AAPC CPC FINAL EXAMS FINAL PAPER Questions with Correct
Answers (Grade A+)
Question 1: LCDs only have jurisdiction in their ____.
Answer: Region Rationale: LCDs only have jurisdiction within their region.
Question 2: When coding an operative report, what action would NOT be recommended?
Answer: Coding from the header without reading the body of the report. Rationale: Operative report coding
tips include reviewing the documentation in the detail of the procedure to further clarify or define both
procedures and diagnoses.
Question 3: The OIG recommends that provider practices enforce disciplinary actions through well
publicized compliance guidelines to ensure actions that are ______.
Answer: Consistent and appropriate Rationale: The OIG recommends that a provider practice's enforcement
and disciplinary mechanisms ensure that violations of the practice's compliance policies will result in
consistent and appropriate sanctions, including the possibility of termination, against the offending
individual.
Question 4: Which of the following choices is NOT a benefit of an active compliance plan?
Answer: Eliminates risk of an audit. Rationale: Although voluntary, a compliance plan may offer several
benefits, among them:
Question 5: Healthcare providers are responsible for developing ____ ____ and policies and procedures
regarding privacy in their practices.
Answer: Notices of Privacy Practices Rationale: Healthcare providers are responsible for developing
Notices of Privacy Practices and policies and procedures regarding privacy in their practices.
Question 6: What type of health insurance provides coverage for low-income families?
Answer: Medicaid Rationale: Medicaid is a health insurance assistance program for some low-income
people (especially children and pregnant women) sponsored by federal and state governments.
Question 7: What is the purpose of National Coverage Determinations?
Answer: To explain CMS policies on when Medicare will pay for items or services. Rationale: National
Coverage Determinations (NCD) explain CMS policies on when Medicare will pay for items or services.
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Answers (Grade A+)
Question 1: LCDs only have jurisdiction in their ____.
Answer: Region Rationale: LCDs only have jurisdiction within their region.
Question 2: When coding an operative report, what action would NOT be recommended?
Answer: Coding from the header without reading the body of the report. Rationale: Operative report coding
tips include reviewing the documentation in the detail of the procedure to further clarify or define both
procedures and diagnoses.
Question 3: The OIG recommends that provider practices enforce disciplinary actions through well
publicized compliance guidelines to ensure actions that are ______.
Answer: Consistent and appropriate Rationale: The OIG recommends that a provider practice's enforcement
and disciplinary mechanisms ensure that violations of the practice's compliance policies will result in
consistent and appropriate sanctions, including the possibility of termination, against the offending
individual.
Question 4: Which of the following choices is NOT a benefit of an active compliance plan?
Answer: Eliminates risk of an audit. Rationale: Although voluntary, a compliance plan may offer several
benefits, among them:
Question 5: Healthcare providers are responsible for developing ____ ____ and policies and procedures
regarding privacy in their practices.
Answer: Notices of Privacy Practices Rationale: Healthcare providers are responsible for developing
Notices of Privacy Practices and policies and procedures regarding privacy in their practices.
Question 6: What type of health insurance provides coverage for low-income families?
Answer: Medicaid Rationale: Medicaid is a health insurance assistance program for some low-income
people (especially children and pregnant women) sponsored by federal and state governments.
Question 7: What is the purpose of National Coverage Determinations?
Answer: To explain CMS policies on when Medicare will pay for items or services. Rationale: National
Coverage Determinations (NCD) explain CMS policies on when Medicare will pay for items or services.
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