Regulatory Questions And Answers
AdcovereddentityddoesdNOTdinclude:
A)dHealthdplans
B)dPatients
C)dHealthcaredproviders
D)dClearinghousesd-dCORRECTddANSWER-B
AAPCdcredentialeddcodersdhavedprovendmasterydofdwhatdinformation?:
A)dCodedsets
B)dEvaluationdanddmanagementdprinciples
C)dDocumentationdguidelines
D)dAlldofdthedaboved-dCORRECTddANSWER-D
AccordingdtodAAPC'sdCodedofdEthics,dandAAPCdmemberdshalldusedonlyd____dandd____dme
ansdindalldprofessionalddealings:
A)dprivatedanddprofessional
B)dlegaldanddethical
C)dlegaldanddprofitable
D)defficientdanddinexpensived-dCORRECTddANSWER-B
AccordingdtodthedAAPCdCodedofdEthics,dwhichdtermdisdNOTdlisteddasdandethicaldprincipledofd
professionaldconduct?:
A)dIntegrity
B)dEfficiency
C)dResponsibility
D)dCommitmentd-dCORRECTddANSWER-B
AccordingdtodthedexampledLCDdfromdNovitasdSolutions,dwhichdofdthedfollowingdconditionsdi
sdconsidereddadsystemicdconditiondthatdmaydresultdindthedneeddfordroutinedfootdcare?d:
A)darthritis
B)dchronicdvenousdinsufficiency
C)dhypertension
D)dmuscledweaknessd-dCORRECTddANSWER-
Bd(Rationale:dAccordingdtodthedLCD,dChronicdvenousdinsufficiencydisdadsystemicdconditiond
thatdmaydresultdindthedneeddfordroutinedfootdcare.)
, Evaluationdanddmanagementd(E/M)dservicesdaredoftendprovideddandddocumenteddindadstan
darddformat.dOnedsuchdformatdisdSOAPdnotes.dWhatddoesdSOAPdrepresent?
A)dSubjective,dObjective,dAssessment,dPlan
B)dStatement,dObservation,dAction,dPrepare
C)dSymptoms,dObjective,dAuscultation,dPercussion
D)dSubjective,dObservation,dAction,dPland-dCORRECTddANSWER-A
EvaluationdanddmanagementdservicesdaredoftendprovideddindadstandarddformatdsuchdasdS
OAPdnotes.dWhatddoesdthedacronymdSOAPdstanddfor?:
A)dScope,dObservation,dAction,dPlan
B)dSource,dOpinion,dAdvice,dProvider
C)dSubjective,dObjective,dAssessment,dPlan
D)dStandard,dObjective,dActivity,dPeriodd-dCORRECTddANSWER-C
HIPAAdstandsdfor:
A)dHealthdInsurancedPortabilitydanddAccountantdAdvice
B)dHealthdInformationdPrivacydAccessdAct
C)dHealthdInsurancedProviderdAssistancedAction
D)dHealthdInsurancedPortabilitydanddAccountabilitydActd-dCORRECTddANSWER-D
HITECHdprovidesdad____ddaydwindowdduringdwhichdanydviolationdnotdduedtodwillfuldneglectd
maydbedcorrecteddwithoutdpenalty:
A)d40
B)d60
C)d45
D)d30d-dCORRECTddANSWER-D
IfdandNCDddoesdnotdexistdfordadparticulardservice/proceduredperformeddondadMedicaredpatie
nt,dwhoddeterminesdcoverage?:
A)dMedicaredAdministrativedContractord(MAC)
B)dThedphysiciandprovidingdthedservice
C)dCurrentdProceduraldTerminologyd(CPT®)dguidelines
D)dCentersdfordMedicared&dMedicaiddServicesd(CMS)d-dCORRECTddANSWER-A
IndwhatdyearddiddHIPAAdbecomedlaw?:
A)d1992
B)d1997
C)d1996
D)d1995d-dCORRECTddANSWER-C
IndwhatdyeardwasdHITECHdenacteddasdpartdofdthedAmericandRecoverydanddReinvestmentd
Act?:
A)d2010
B)d2000
C)d2007