AAPC - Medical Coding CPC-H Chapter
1 Exam Study Guide 2023 QUESTIONS
AND ANSWERS ALREADY PASSED
Many coding professionals go on to find work as: - CORRECT ANSWER
Consultant
A medical record contains information on all but what areas? - CORRECT
ANSWER Financial records
Technicians who specialize in coding are called: - CORRECT ANSWER Coding
specialists
EHR stands for: - CORRECT ANSWER Electronic health record
What type of provider goes through approximately 26.5 months of education and is
licensed to practice medicine with the oversight of a physician? - CORRECT
ANSWER Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to
coders working in physician offices and covers physician fees without the use of a
private insurer? - CORRECT ANSWER Part B
The Medicare program is made up of several parts. Which part is affected by the
Centers for Medicare and Medicaid Services' - hierarchal condition categories (CMS-
HCC)? - CORRECT ANSWER Part C
What does CMS-HCC stand for? - CORRECT ANSWER Centers for Medicare
and Medicaid Services - Hierarchal Condition Category
When coding an operative report, what action would NOT be recommended? -
CORRECT ANSWER Coding from the header without reading the body of the
report
Outpatient coders focus on learning which coding manuals? - CORRECT
ANSWER CPT, HCPCS Level II, and ICD-9-CM Volumes 1 and 2
, AAPC - Medical Coding CPC-H Chapter
1 Exam Study Guide 2023 QUESTIONS
AND ANSWERS ALREADY PASSED
If an NCD doesn't exist for a particular service/procedure performed on a Medicare
patient, who determines coverage? - CORRECT ANSWER Medicare
Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or
technologies are considered medically necessary under Medicare. - CORRECT
ANSWER National Coverage Determinations Manual
National Coverage Determinations serve what purpose? - CORRECT ANSWER
To spell out CMS policies on when Medicare will pay for items or services
MAC stands for what? - CORRECT ANSWER Medicare Administrative
Contractor
Local Coverage Determinations are administered by __? - CORRECT ANSWER
Each regional MAC
LCD's only have jurisdiction in their __ area. - CORRECT ANSWER Regional
ABN stands for - CORRECT ANSWER Advance Beneficiary Notice
When are providers responsible for obtaining an ABN for a service not considered
medically necessary? - CORRECT ANSWER Prior to providing a service or item
to a beneficiary
HIPAA stands for - CORRECT ANSWER Health Insurance Portability and
Accountability Act
HIPAA was made into law in what year? - CORRECT ANSWER 1996
A covered entity does NOT include - CORRECT ANSWER Patient
What is the definition of coding? - CORRECT ANSWER Translating
documentation into numerical/alphanumerical codes used to obtain reimbursement
1 Exam Study Guide 2023 QUESTIONS
AND ANSWERS ALREADY PASSED
Many coding professionals go on to find work as: - CORRECT ANSWER
Consultant
A medical record contains information on all but what areas? - CORRECT
ANSWER Financial records
Technicians who specialize in coding are called: - CORRECT ANSWER Coding
specialists
EHR stands for: - CORRECT ANSWER Electronic health record
What type of provider goes through approximately 26.5 months of education and is
licensed to practice medicine with the oversight of a physician? - CORRECT
ANSWER Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to
coders working in physician offices and covers physician fees without the use of a
private insurer? - CORRECT ANSWER Part B
The Medicare program is made up of several parts. Which part is affected by the
Centers for Medicare and Medicaid Services' - hierarchal condition categories (CMS-
HCC)? - CORRECT ANSWER Part C
What does CMS-HCC stand for? - CORRECT ANSWER Centers for Medicare
and Medicaid Services - Hierarchal Condition Category
When coding an operative report, what action would NOT be recommended? -
CORRECT ANSWER Coding from the header without reading the body of the
report
Outpatient coders focus on learning which coding manuals? - CORRECT
ANSWER CPT, HCPCS Level II, and ICD-9-CM Volumes 1 and 2
, AAPC - Medical Coding CPC-H Chapter
1 Exam Study Guide 2023 QUESTIONS
AND ANSWERS ALREADY PASSED
If an NCD doesn't exist for a particular service/procedure performed on a Medicare
patient, who determines coverage? - CORRECT ANSWER Medicare
Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or
technologies are considered medically necessary under Medicare. - CORRECT
ANSWER National Coverage Determinations Manual
National Coverage Determinations serve what purpose? - CORRECT ANSWER
To spell out CMS policies on when Medicare will pay for items or services
MAC stands for what? - CORRECT ANSWER Medicare Administrative
Contractor
Local Coverage Determinations are administered by __? - CORRECT ANSWER
Each regional MAC
LCD's only have jurisdiction in their __ area. - CORRECT ANSWER Regional
ABN stands for - CORRECT ANSWER Advance Beneficiary Notice
When are providers responsible for obtaining an ABN for a service not considered
medically necessary? - CORRECT ANSWER Prior to providing a service or item
to a beneficiary
HIPAA stands for - CORRECT ANSWER Health Insurance Portability and
Accountability Act
HIPAA was made into law in what year? - CORRECT ANSWER 1996
A covered entity does NOT include - CORRECT ANSWER Patient
What is the definition of coding? - CORRECT ANSWER Translating
documentation into numerical/alphanumerical codes used to obtain reimbursement
