AAPC - Medical Coding Practice Exam 2022; Certified Coding Specialist
Practice Exam Questions, Answers, & Rationale
Many coding professionals go on to find work as: - Consultant
A medical record contains information on all but what areas? - Financial records
Technicians who specialize in coding are called: - Coding specialists
EHR stands for: - Electronic health record
What type of provider goes through approximately 26.5 months of education and is licensed to
practice medicine with the oversight of a physician? - Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to coders working
in physician offices and covers physician fees without the use of a private insurer? - Part B
The Medicare program is made up of several parts. Which part is affected by the Centers for
Medicare and Medicaid Services' - hierarchal condition categories (CMS-HCC)? - Part C
What does CMS-HCC stand for? - Centers for Medicare and Medicaid Services - Hierarchal Condition
Category
When coding an operative report, what action would NOT be recommended? - Coding from the
header without reading the body of the report
Outpatient coders focus on learning which coding manuals? - CPT, HCPCS Level II, and ICD-9-CM
Volumes 1 and 2
, If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient, who
determines coverage? - Medicare Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or technologies
are considered medically necessary under Medicare. - National Coverage Determinations Manual
National Coverage Determinations serve what purpose? - To spell out CMS policies on when
Medicare will pay for items or services
MAC stands for what? - Medicare Administrative Contractor
Local Coverage Determinations are administered by __? - Each regional MAC
LCD's only have jurisdiction in their __ area. - Regional
ABN stands for - Advance Beneficiary Notice
When are providers responsible for obtaining an ABN for a service not considered medically
necessary? - Prior to providing a service or item to a beneficiary
HIPAA stands for - Health Insurance Portability and Accountability Act
HIPAA was made into law in what year? - 1996
A covered entity does NOT include - Patient
What is the definition of coding? - Translating documentation into numerical/alphanumerical codes
used to obtain reimbursement
Practice Exam Questions, Answers, & Rationale
Many coding professionals go on to find work as: - Consultant
A medical record contains information on all but what areas? - Financial records
Technicians who specialize in coding are called: - Coding specialists
EHR stands for: - Electronic health record
What type of provider goes through approximately 26.5 months of education and is licensed to
practice medicine with the oversight of a physician? - Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to coders working
in physician offices and covers physician fees without the use of a private insurer? - Part B
The Medicare program is made up of several parts. Which part is affected by the Centers for
Medicare and Medicaid Services' - hierarchal condition categories (CMS-HCC)? - Part C
What does CMS-HCC stand for? - Centers for Medicare and Medicaid Services - Hierarchal Condition
Category
When coding an operative report, what action would NOT be recommended? - Coding from the
header without reading the body of the report
Outpatient coders focus on learning which coding manuals? - CPT, HCPCS Level II, and ICD-9-CM
Volumes 1 and 2
, If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient, who
determines coverage? - Medicare Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or technologies
are considered medically necessary under Medicare. - National Coverage Determinations Manual
National Coverage Determinations serve what purpose? - To spell out CMS policies on when
Medicare will pay for items or services
MAC stands for what? - Medicare Administrative Contractor
Local Coverage Determinations are administered by __? - Each regional MAC
LCD's only have jurisdiction in their __ area. - Regional
ABN stands for - Advance Beneficiary Notice
When are providers responsible for obtaining an ABN for a service not considered medically
necessary? - Prior to providing a service or item to a beneficiary
HIPAA stands for - Health Insurance Portability and Accountability Act
HIPAA was made into law in what year? - 1996
A covered entity does NOT include - Patient
What is the definition of coding? - Translating documentation into numerical/alphanumerical codes
used to obtain reimbursement
