AAPC CPC 2021 Exam Study Guide 2023 QUESTIONS AND ANSWERS ALREADY PASSED

Documentation (content) - CORRECT ANSWER Proper code assignment is determined both by _____________ in the medical record and by the unique rules that govern each code set in that instance An auditor - CORRECT ANSWER The role a coder may take on to verify that the documentation supports the codes the physician has selected Query the physician - CORRECT ANSWER If the medical record is inaccurate or incomplete, it will not translate properly to the language of codes. What can a coder do in order for the medical record to be complete and accurate so they can bill properly? Quarterly (usually) - CORRECT ANSWER How often are codes and insurance payment policies updated? NPP - CORRECT ANSWER Non-Physician Provider (also known as mid-level providers or physician extenders) PA - CORRECT ANSWER Physician assistant NP - CORRECT ANSWER Nurse practitioner Commercial and Government - CORRECT ANSWER The two types of primary insurances Commercial Carriers - CORRECT ANSWER Private payers that may offer both group and individual plans Medicare - CORRECT ANSWER The most significant government insurer; a federal health insurance program