AAPC - CRC TEST 1 Questions and
Answers Latest Update 2025 RATED A+
Which of the following medications are prescribed to cancer patients to
eradicate the cancer or for prophylaxis?
I. Tamoxifen
II. Anastrozole
III. Januvia
IV. Crestor
A. I and II
B. I and III
C. II and III
D. I, II, III and IV - correct answer ✅A. I and II
The definition of a best medical record for a RADV audit is:
A. Documentation validates the CMS requested HCCs, contains all the necessary
documentation elements and has an additional HCC not requested by CMS
B. Documentation that validates all the requested HCCs
C. Documentation that validates the requested HCC, but there is no provider
signature
D. Documentation that validates the requested HCC plus validates an additional
HCC, contains all the necessary documentation elements, but is missing the
provider signature, for which a signed CMS attestation was provided but not
signed by the provider - correct answer ✅A. Documentation validates the CMS
AAPC - CRC TEST 1 Questions and Answers Latest
Update 2023 RATED A+
,requested HCCs, contains all the necessary documentation elements and has an
additional HCC not requested by CMS
Which of the following are reported by a provider for beneficiaries in a Medicare
Advantage Plan?
I. Nature of the presenting problem
II. Resolved conditions that have been treated in the past
III. Family history for all conditions
IV. All chronic conditions - correct answer ✅C. I and IV
Which of the following records would be a good source for a retrospective chart
audit?
A. DME documentation
B. Cardiologist records
C. Dietician notes
D. RN notes - correct answer ✅B. Cardiologist records
Retrospective audits should include the following attributes:
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS - correct answer ✅D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
AAPC - CRC TEST 1 Questions and Answers Latest
Update 2023 RATED A+
, A. ZPIC
B. RADV
C. RAC
D. CERT - correct answer ✅B. RADV
What information is required when submitting documentation to support a
diagnosis for a RADV/IVA?
A. All patient records for the calendar year resulting in care for a chronic
condition
B. All inpatient hospital records where a readmission occurred
C. A single DOS for outpatient records and the full inpatient set for hospital
records
D. All professional provider documentation for the previous year - correct
answer ✅C. A single DOS for outpatient records and the full inpatient set for
hospital records
What is TRUE regarding the code assignment requirement for chronic kidney
disease requiring dialysis (N18.6)?
A. The diagnosis should only be reported when the patient is admitted to the
hospital.
B. The diagnosis should only be reported when the patient is diagnosed with
CKD and is actively being treated by a specialist.
C. The patient should be diagnosed with CKD and is on chronic dialysis or
receiving kidney transplants are associated with this diagnosis.
AAPC - CRC TEST 1 Questions and Answers Latest
Update 2023 RATED A+
Answers Latest Update 2025 RATED A+
Which of the following medications are prescribed to cancer patients to
eradicate the cancer or for prophylaxis?
I. Tamoxifen
II. Anastrozole
III. Januvia
IV. Crestor
A. I and II
B. I and III
C. II and III
D. I, II, III and IV - correct answer ✅A. I and II
The definition of a best medical record for a RADV audit is:
A. Documentation validates the CMS requested HCCs, contains all the necessary
documentation elements and has an additional HCC not requested by CMS
B. Documentation that validates all the requested HCCs
C. Documentation that validates the requested HCC, but there is no provider
signature
D. Documentation that validates the requested HCC plus validates an additional
HCC, contains all the necessary documentation elements, but is missing the
provider signature, for which a signed CMS attestation was provided but not
signed by the provider - correct answer ✅A. Documentation validates the CMS
AAPC - CRC TEST 1 Questions and Answers Latest
Update 2023 RATED A+
,requested HCCs, contains all the necessary documentation elements and has an
additional HCC not requested by CMS
Which of the following are reported by a provider for beneficiaries in a Medicare
Advantage Plan?
I. Nature of the presenting problem
II. Resolved conditions that have been treated in the past
III. Family history for all conditions
IV. All chronic conditions - correct answer ✅C. I and IV
Which of the following records would be a good source for a retrospective chart
audit?
A. DME documentation
B. Cardiologist records
C. Dietician notes
D. RN notes - correct answer ✅B. Cardiologist records
Retrospective audits should include the following attributes:
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS - correct answer ✅D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
AAPC - CRC TEST 1 Questions and Answers Latest
Update 2023 RATED A+
, A. ZPIC
B. RADV
C. RAC
D. CERT - correct answer ✅B. RADV
What information is required when submitting documentation to support a
diagnosis for a RADV/IVA?
A. All patient records for the calendar year resulting in care for a chronic
condition
B. All inpatient hospital records where a readmission occurred
C. A single DOS for outpatient records and the full inpatient set for hospital
records
D. All professional provider documentation for the previous year - correct
answer ✅C. A single DOS for outpatient records and the full inpatient set for
hospital records
What is TRUE regarding the code assignment requirement for chronic kidney
disease requiring dialysis (N18.6)?
A. The diagnosis should only be reported when the patient is admitted to the
hospital.
B. The diagnosis should only be reported when the patient is diagnosed with
CKD and is actively being treated by a specialist.
C. The patient should be diagnosed with CKD and is on chronic dialysis or
receiving kidney transplants are associated with this diagnosis.
AAPC - CRC TEST 1 Questions and Answers Latest
Update 2023 RATED A+
