AAPC CPC FINAL PAPER Questions with Correct Answers (Grade
A+)
Question 1: HITECH was enacted as part of.
Answer: the American Recovery and Reinvestment Act of 2009 (ARRA)
Question 2: HMO.
Answer: Health Maintenence Organization
Question 3: Hemiplegia is a disorder caused by a defect in which anatomic system?
Answer: nervous
Question 4: ICD-9-CM.
Answer: International Classification of Disease, 9th Clinical Modification
Question 5: IF: Work RVUs = 0.48 Work GPCI = 1.000 Practice Expense CPCI = 0.943 MP GPCI =
0.572 transitioned non-facility practice RVUs = 0.70 Calculate non-facility pricing amount for cpt code
99212 using 2011 CF of $33.9764.
Answer: $39.51 Non-facility pricing amount (physician office, private practice)
Question 6: If a sevice fails to support medical necessity requirements per the LCD, and the service is
not covered, the practice would be responsible for obtaining a(n).
Answer: Advance Beneficiarly Notice of NonCoverage (Advance Benefiary Notice, or ABN)
Question 7: If an NCD doesn't exist for a particular item, its up to the ______ to determine coverage.
Answer: MAC
Question 8: If an inbuilding pharmacy delivers medication (for home use) to an individual receiving
outpatient chemotherapy, which part of Medicare should be billed for the pain medication by the
pharmacy?
Answer: Part D
Question 9: Incus, stapes, _____.
Answer: malleus
Page 1
, Question 10: Intentional billing of services not provided is considered.
Answer:
Question 11: LCD.
Answer: Local Coverage Determinations
Question 12: LCDs have jurisdiction only within.
Answer: their regional area
Question 13: LCDs give guidance when.
Answer: * a given service is indicated or necessary, * give guidance on coverage limitations * describe the
specific CPT codes to which the policy applies * lists IICD-9-CM codes that support medical necessity for
the given service or procedure
Question 14: MP.
Answer: Malpractice
Question 15: MS-DRG.
Answer: Medical Severity-Diagnosis Related Group
Question 16: Medicaid is a.
Answer: a health insurance assistance program for some low-income people
Question 17: state by state basis adhering to certain federal guidelines.
Answer: Medicaid is adminisitered on a.
Question 18: Medicare Part B helps to cover.
Answer: medically necessary physicians' services ouptatient care other medical services (including some
preventative services) not covered under Part A
Question 19: Medicare Part B premiums are paid by.
Answer: the patient
Question 20: Medicare Part C combines the benefits of.
Answer: Part A and Part B and sometimes Part D
Page 2
A+)
Question 1: HITECH was enacted as part of.
Answer: the American Recovery and Reinvestment Act of 2009 (ARRA)
Question 2: HMO.
Answer: Health Maintenence Organization
Question 3: Hemiplegia is a disorder caused by a defect in which anatomic system?
Answer: nervous
Question 4: ICD-9-CM.
Answer: International Classification of Disease, 9th Clinical Modification
Question 5: IF: Work RVUs = 0.48 Work GPCI = 1.000 Practice Expense CPCI = 0.943 MP GPCI =
0.572 transitioned non-facility practice RVUs = 0.70 Calculate non-facility pricing amount for cpt code
99212 using 2011 CF of $33.9764.
Answer: $39.51 Non-facility pricing amount (physician office, private practice)
Question 6: If a sevice fails to support medical necessity requirements per the LCD, and the service is
not covered, the practice would be responsible for obtaining a(n).
Answer: Advance Beneficiarly Notice of NonCoverage (Advance Benefiary Notice, or ABN)
Question 7: If an NCD doesn't exist for a particular item, its up to the ______ to determine coverage.
Answer: MAC
Question 8: If an inbuilding pharmacy delivers medication (for home use) to an individual receiving
outpatient chemotherapy, which part of Medicare should be billed for the pain medication by the
pharmacy?
Answer: Part D
Question 9: Incus, stapes, _____.
Answer: malleus
Page 1
, Question 10: Intentional billing of services not provided is considered.
Answer:
Question 11: LCD.
Answer: Local Coverage Determinations
Question 12: LCDs have jurisdiction only within.
Answer: their regional area
Question 13: LCDs give guidance when.
Answer: * a given service is indicated or necessary, * give guidance on coverage limitations * describe the
specific CPT codes to which the policy applies * lists IICD-9-CM codes that support medical necessity for
the given service or procedure
Question 14: MP.
Answer: Malpractice
Question 15: MS-DRG.
Answer: Medical Severity-Diagnosis Related Group
Question 16: Medicaid is a.
Answer: a health insurance assistance program for some low-income people
Question 17: state by state basis adhering to certain federal guidelines.
Answer: Medicaid is adminisitered on a.
Question 18: Medicare Part B helps to cover.
Answer: medically necessary physicians' services ouptatient care other medical services (including some
preventative services) not covered under Part A
Question 19: Medicare Part B premiums are paid by.
Answer: the patient
Question 20: Medicare Part C combines the benefits of.
Answer: Part A and Part B and sometimes Part D
Page 2
