an MRI, the provider diagnosed the patient with a TIA
- correct answer g45.9
the physician was called to the hospital floor for the medical management of a patient admitted one day
ago with a reduced oxygen level due to aspiration pneumonia and COPD. no chest pain at present, but
still SOB and some swelling in his lower extremities. patient was tachypneic yesterday; lungs reveal
course crackles in both bases, right worse than left. the physician writes instructions to continue with
intravenous antibiotic treatment and respiratory support with ventilator management. he reviewed the
chest X-ray which shows gastric contents in the lungs and labs. patient is improving and a pulmonary
consultation has been requested
- correct answer j69.0, t17.810a, j44.9
a patient with chronic DVT in the lower leg requires heparin to maintain therapeutic anticoagulation
levels. he has regular PTTs drawn to monitor his level of anticoagulation
- correct answer i82.5z1, z79.01
ch. 3, question 5
diagnosis with severe exacerbation of chi, poorly controlled hon, and worsening ckd and acute renal
failure
- correct answer i13.0, i50.9, n17.9, n18.9
