AAPC CPC ACTUAL TEST Questions with Correct Answers (Grade
A+)
Question 1: OIG Compliance Program for Individual and Small Group Physician Practices include the
following key actions.
Answer: * Implement compliance and practice standards through the development of written standards and
procedures. * designate a compliance officer or contac to monitor compliance efforts and enforce practice
standards * conduct appropriate training and education of practice standards and procedures * conduct
internal monitoring and auditing through the performance of periodic audits * respond appropriately to
detected violations through the investigation of allegations through the investigation of allegations and the
disclosure of incidents to appropriate government entitities * Develop open lines of communication *
Enforce disciplinary standards through well-publicized guidelines
Question 2: PA.
Answer: Physician Assistant
Question 3: PE.
Answer: Physician Expense
Question 4: PFS.
Answer: Physician Fee Schedule
Question 5: PHI.
Answer: protected health information
Question 6: PLI.
Answer: Professional Liability Insurance
Question 7: Published Conversion factor for CY 2012.
Answer: $34.0376
Question 8: Published conversion factor for CY 2011.
Answer: $33.9764
Question 9: RBRVS.
Answer: Resource Based Relative Value System
Page 1
, Question 10: RUC.
Answer: Relative Value Update Committee
Question 11: Resource costs for RBRVS are divided into three componentes:.
Answer:
1. physican work
2. practice expense
3. professional liability insurance
Question 12: Sebacious glands are a part of which anatomic system?
Answer: Integumentary
Question 13: The ABN form is entitled.
Answer: Revised ABN CMS-R-131 and is available with instructions as a free download on the CMS
website.
Question 14: The ABN is a standardized form that.
Answer: explains to the patient why Medicare may deny the particular service or procedure.
Question 15: The OIG is mandated by public law to engage in activities to test.
Answer: the efficiency and economy of government programs to include investigation of suspected health
care fraud or abuse.
Question 16: The amount on an ABN should be within how much of the cost to the patient?
Answer: $100 or 25% of cost RATIONALE: CMS instructions stipulate, "Notifires msut make a good faith
effort to insert a reasonable estimate....the estimate should be within $100 or 25% of the actual costs,
whichever is greater.
Question 17: The myocardium is thickest around which chamber of the heart?
Answer: left ventricle
Question 18: The term "medical necessity refers to.
Answer: whether a procedure or service is considered appropriate in a given circumstance.
Question 19: The tunica vaginalis is part of which system?
Answer: male reproductive
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A+)
Question 1: OIG Compliance Program for Individual and Small Group Physician Practices include the
following key actions.
Answer: * Implement compliance and practice standards through the development of written standards and
procedures. * designate a compliance officer or contac to monitor compliance efforts and enforce practice
standards * conduct appropriate training and education of practice standards and procedures * conduct
internal monitoring and auditing through the performance of periodic audits * respond appropriately to
detected violations through the investigation of allegations through the investigation of allegations and the
disclosure of incidents to appropriate government entitities * Develop open lines of communication *
Enforce disciplinary standards through well-publicized guidelines
Question 2: PA.
Answer: Physician Assistant
Question 3: PE.
Answer: Physician Expense
Question 4: PFS.
Answer: Physician Fee Schedule
Question 5: PHI.
Answer: protected health information
Question 6: PLI.
Answer: Professional Liability Insurance
Question 7: Published Conversion factor for CY 2012.
Answer: $34.0376
Question 8: Published conversion factor for CY 2011.
Answer: $33.9764
Question 9: RBRVS.
Answer: Resource Based Relative Value System
Page 1
, Question 10: RUC.
Answer: Relative Value Update Committee
Question 11: Resource costs for RBRVS are divided into three componentes:.
Answer:
1. physican work
2. practice expense
3. professional liability insurance
Question 12: Sebacious glands are a part of which anatomic system?
Answer: Integumentary
Question 13: The ABN form is entitled.
Answer: Revised ABN CMS-R-131 and is available with instructions as a free download on the CMS
website.
Question 14: The ABN is a standardized form that.
Answer: explains to the patient why Medicare may deny the particular service or procedure.
Question 15: The OIG is mandated by public law to engage in activities to test.
Answer: the efficiency and economy of government programs to include investigation of suspected health
care fraud or abuse.
Question 16: The amount on an ABN should be within how much of the cost to the patient?
Answer: $100 or 25% of cost RATIONALE: CMS instructions stipulate, "Notifires msut make a good faith
effort to insert a reasonable estimate....the estimate should be within $100 or 25% of the actual costs,
whichever is greater.
Question 17: The myocardium is thickest around which chamber of the heart?
Answer: left ventricle
Question 18: The term "medical necessity refers to.
Answer: whether a procedure or service is considered appropriate in a given circumstance.
Question 19: The tunica vaginalis is part of which system?
Answer: male reproductive
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