Page | 1
AAPC CRC STUDY GUIDE 2025
QUESTIONS AND ANSWERS.
Other forms of dyspnea ; Essential (primary) hypertension ;
Hypothyroidism, unspecified ; Nicotine dependence, cigarettes,
uncomplicated - correct answer - r06.09, i10, e03.9, f17.210
Practice test question 28
Type 2 diabetes mellitus With neurological complications With
other multiple complications, uncontrolled ; Depression,
unspecified - correct answer - e11.43, f32.a
You are reviewing provider documentation for risk adjusted
diagnosis, so you can provide feedback to the provider. You are
looking to validate hypertensive heart and CKD with heart failure
using the providers progress note from an office visit earlier in the
year. The provider has documented, "assessment; hypertension,
ckd, heart failure" in the progress note. You should inform the
provider - correct answer - the stage of ckd and the type of heart
failure must be documented for proper coding
, Page | 2
In auditing a chart, you see an entry for a phone call to refill
flecainide for the patients atrial fibrillation. In reviewing the chart,
you find no other documentation related to the fib within the year.
Which of the following is CORRECT regarding provider feedback
for this scenario
A - the auditor should look further back to confirm a diagnosis of
afib
B - the documentation supports reporting afib for risk adjustment
C - the provider must see the patient within seven days of the
phone call for the diagnosis to be reportable for risk adjustment
D - the diagnosis must be supported by a face-to-face encounter
for the diagnosis to be reported for risk adjustment - correct
answer - d
True or false: diagnosis listed in the pmh should not be reported
when they no longer exist - correct answer - true
True or false: for a condition within a problem list to be considered
for a RADV purposes, it is necessary for a provider to document
its relevance to the current encounter - correct answer - true
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Practice test question 33
Unspecified osteoarthritis, unspecified site - correct answer -
m19.90
Dr smith is engaging with the MA regarding his approach to the
using the new EHR in the office for recording diagnosis codes
with no documentation. The doctor continues to only report
diagnosis codes instead of a legible description of the diagnosis.
In the follow-up conversation with the MA , how should this be
addressed - correct answer - dr smith is asked to document a
legible description of the diagnosis code and is provided
documentation from the coding clinic
Documentation states, " the patient reports worsening dyspnea on
exertion over the past year. She currently can walk one-half block
on a flat surface before developing SOB and up one-half flight of
stairs. These symptoms are often accompanied by upper back
and neck pain and relieved with rest. She denies any chest pain,
PND, orthopnea, palpitations, or syncopal spells
What does the acronym PND refer to in this context - correct
answer - a respiratory disorder
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True or false: HIV/AIDS is most commonly transmitted by
coughing - correct answer - false
Practice test, question 37
The above table shows the hierarchies for renal disease/condition
codes
If the documentation states the member has a diagnosis that
belongs in HCC 137 and another diagnosis that belongs in HCC
134; which one will CMS use in their calculation - correct answer -
HCC 134
Data is mined from various places to give additional information
as it relates to risk scores. Which of the following data elements
might be used for predictive modeling
I - durable medical equipment requests
II - claims data (CPT, HCPCS level II, icd-10-cm, etc)
III - prescription drug events - correct answer - I, II, III
AAPC CRC STUDY GUIDE 2025
QUESTIONS AND ANSWERS.
Other forms of dyspnea ; Essential (primary) hypertension ;
Hypothyroidism, unspecified ; Nicotine dependence, cigarettes,
uncomplicated - correct answer - r06.09, i10, e03.9, f17.210
Practice test question 28
Type 2 diabetes mellitus With neurological complications With
other multiple complications, uncontrolled ; Depression,
unspecified - correct answer - e11.43, f32.a
You are reviewing provider documentation for risk adjusted
diagnosis, so you can provide feedback to the provider. You are
looking to validate hypertensive heart and CKD with heart failure
using the providers progress note from an office visit earlier in the
year. The provider has documented, "assessment; hypertension,
ckd, heart failure" in the progress note. You should inform the
provider - correct answer - the stage of ckd and the type of heart
failure must be documented for proper coding
, Page | 2
In auditing a chart, you see an entry for a phone call to refill
flecainide for the patients atrial fibrillation. In reviewing the chart,
you find no other documentation related to the fib within the year.
Which of the following is CORRECT regarding provider feedback
for this scenario
A - the auditor should look further back to confirm a diagnosis of
afib
B - the documentation supports reporting afib for risk adjustment
C - the provider must see the patient within seven days of the
phone call for the diagnosis to be reportable for risk adjustment
D - the diagnosis must be supported by a face-to-face encounter
for the diagnosis to be reported for risk adjustment - correct
answer - d
True or false: diagnosis listed in the pmh should not be reported
when they no longer exist - correct answer - true
True or false: for a condition within a problem list to be considered
for a RADV purposes, it is necessary for a provider to document
its relevance to the current encounter - correct answer - true
, Page | 3
Practice test question 33
Unspecified osteoarthritis, unspecified site - correct answer -
m19.90
Dr smith is engaging with the MA regarding his approach to the
using the new EHR in the office for recording diagnosis codes
with no documentation. The doctor continues to only report
diagnosis codes instead of a legible description of the diagnosis.
In the follow-up conversation with the MA , how should this be
addressed - correct answer - dr smith is asked to document a
legible description of the diagnosis code and is provided
documentation from the coding clinic
Documentation states, " the patient reports worsening dyspnea on
exertion over the past year. She currently can walk one-half block
on a flat surface before developing SOB and up one-half flight of
stairs. These symptoms are often accompanied by upper back
and neck pain and relieved with rest. She denies any chest pain,
PND, orthopnea, palpitations, or syncopal spells
What does the acronym PND refer to in this context - correct
answer - a respiratory disorder
, Page | 4
True or false: HIV/AIDS is most commonly transmitted by
coughing - correct answer - false
Practice test, question 37
The above table shows the hierarchies for renal disease/condition
codes
If the documentation states the member has a diagnosis that
belongs in HCC 137 and another diagnosis that belongs in HCC
134; which one will CMS use in their calculation - correct answer -
HCC 134
Data is mined from various places to give additional information
as it relates to risk scores. Which of the following data elements
might be used for predictive modeling
I - durable medical equipment requests
II - claims data (CPT, HCPCS level II, icd-10-cm, etc)
III - prescription drug events - correct answer - I, II, III
