AAPC CASES CPMA Review Q&A
1. You are performing an audit of evaluation and management services for a
family practice office. In the encounter, you read the physician ordered and
reviewed a differential WBC. Which of the following best describes what you
would expect to see in the medical record?: Patient identification,
assignment of benefits, patient's medical history, immunizations,
physical examination, lab report, clinical impression, and physician
orders.
2. As an auditor, who of the following would NOT be expected to
submit operative notes?: Surgical assistants
3. A provider knows that an evaluation and management service they
provide on the same date as a major procedure will be bundled, so he
submits the claim for the E/M with a different date of service. This is an
example of:: Fraud
4. In preparation for a high volume of patients coming in for chemotherapy,
the nurse documents the chemotherapy treatments in advance. The purpose
is to speed up the treatment process so patients do not have to wait long.
Would this cause concern in an audit?: Yes, chart entry should not be
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, made in advance of the treatment.
5. Patients can request copies of disclosure of PHI under HIPAA:: For a six
(6) year period of time
6. SOAP and CHEDDAR are two formats of medical record documentation.
Which section of each format would you find the patient's history?: S in
SOAP and C in CHEDDAR
7. When must ABNs be signed?: Far enough in advance that the
beneficiary or representative has time to consider the options and
make an informed choice
8. What is the appropriate way to dispose of PHI that is no longer needed?
-
Discard it in a locked shredding receptacle
9. Which of the following would NOT be expected to fall under the
responsibili- ty or oversight of an organization's compliance committee?: C.
Recommending a specific merit increase in pay for employee's
adherence to the code of conduct
10.A family physician requests a post payment audit on claims from a par-
ticular commercial payer from which he is receiving denials. Whenever the
provider performs a minor procedure with an E/M service, the minor surgery
2/4
1. You are performing an audit of evaluation and management services for a
family practice office. In the encounter, you read the physician ordered and
reviewed a differential WBC. Which of the following best describes what you
would expect to see in the medical record?: Patient identification,
assignment of benefits, patient's medical history, immunizations,
physical examination, lab report, clinical impression, and physician
orders.
2. As an auditor, who of the following would NOT be expected to
submit operative notes?: Surgical assistants
3. A provider knows that an evaluation and management service they
provide on the same date as a major procedure will be bundled, so he
submits the claim for the E/M with a different date of service. This is an
example of:: Fraud
4. In preparation for a high volume of patients coming in for chemotherapy,
the nurse documents the chemotherapy treatments in advance. The purpose
is to speed up the treatment process so patients do not have to wait long.
Would this cause concern in an audit?: Yes, chart entry should not be
1/4
, made in advance of the treatment.
5. Patients can request copies of disclosure of PHI under HIPAA:: For a six
(6) year period of time
6. SOAP and CHEDDAR are two formats of medical record documentation.
Which section of each format would you find the patient's history?: S in
SOAP and C in CHEDDAR
7. When must ABNs be signed?: Far enough in advance that the
beneficiary or representative has time to consider the options and
make an informed choice
8. What is the appropriate way to dispose of PHI that is no longer needed?
-
Discard it in a locked shredding receptacle
9. Which of the following would NOT be expected to fall under the
responsibili- ty or oversight of an organization's compliance committee?: C.
Recommending a specific merit increase in pay for employee's
adherence to the code of conduct
10.A family physician requests a post payment audit on claims from a par-
ticular commercial payer from which he is receiving denials. Whenever the
provider performs a minor procedure with an E/M service, the minor surgery
2/4
