AAPC Official CPC Certification Study Guide Notes Questions And Answers

AAPC Official CPC Certification Study
Guide Notes Questions And Answers
__________d_________dprovidesdandalternativedviewdofdthedcontentsdofdICD-9-
CMdanddcontainsdthed_____d_____d______d_____d_______d-dCORRECTddANSWER-
AppendixdE;d3ddigitdcategoriesdindICD-9-CM

:d-dCORRECTddANSWER-
colondisduseddindVolumedId(tabulardlist)dafterdandincompletedtermdrequiringdonedordmoredofdth
eddescriptionsdthatdfollowdtodmakeditdassignabledtodadgivendcategory

"holddharmlessdclause"d-dCORRECTddANSWER-*dfounddindsomednon-
Medicaredhealthdplandcontracts
*dprohibitsdbillingdtodpatientdfordanythingdbeyondddeductiblesdanddco-pays.

[]d-dCORRECTddANSWER-
Bracketsdareduseddtodenclosedsynonyms,dalternatedwording,dordexplanatorydphrases

282.42dSickle-celldthalassemiadwithdcrisis
**dSickle-celldthalassemiadwithdvaso-occlusivedpain
**dThalassemiadHb-Sddiseasedwithdcrisis

Usedadditionaldcodedfordthedtypedofdcrisis,dsuchdas:
**dacutedchestdsyndromed(517.3)
**splenicdsequestrationd(289.52)
d

correctdsequencedfordsickle-
celldthalassemiadcrisisdwithdacutedchestdsyndromedindcorrectdsequencedare:d-
dCORRECTddANSWER-282.42,d517.3




adcombinationdcodedindicatesd-dCORRECTddANSWER-
adsingledcodedisduseddtodclassifyd2ddiagnoses,daddiagnosisdwithdandassociateddsecondarydp
rocessd(manifestation),dordaddiagnosisdwithdandassociateddcomplication

, Adcompliancedplandmaydofferdseveraldbenefits,dincluding:d-dCORRECTddANSWER-
*dmoredaccuratedpaymentdofdclaims
*dfewerdbillingdmistakes
*dimprovedddocumentationdanddmoredaccuratedcoding
*dlessdchancedofdviolatingdself-referraldanddanti-kickbackdstatus

Adhealthcaredclearingdhousedisdad-dCORRECTddANSWER-
entitydthatdprocessesdnonstandarddhealthdinformationdtheydreceivedfromdanotherdentitydinto
dadstandarddformat




AdkeydprovisiondindHIPAAdisdthedMinimumdNecessarydrequirement.dthisdmeansd-
dCORRECTddANSWER-

onlydthedminimumdnecessarydprotecteddhealthdinformationdshoulddbedshareddtodsatisfydadp
articulardpurpose.

Admedicallydnecessarydservicedisdthed-dCORRECTddANSWER-
leastdradicaldservice/proceduredthatdallowsdfordeffectivedtreatmentdofdthedpatients'dcomplai
ntdordcondition

Adpatientdsustainingdandinjurydtodherdgreatdsaphenousdveindwoulddhavedsustaineddinjurydtod
whichdofdanatomicaldsite?d-dCORRECTddANSWER-Leg

Abusedconsistsdofd-dCORRECTddANSWER-
paymentdforditemsdordservicesdthatdaredbilleddbydprovidersdinderrordthatdshoulddnotdbedpaiddf
ordbydMedicare.

AMAd-dCORRECTddANSWER-AmericandMedicaldAssociation

AndABNdprotectsdthedprovider'sdfinancialdinterestdbyd-dCORRECTddANSWER-
creatingdadpaperdtraildthatdCMSdrequiresdbeforedadproviderdcandbilldthedpatientdfordpaymentdi
fdMedicareddeniesdcoveragedfordthedstateddservicedordprocedure.

Andentitydthatdprocessesdnonstandarddhealthdinformationdtheydreceivedfromdanotherdentitydi
ntodadstandarddformatdisdconsidereddwhat?d-dCORRECTddANSWER-Clearinghouse

APCd-dCORRECTddANSWER-AmbulatorydPaymentdClassification

AppendixdAd-dCORRECTddANSWER-MorphologydofdNeoplasms

AppendixdBd-dCORRECTddANSWER-Deletedd10/1/2004d-
dcontaineddGlossarydofdMentaldDisorders.




AppendixdCd-dCORRECTddANSWER-
ClassificationdofdDrugsdbydAmericandHospitaldFormularydServicedListdNumberdanddTheirdIC
D-9-CMdequivalents