CPC Exam with all Correct & 100% Verified Answers |
Actual Complete Exam |Already Graded A+
Abstractor ✔Correct Answer-hospital employee who converts documented procedurs and
diangoses into medical codes
Abuse ✔Correct Answer-coding practices that lead to improper reimbursement by error
because they do not meet medical necessity, ex. changing diagnosis to be covered by insurance
Accreditation ✔Correct Answer-an examination process the healthcare facility goes through
to evaluate the facilities policies, procedures, and performance to meet higher standards.
Accredited ✔Correct Answer-Having seal of approval after being evaluated and demonstrating
quality standards
Act/ Law/ Statute ✔Correct Answer-Legislation passed through Congress and signed by
President or passed over his veto
Actual Charge ✔Correct Answer-The amount the provider charges for medical services or
supplies. Not always paid in full.
Additional Benefits ✔Correct Answer-Health care services not covered by Medicare and are
offered through the Medicare Advantage Organization for no additional premium. The benefits
must equal the ACR (Adjusted Community Rating)
Adjudication ✔Correct Answer-Health Insurance Claims process at the insurance company
Adjusted Average Per Capita Cost (AAPCC) ✔Correct Answer-Estimate of how much Medicare
will spend in a year for an average beneficiary
Administrative Code Sets ✔Correct Answer-Non medical code sets that characterize a general
business situation rather than a medical condition.
Administrative Costs ✔Correct Answer-Medicare, Medicaid, CMS refer to this as their
expenses to have the program, operating expenses, program management, etc.
Administrative Data ✔Correct Answer-Health insurance information stored in automated
information system about enrollment, eligibility, claims, etc.
Administrative Law Judge (ALJ) ✔Correct Answer-hearing officer who presides over appeal
conflicts between providers or beneficiaries, and Medicare contractors (MAC's)
, Administrative Simplification ✔Correct Answer-Part of HIPAA authorizing HHS (Health and
Human Services) to 1. adopt standards for transactions & code sets; 2. adopt standard
identifiers for health plans; 3. adopt standards to protect security & privacy of personally
identifiable health information.
Administrative Simplification Act ✔Correct Answer-Signed 12/17/01 allows HHS (Health &
Human Services) to exclude providers from Medicare for HIPAA non-compliance of electronic
claims and prohibit paper claims except in certain situations
Admission Date ✔Correct Answer-The date the patient was admitted for inpatient care,
outpatient, or start of care.For hospice, enter effective date of election of hospice benefits.
Admitting Diagnosis ✔Correct Answer-Diagnosis code indicating patient's diagnosis at
admission
Admitting Physician ✔Correct Answer-The doctor responsible for admitting a patient to the
hospital or other inpatient health facility
Advance Beneficiary Notification (ABN) ✔Correct Answer-A notice from provider to patient
that Medicare may deny payment. Patient must sign before services are provider, otherwise
patient is not responsible if Medicare does not cover.
Advanced Directive ✔Correct Answer-Statement written by patient on how they want medical
decisions to be made. May include a Living Will or Durable Power of Attorney for healthcare.
Allowed Charge ✔Correct Answer-Individual charge determination by carrier for a covered
service or supply.
Ambulatory Care ✔Correct Answer-All types of health services that do not require an
overnight stay.
Ambulatory Care Sensitive Conditions (ACSC) ✔Correct Answer-Medical condtions that if
treated immediatly and managed properly should not require hospitalization.
Ambulatory Payment Classification (APC) ✔Correct Answer-Medicare's outpatient prospective
payment system in which services are grouped based on the resources needed and payment is
fixed within each group
Ambulatory Surgery Center (ASC) ✔Correct Answer-Outpatient surgery center not located in
the hospital. Patient's may stay a few hours up to 1 night.
American Hospital Association (AHA) ✔Correct Answer-Represents concerns of instituitional
providers. They host the National Uniform Billing Committee (NUBC) which consults under
HIPAA
Actual Complete Exam |Already Graded A+
Abstractor ✔Correct Answer-hospital employee who converts documented procedurs and
diangoses into medical codes
Abuse ✔Correct Answer-coding practices that lead to improper reimbursement by error
because they do not meet medical necessity, ex. changing diagnosis to be covered by insurance
Accreditation ✔Correct Answer-an examination process the healthcare facility goes through
to evaluate the facilities policies, procedures, and performance to meet higher standards.
Accredited ✔Correct Answer-Having seal of approval after being evaluated and demonstrating
quality standards
Act/ Law/ Statute ✔Correct Answer-Legislation passed through Congress and signed by
President or passed over his veto
Actual Charge ✔Correct Answer-The amount the provider charges for medical services or
supplies. Not always paid in full.
Additional Benefits ✔Correct Answer-Health care services not covered by Medicare and are
offered through the Medicare Advantage Organization for no additional premium. The benefits
must equal the ACR (Adjusted Community Rating)
Adjudication ✔Correct Answer-Health Insurance Claims process at the insurance company
Adjusted Average Per Capita Cost (AAPCC) ✔Correct Answer-Estimate of how much Medicare
will spend in a year for an average beneficiary
Administrative Code Sets ✔Correct Answer-Non medical code sets that characterize a general
business situation rather than a medical condition.
Administrative Costs ✔Correct Answer-Medicare, Medicaid, CMS refer to this as their
expenses to have the program, operating expenses, program management, etc.
Administrative Data ✔Correct Answer-Health insurance information stored in automated
information system about enrollment, eligibility, claims, etc.
Administrative Law Judge (ALJ) ✔Correct Answer-hearing officer who presides over appeal
conflicts between providers or beneficiaries, and Medicare contractors (MAC's)
, Administrative Simplification ✔Correct Answer-Part of HIPAA authorizing HHS (Health and
Human Services) to 1. adopt standards for transactions & code sets; 2. adopt standard
identifiers for health plans; 3. adopt standards to protect security & privacy of personally
identifiable health information.
Administrative Simplification Act ✔Correct Answer-Signed 12/17/01 allows HHS (Health &
Human Services) to exclude providers from Medicare for HIPAA non-compliance of electronic
claims and prohibit paper claims except in certain situations
Admission Date ✔Correct Answer-The date the patient was admitted for inpatient care,
outpatient, or start of care.For hospice, enter effective date of election of hospice benefits.
Admitting Diagnosis ✔Correct Answer-Diagnosis code indicating patient's diagnosis at
admission
Admitting Physician ✔Correct Answer-The doctor responsible for admitting a patient to the
hospital or other inpatient health facility
Advance Beneficiary Notification (ABN) ✔Correct Answer-A notice from provider to patient
that Medicare may deny payment. Patient must sign before services are provider, otherwise
patient is not responsible if Medicare does not cover.
Advanced Directive ✔Correct Answer-Statement written by patient on how they want medical
decisions to be made. May include a Living Will or Durable Power of Attorney for healthcare.
Allowed Charge ✔Correct Answer-Individual charge determination by carrier for a covered
service or supply.
Ambulatory Care ✔Correct Answer-All types of health services that do not require an
overnight stay.
Ambulatory Care Sensitive Conditions (ACSC) ✔Correct Answer-Medical condtions that if
treated immediatly and managed properly should not require hospitalization.
Ambulatory Payment Classification (APC) ✔Correct Answer-Medicare's outpatient prospective
payment system in which services are grouped based on the resources needed and payment is
fixed within each group
Ambulatory Surgery Center (ASC) ✔Correct Answer-Outpatient surgery center not located in
the hospital. Patient's may stay a few hours up to 1 night.
American Hospital Association (AHA) ✔Correct Answer-Represents concerns of instituitional
providers. They host the National Uniform Billing Committee (NUBC) which consults under
HIPAA
