AAPC CRC Practice test 2 Questions With Complete
Solutions
89 year-old female with history of PE on Coumadin presents to
cardiology for follow up. Two years ago the patient had chest
pain and a small pulmonary embolus in the right lower lobe was
found. The patient reports no symptoms and daughter says she is
at baseline. The provider documents "chronic pulmonary
embolism, continue with Coumadin". Select the diagnosis
code(s).
A. I26.09
B. I26.90
C. I27.1
D. I27.82, Z79.01
D. I27.82, Z79.01
Are NDC codes helpful in data mining?
A. No, NDC codes are not reported.
B. No, NDC codes are only evaluated if it is a fee for service
plan.
C. Yes, the codes indicate medications prescribed which is an
indication of the conditions being treated.
D. Yes, the codes generate a higher rate of reimbursement.
C. Yes, the codes indicate medications prescribed which is an
indication of the conditions being treated.
A 62 year-old female with a long standing history of endocrine
disease has noticed numbness in her hands and feet. She sees her
,physician and after examination, her provider documents the
following:A/P: Polyneuropathy, due to endocrine disease. Will
get new labs and have patient return in four weeks.Assign the
correct ICD-10-CM code(s) for this encounter.
A. E34.9
B. G63
C. G63, E34.9
D. E34.9, G63
D. E34.9, G63
A 67 year-old male is brought in by his daughter for evaluation
of two wounds on the legs. The provider exams the skin and
finds two skin ulcers. One ulcer is on the right calf and the
second ulcer is on the left ankle. The provider orders the nurse
to clean both ulcers and for the patient to return in one week.
Assign the correct ICD-10-CM codes for this visit.
A. L89.509, L89.899
B. L89.529, L89.899
C. L97.219, L97.329
D. L97.209, L97.309
C. L97.219, L97.329
How many charts can be submitted to CMS to validate an HCC?
A. One
B. Three
C. Two
D. Five
, D. Five
The results of a RADV audit are extrapolated across all
members of the plan that was audited. What does this mean?
A. Financial penalties will be limited to each specific member
B. Financial penalties will be averaged over the plan
membership
C. Financial penalties will be imposed across the plan
membership
D. Financial penalties will not be imposed until two years post
audit
C. Financial penalties will be imposed across the plan
membership
Retrospective audits generally include finding additional
diagnoses. CMS has stated that the deletion of conditions needs
to be part of these audits. What might happen when a health plan
deletes unsupported diagnoses that were submitted on a claim?
I. There is a potential of loss of revenue
II. Billing compliance issues might come too light
III. All companies follow CMS directives
A. I and II
B. I
C. I and III
D. III
A. I and II
Which one of the following would prevent a chart from being
coded for Medicare risk adjustment?
Solutions
89 year-old female with history of PE on Coumadin presents to
cardiology for follow up. Two years ago the patient had chest
pain and a small pulmonary embolus in the right lower lobe was
found. The patient reports no symptoms and daughter says she is
at baseline. The provider documents "chronic pulmonary
embolism, continue with Coumadin". Select the diagnosis
code(s).
A. I26.09
B. I26.90
C. I27.1
D. I27.82, Z79.01
D. I27.82, Z79.01
Are NDC codes helpful in data mining?
A. No, NDC codes are not reported.
B. No, NDC codes are only evaluated if it is a fee for service
plan.
C. Yes, the codes indicate medications prescribed which is an
indication of the conditions being treated.
D. Yes, the codes generate a higher rate of reimbursement.
C. Yes, the codes indicate medications prescribed which is an
indication of the conditions being treated.
A 62 year-old female with a long standing history of endocrine
disease has noticed numbness in her hands and feet. She sees her
,physician and after examination, her provider documents the
following:A/P: Polyneuropathy, due to endocrine disease. Will
get new labs and have patient return in four weeks.Assign the
correct ICD-10-CM code(s) for this encounter.
A. E34.9
B. G63
C. G63, E34.9
D. E34.9, G63
D. E34.9, G63
A 67 year-old male is brought in by his daughter for evaluation
of two wounds on the legs. The provider exams the skin and
finds two skin ulcers. One ulcer is on the right calf and the
second ulcer is on the left ankle. The provider orders the nurse
to clean both ulcers and for the patient to return in one week.
Assign the correct ICD-10-CM codes for this visit.
A. L89.509, L89.899
B. L89.529, L89.899
C. L97.219, L97.329
D. L97.209, L97.309
C. L97.219, L97.329
How many charts can be submitted to CMS to validate an HCC?
A. One
B. Three
C. Two
D. Five
, D. Five
The results of a RADV audit are extrapolated across all
members of the plan that was audited. What does this mean?
A. Financial penalties will be limited to each specific member
B. Financial penalties will be averaged over the plan
membership
C. Financial penalties will be imposed across the plan
membership
D. Financial penalties will not be imposed until two years post
audit
C. Financial penalties will be imposed across the plan
membership
Retrospective audits generally include finding additional
diagnoses. CMS has stated that the deletion of conditions needs
to be part of these audits. What might happen when a health plan
deletes unsupported diagnoses that were submitted on a claim?
I. There is a potential of loss of revenue
II. Billing compliance issues might come too light
III. All companies follow CMS directives
A. I and II
B. I
C. I and III
D. III
A. I and II
Which one of the following would prevent a chart from being
coded for Medicare risk adjustment?
