AAPC CIC Exam Review AAPC Certified Inpatient Coder Exam Questions
and Answers | 100% Pass Guaranteed | Graded A+ |
2025-2026
AAPC CIC Certification Exam
Certified Inpatient Coder
AAPC CIC Certification Core + Medical Coding Training
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Which of the following are valid POA indicators? -
=Answer>> U, W, N, 1, Y
It is required by CMS that all hospitals submit the POA
indicator for all primary and secondary diagnosis that are
present upon admission to the hospital. This POA indicator
helps to determine reimbursement for existing conditions and
helps track hospital acquired conditions.
There are four indicators to assign to diagnosis codes to
indicate whether the condition was present on admission
(POA).
Y -Yes, the condition was present on admission.
N - No, the condition was not present on admission.
U - Unknown. POA U should not be routinely assigned. Coders
are encouraged to query the provider when the documentation
is unclear.
W- Clinically undetermined
1 - Enter a 1 on the UB-04 form if the diagnosis is exempt from
POA reporting.
The ICD-10-CM guidelines for reporting POA indicator are in
Appendix I.
, A coder in a hospital is using a grouper to calculate MS-DRG
assignment. The coder notices that there are multiple MS-DRGs
that could be assigned, the coder should: - =Answer>>
Choose the MS-DRG related to the primary diagnosis code and
procedures assigned for the case
MS-DRGs are assigned based on a number of factors with
diagnosis and procedure codes being a main driving force. The
coder should assign the MS-DRG most closely related to the
reason for visit and in line with the principal diagnosis
assigned according to coding guidelines.
Ideally, the chargemaster should not be the responsibility of a
single person. Which of the following people/departments
should be involved with annual chargemaster reviews?
I. HIM/Coding
II. Finance
III. Pharmacy
IV. Lab and/or Radiology - =Answer>> I, II, III, and IV
Who is responsible for requesting the pre-certification for an
elective or planned hospital admission? - =Answer>>
Provider (primary care or attending physician) or facility
rendering service
The Provider (Primary Care or Attending Physician) or facility
rendering the service is responsible for requesting the pre-
certification for elective or planned inpatient services. The
provider submits documentation and information to pre-
certify the physician services. The facility submits the same
information to pre-certify the services provided by the facility.
In what hospital setting does Medicare's 3-day payment
window become 1-day window instead? - =Answer>>
Psychiatric hospitals According to CMS, the hospital and
hospital units subject to the 1-day payment window policy
(instead of the 3-day payment window) are psychiatric
hospitals and units, inpatient rehabilitation hospitals and
units, long-term care hospitals, children's hospitals and cancer
hospitals.
Type of bill (TOB) code 0121 indicates: - =Answer>>
Hospital, inpatient (Medicare Part B only) Admit through
and Answers | 100% Pass Guaranteed | Graded A+ |
2025-2026
AAPC CIC Certification Exam
Certified Inpatient Coder
AAPC CIC Certification Core + Medical Coding Training
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Which of the following are valid POA indicators? -
=Answer>> U, W, N, 1, Y
It is required by CMS that all hospitals submit the POA
indicator for all primary and secondary diagnosis that are
present upon admission to the hospital. This POA indicator
helps to determine reimbursement for existing conditions and
helps track hospital acquired conditions.
There are four indicators to assign to diagnosis codes to
indicate whether the condition was present on admission
(POA).
Y -Yes, the condition was present on admission.
N - No, the condition was not present on admission.
U - Unknown. POA U should not be routinely assigned. Coders
are encouraged to query the provider when the documentation
is unclear.
W- Clinically undetermined
1 - Enter a 1 on the UB-04 form if the diagnosis is exempt from
POA reporting.
The ICD-10-CM guidelines for reporting POA indicator are in
Appendix I.
, A coder in a hospital is using a grouper to calculate MS-DRG
assignment. The coder notices that there are multiple MS-DRGs
that could be assigned, the coder should: - =Answer>>
Choose the MS-DRG related to the primary diagnosis code and
procedures assigned for the case
MS-DRGs are assigned based on a number of factors with
diagnosis and procedure codes being a main driving force. The
coder should assign the MS-DRG most closely related to the
reason for visit and in line with the principal diagnosis
assigned according to coding guidelines.
Ideally, the chargemaster should not be the responsibility of a
single person. Which of the following people/departments
should be involved with annual chargemaster reviews?
I. HIM/Coding
II. Finance
III. Pharmacy
IV. Lab and/or Radiology - =Answer>> I, II, III, and IV
Who is responsible for requesting the pre-certification for an
elective or planned hospital admission? - =Answer>>
Provider (primary care or attending physician) or facility
rendering service
The Provider (Primary Care or Attending Physician) or facility
rendering the service is responsible for requesting the pre-
certification for elective or planned inpatient services. The
provider submits documentation and information to pre-
certify the physician services. The facility submits the same
information to pre-certify the services provided by the facility.
In what hospital setting does Medicare's 3-day payment
window become 1-day window instead? - =Answer>>
Psychiatric hospitals According to CMS, the hospital and
hospital units subject to the 1-day payment window policy
(instead of the 3-day payment window) are psychiatric
hospitals and units, inpatient rehabilitation hospitals and
units, long-term care hospitals, children's hospitals and cancer
hospitals.
Type of bill (TOB) code 0121 indicates: - =Answer>>
Hospital, inpatient (Medicare Part B only) Admit through
