AAPC CIC Inpatient Coding Certification Exam
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2025-2026
The inpatient admission certification must be signed by
whom? - =Answer>> The admitting or attending physician
A 74 year old Medicare patient is seen in the outpatient cardiac
catheterization department of the hospital for atypical chest
pain. The left heart catheterization reveals that the patient has
3-vessel coronary artery disease. The patient returns to the
hospital two days later with a Non-STEMI and is taken to the
operation room for a 3-vessel CABG. Under what Medicare rule
will the left heart catheterization technical component be
bundled into the inpatient stay? - =Answer>> Three day
payment window
Which type of DRG system uses degrees of severity of Illness
and Risk of Mortality to determine the DRG? - =Answer>>
APR-DRG
Under the OPPS,-----is a term that refers to an item that will not
receive separate payment because it is considered an integral
, part of another service that is paid under the OPPS. -
=Answer>> Packaging/Bundling
Under APCs payment status indicator C Indicates: -
=Answer>> Inpatient only procedure
If a patient is admitted for surgery, The Joint Commission
requires that a history and physical be available for review in
the patient's medical record: - =Answer>> No more than 30
days prior to surgery, or within 24 hours after admission, but,
prior to the surgery
The local coverage determination provided discusses coverage
for inpatient, observation and outpatient services. Based on
the guidelines in the LCD which statement is true: -
=Answer>> (1)Condition Code 44 can only be applied to a
claim if the physician changes the patient status from
inpatient to outpatient prior to discharge. (2)Condition Code
44 is reported on the outpatient claim.
A patient with end stage liver cancer is admitted to Hospice for
end of life care. This service would be covered under: -
=Answer>> Medicare Part A
An external audit notes a trend of incorrectly coding cardiac
catheterization procedures. After the auditor issues a report,
what are the next steps the coding department should take? -
=Answer>> Review results with staff and educate as needed;
correct and rebill claims as allowed; continue to monitor for
improvement.
A violation of the False Claims Act may include which of the
following? - =Answer>> Deliberate ignorance of the truth or
falsity of the information on the claim, Knowingly submitting a
Review American Academy of Professional Coders
AAPC Exam Questions and Answers | 100% Pass
Guaranteed | Graded A+ |
2025-2026
The inpatient admission certification must be signed by
whom? - =Answer>> The admitting or attending physician
A 74 year old Medicare patient is seen in the outpatient cardiac
catheterization department of the hospital for atypical chest
pain. The left heart catheterization reveals that the patient has
3-vessel coronary artery disease. The patient returns to the
hospital two days later with a Non-STEMI and is taken to the
operation room for a 3-vessel CABG. Under what Medicare rule
will the left heart catheterization technical component be
bundled into the inpatient stay? - =Answer>> Three day
payment window
Which type of DRG system uses degrees of severity of Illness
and Risk of Mortality to determine the DRG? - =Answer>>
APR-DRG
Under the OPPS,-----is a term that refers to an item that will not
receive separate payment because it is considered an integral
, part of another service that is paid under the OPPS. -
=Answer>> Packaging/Bundling
Under APCs payment status indicator C Indicates: -
=Answer>> Inpatient only procedure
If a patient is admitted for surgery, The Joint Commission
requires that a history and physical be available for review in
the patient's medical record: - =Answer>> No more than 30
days prior to surgery, or within 24 hours after admission, but,
prior to the surgery
The local coverage determination provided discusses coverage
for inpatient, observation and outpatient services. Based on
the guidelines in the LCD which statement is true: -
=Answer>> (1)Condition Code 44 can only be applied to a
claim if the physician changes the patient status from
inpatient to outpatient prior to discharge. (2)Condition Code
44 is reported on the outpatient claim.
A patient with end stage liver cancer is admitted to Hospice for
end of life care. This service would be covered under: -
=Answer>> Medicare Part A
An external audit notes a trend of incorrectly coding cardiac
catheterization procedures. After the auditor issues a report,
what are the next steps the coding department should take? -
=Answer>> Review results with staff and educate as needed;
correct and rebill claims as allowed; continue to monitor for
improvement.
A violation of the False Claims Act may include which of the
following? - =Answer>> Deliberate ignorance of the truth or
falsity of the information on the claim, Knowingly submitting a
