AAPC CRC STUDY GUIDE
UPDATED ACTUAL QUESTIONS WITH CORRECT
ANSWERS
Question 1.
which medicare part adjustment models
ANSWER
is reimbursed based on the risk part c
Question 2.
who typically employs
ANSWER
risk adjustment coders health plans
Question 3.
is a health plan required essary rule
ANSWER
to follow the minimum nec- yes, health plans are covered entities and are therefore required
to follow the minimum necessary rule
Question 4.
what is an example
ANSWER
of fraud reporting a diagnosis or co-morbidity that does not exist to obtain higher
reimbursement
Question 5.
which part of medicare tage
ANSWER
is also called medicare advan- part c
,Question 6.
which health insurance sored by federal and
ANSWER
assistance program is spon- medicaid state governments
Question 7.
what OIG document participant review receive special scrutiny
ANSWER
should a medicare advantage OIG work plan for potential problem areas that will in the
upcoming year
Question 8.
which code set is
ANSWER
used by risk adjustment coders icd-10-cm
Question 9.
which regulation ing privacy and security electronic transmission
ANSWER
strengthens HIPAA rules by address- Health Information Techconcerns associated with the
nology for Economic of health information and Clinical Health Act (HITECH)
Question 10.
what is coding
ANSWER
translating a written or dictated medical record into a series of alphanumeric codes
Question 11.
which organ is in
ANSWER
the thoracic cavity lungs
, Question 12.
what does the term
ANSWER
distal indicate farther from the point of attachment
Question 13.
blood is received through....
ANSWER
back into the left atrium of the heart pulmonary veins
Question 14.
the root of the nail
ANSWER
is also known as what germinal matrix
Question 15.
the documentation had a lumpectomy which successfully how would this be
ANSWER
states: Past Surgical history: she personal history of breast of the breast for DCIS 12 years ago
cancer eradicated the CA reported
Question 16.
the documentation what system would
ANSWER
states: soft druse, some calcified ocular have this documentation
Question 17.
which organ does
ANSWER
pulmonary refer to lungs
UPDATED ACTUAL QUESTIONS WITH CORRECT
ANSWERS
Question 1.
which medicare part adjustment models
ANSWER
is reimbursed based on the risk part c
Question 2.
who typically employs
ANSWER
risk adjustment coders health plans
Question 3.
is a health plan required essary rule
ANSWER
to follow the minimum nec- yes, health plans are covered entities and are therefore required
to follow the minimum necessary rule
Question 4.
what is an example
ANSWER
of fraud reporting a diagnosis or co-morbidity that does not exist to obtain higher
reimbursement
Question 5.
which part of medicare tage
ANSWER
is also called medicare advan- part c
,Question 6.
which health insurance sored by federal and
ANSWER
assistance program is spon- medicaid state governments
Question 7.
what OIG document participant review receive special scrutiny
ANSWER
should a medicare advantage OIG work plan for potential problem areas that will in the
upcoming year
Question 8.
which code set is
ANSWER
used by risk adjustment coders icd-10-cm
Question 9.
which regulation ing privacy and security electronic transmission
ANSWER
strengthens HIPAA rules by address- Health Information Techconcerns associated with the
nology for Economic of health information and Clinical Health Act (HITECH)
Question 10.
what is coding
ANSWER
translating a written or dictated medical record into a series of alphanumeric codes
Question 11.
which organ is in
ANSWER
the thoracic cavity lungs
, Question 12.
what does the term
ANSWER
distal indicate farther from the point of attachment
Question 13.
blood is received through....
ANSWER
back into the left atrium of the heart pulmonary veins
Question 14.
the root of the nail
ANSWER
is also known as what germinal matrix
Question 15.
the documentation had a lumpectomy which successfully how would this be
ANSWER
states: Past Surgical history: she personal history of breast of the breast for DCIS 12 years ago
cancer eradicated the CA reported
Question 16.
the documentation what system would
ANSWER
states: soft druse, some calcified ocular have this documentation
Question 17.
which organ does
ANSWER
pulmonary refer to lungs
