AAPC OFFICIAL CPC CERTIFICATION STUDY GUIDE
NOTES UPDATED ACTUAL QUESTIONS WITH CORRECT
ANSWERS
Question 1.
A key provision in HIPAA is the Minimum Necessary requirement. this means
ANSWER
only the minimum necessary protected health information should be shared to satisfy a
particular purpose.
Question 2.
Italicized type
ANSWER
used for all exclusion notes and to identify codes that should not be used for describing the
primary diagnosis
Question 3.
Appendix E
ANSWER
List of 3 digit categories
Question 4.
PA
ANSWER
Physician Assistant
Question 5.
official coding and reporting guidelines are provided by
ANSWER
CMS and NCHS
,Question 6.
NP
ANSWER
Nurse Practitioner
Question 7.
The first 4 digits of a morphology code identify the
ANSWER
histological type of the neoplasm
Question 8.
Medicare Part C is also called
ANSWER
Medicare Advantage
Question 9.
What is an NCD interpreted at the MAC level considered?
ANSWER
LCD
Each MAC (Medicare Adminstrative Contractor) is responsible for interpreting national policies
into regional policies, or Local Coverage Determinations
Question 10.
APC
ANSWER
Ambulatory Payment Classification
, Question 11.
Code first
ANSWER
instruction used in categories not intended to be the principal diagnosis. These codes are
written in italics with a note. The note requires the underlying disease (etiology) be recorded
first and the particular manifestation be recorded second. This note only appears in the tabular
index
Question 12.
Medicare Part D is a coverage provided by
ANSWER
private companies approved by Medicare
Question 13.
NCD
ANSWER
National Coverage Determinations
Question 14.
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 15.
As a part of Health Care Reform, the Affordable Care Act of 2010 amended the definition of fraud to
remove the __________ requirement
ANSWER
intent
NOTES UPDATED ACTUAL QUESTIONS WITH CORRECT
ANSWERS
Question 1.
A key provision in HIPAA is the Minimum Necessary requirement. this means
ANSWER
only the minimum necessary protected health information should be shared to satisfy a
particular purpose.
Question 2.
Italicized type
ANSWER
used for all exclusion notes and to identify codes that should not be used for describing the
primary diagnosis
Question 3.
Appendix E
ANSWER
List of 3 digit categories
Question 4.
PA
ANSWER
Physician Assistant
Question 5.
official coding and reporting guidelines are provided by
ANSWER
CMS and NCHS
,Question 6.
NP
ANSWER
Nurse Practitioner
Question 7.
The first 4 digits of a morphology code identify the
ANSWER
histological type of the neoplasm
Question 8.
Medicare Part C is also called
ANSWER
Medicare Advantage
Question 9.
What is an NCD interpreted at the MAC level considered?
ANSWER
LCD
Each MAC (Medicare Adminstrative Contractor) is responsible for interpreting national policies
into regional policies, or Local Coverage Determinations
Question 10.
APC
ANSWER
Ambulatory Payment Classification
, Question 11.
Code first
ANSWER
instruction used in categories not intended to be the principal diagnosis. These codes are
written in italics with a note. The note requires the underlying disease (etiology) be recorded
first and the particular manifestation be recorded second. This note only appears in the tabular
index
Question 12.
Medicare Part D is a coverage provided by
ANSWER
private companies approved by Medicare
Question 13.
NCD
ANSWER
National Coverage Determinations
Question 14.
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 15.
As a part of Health Care Reform, the Affordable Care Act of 2010 amended the definition of fraud to
remove the __________ requirement
ANSWER
intent
