Aapc Official Cpc Certification Study Guide Notes.

AAPC OFFICIAL CPC CERTIFICATION
STUDY GUIDE NOTES


"holdkoharmlesskoclause"ko-koans--*kofoundkoinkosomekonon-
Medicarekohealthkoplankocontracts
*koprohibitskobillingkotokopatientkoforkoanythingkobeyondkodeductibleskoandkoco-pays.

Akocompliancekoplankomaykoofferkoseveralkobenefits,koincluding:ko-koans--
*komorekoaccuratekopaymentkoofkoclaims
*kofewerkobillingkomistakes
*koimprovedkodocumentationkoandkomorekoaccuratekocoding
*kolesskochancekoofkoviolatingkoself-referralkoandkoanti-kickbackkostatus

Akohealthcarekoclearingkohousekoiskoako-koans--
entitykothatkoprocesseskononstandardkohealthkoinformationkotheykoreceivekofromkoanother
koentitykointokoakostandardkoformat


AkokeykoprovisionkoinkoHIPAAkoiskothekoMinimumkoNecessarykorequirement.kothiskomeans
ko-koans--
onlykothekominimumkonecessarykoprotectedkohealthkoinformationkoshouldkobekosharedkoto
kosatisfykoakoparticularkopurpose.


Akomedicallykonecessarykoservicekoiskotheko-koans--leastkoradicalkoservice/
procedurekothatkoallowskoforkoeffectivekotreatmentkoofkothekopatients'kocomplaintkoorkocon
dition

Akopatientkosustainingkoankoinjurykotokoherkogreatkosaphenouskoveinkowouldkohavekosustai
nedkoinjurykotokowhichkoofkoanatomicalkosite?ko-koans--Leg

APCko-koans--AmbulatorykoPaymentkoClassification

ARRAko-koans--AmericankoRecoverykoandkoReinvestmentkoActko(ofko2009)

ASCko-koans--AmbulatorykoSurgicalkoCenters

Abusekoconsistskoofko-koans--
paymentkoforkoitemskoorkoserviceskothatkoarekobilledkobykoproviderskoinkoerrorkothatkoshoul
dkonotkobekopaidkoforkobykoMedicare.

, AnkoABNkoprotectskothekoprovider'skofinancialkointerestkobyko-koans--
creatingkoakopaperkotrailkothatkoCMSkorequireskobeforekoakoproviderkocankobillkothekopatien
tkoforkopaymentkoifkoMedicarekodenieskocoveragekoforkothekostatedkoservicekoorkoprocedur
e.

Ankoentitykothatkoprocesseskononstandardkohealthkoinformationkotheykoreceivekofromkoano
therkoentitykointokoakostandardkoformatkoiskoconsideredkowhat?ko-koans--Clearinghouse

AskoakopartkoofkoHealthkoCarekoReform,kothekoAffordablekoCarekoActkoofko2010koamended
kothekodefinitionkoofkofraudkotokoremovekotheko__________korequirementko-koans--intent


Bykostatute,koallkoworkkoRVUs,komustkobekoexaminedkonokolesskooftenkothanko-koans--
everyko5koyears

CFko-koans--CoversionkoFactorko-
kofixedkodollarkoamountkousedkotokotranslatekothekoRVUskointokofees


CMSko-koans--CenterskoforkoMedicarekoandkoMedicaid

CMSkodevelopedkopoliceskoregardingkomedicalkonecessitykoarekobasedkoonkoregulationsk
ofoundkoinkotitlekoXVIII,ko$1862(a)koofkotheko-koans--SocialkoSecuritykoAct


CMSkowillkoacceptkotheko____________koforkoeitherkoako"potentiallykonon=covered"koserv
icekoorkoforkoakostatutorilykoexcludedkoserviceko-koans--CMS-R-131

CMS-R-131ko-koans--ABNkoformko

or

AdvancekoBeneficiarykoNoticekowhichkoexplainskotokothekopatientkowhykoMedicarekomayko
denykothekoparticularkoservicekoorkoprocedure.

CPTko-koans--CurrentkoProceduralkoTerminology

CYko2013koConversionkoFactorko-koans--$25.0008

Commercialko(non-
Medicare)komaykodevelopkotheirkoownkomedicalkopolicieskowhichkodokonotkofollowkoMedica
rekoguidelineskoandkoarekospecifiedkoinko-koans--
privatekocontractskobetweenkothekopayerkoandkopracticekoorkoprovider

DRGko-koans--DiagnosiskoRelatedkoGroup

DoeskoMedicarekoPartkoBkogenerallykorequirekoakoyearlykodeductablekoandkocopayment?
ko-koans--yes