AAPC CRC Study Guide Questions & Answers
1.which Medicare part is reimbursed based on the risk adjustment models
ANS -
part c
2.who typically employs risk adjustment coders
ANS health plans
3.is a health plan required to follow the minimum necessary rule
ANS yes, health plans are covered entities and are therefore required to
follow the minimum neces- sary rule
4.what is an example of fraud
ANS reporting a diagnosis or co-morbidity that does not exist to obtain
higher reimbursement
5.which part of medicare is also called medicare advantage
ANS part c
6.which health insurance assistance program is sponsored by federal
and state governments
ANS medicaid
,7.what OIG document should a medicare advantage participant review
for potential problem areas that will receive special scrutiny in the
upcoming year
ANS OIG work plan
8.which code set is used by risk adjustment coders
ANS icd-10-cm
9.which regulation strengthens HIPAA rules by addressing privacy and
secu- rity concerns associated with the electronic transmission of health
informa- tion
ANS Health Information Technology for Economic and Clinical Health Act
(HITECH)
10.what is coding
ANS translating a written or dictated medical record into a series of
alphanumeric codes
11.which organ is in the thoracic cavity
ANS lungs
12.what does the term distal indicate
ANS farther from the point of attachment
13.blood is received back into the left atrium of the heart through......
, ANS pulmonary veins
14.the root of the nail is also known as what
ANS germinal matrix
15.the documentation states Past Surgical history she had a lumpectomy of
the breast for DCIS 12 years ago which successfully eradicated the CA
how would this be reported
ANS personal history of breast cancer
16.the documentation states soft druse, some calcified
what system would have this documentation
ANS ocular
17.which organ does pulmonary refer to
ANS lungs
18.what is a PEG tube
ANS a tube inserted into the stomach for long term feeding
19.angina pectoris refers to which system
ANS cardiovascular
1.which Medicare part is reimbursed based on the risk adjustment models
ANS -
part c
2.who typically employs risk adjustment coders
ANS health plans
3.is a health plan required to follow the minimum necessary rule
ANS yes, health plans are covered entities and are therefore required to
follow the minimum neces- sary rule
4.what is an example of fraud
ANS reporting a diagnosis or co-morbidity that does not exist to obtain
higher reimbursement
5.which part of medicare is also called medicare advantage
ANS part c
6.which health insurance assistance program is sponsored by federal
and state governments
ANS medicaid
,7.what OIG document should a medicare advantage participant review
for potential problem areas that will receive special scrutiny in the
upcoming year
ANS OIG work plan
8.which code set is used by risk adjustment coders
ANS icd-10-cm
9.which regulation strengthens HIPAA rules by addressing privacy and
secu- rity concerns associated with the electronic transmission of health
informa- tion
ANS Health Information Technology for Economic and Clinical Health Act
(HITECH)
10.what is coding
ANS translating a written or dictated medical record into a series of
alphanumeric codes
11.which organ is in the thoracic cavity
ANS lungs
12.what does the term distal indicate
ANS farther from the point of attachment
13.blood is received back into the left atrium of the heart through......
, ANS pulmonary veins
14.the root of the nail is also known as what
ANS germinal matrix
15.the documentation states Past Surgical history she had a lumpectomy of
the breast for DCIS 12 years ago which successfully eradicated the CA
how would this be reported
ANS personal history of breast cancer
16.the documentation states soft druse, some calcified
what system would have this documentation
ANS ocular
17.which organ does pulmonary refer to
ANS lungs
18.what is a PEG tube
ANS a tube inserted into the stomach for long term feeding
19.angina pectoris refers to which system
ANS cardiovascular
