AAPC CPC 2021 Exam Study Guide
2023 QUESTIONS AND ANSWERS
ALREADY PASSED
Documentation (content) - CORRECT ANSWER Proper code assignment is
determined both by _____________ in the medical record and by the unique rules
that govern each code set in that instance
An auditor - CORRECT ANSWER The role a coder may take on to verify that the
documentation supports the codes the physician has selected
Query the physician - CORRECT ANSWER If the medical record is inaccurate or
incomplete, it will not translate properly to the language of codes. What can a coder
do in order for the medical record to be complete and accurate so they can bill
properly?
Quarterly (usually) - CORRECT ANSWER How often are codes and insurance
payment policies updated?
NPP - CORRECT ANSWER Non-Physician Provider (also known as mid-level
providers or physician extenders)
PA - CORRECT ANSWER Physician assistant
NP - CORRECT ANSWER Nurse practitioner
Commercial and Government - CORRECT ANSWER The two types of primary
insurances
Commercial Carriers - CORRECT ANSWER Private payers that may offer both
group and individual plans
Medicare - CORRECT ANSWER The most significant government insurer; a
federal health insurance program
, AAPC CPC 2021 Exam Study Guide
2023 QUESTIONS AND ANSWERS
ALREADY PASSED
People over 65, blind or disabled individuals, and people with permanent kidney
failure or end-stage renal disease - CORRECT ANSWER Medicare provides
coverage for what kind of people?
ESRD - CORRECT ANSWER end-stage renal disease
Medicare Part A - CORRECT ANSWER Helps cover inpatient hospital care, as
well as care provided in skilled nursing facilities, hospice care, and home healthcare,
Medicare Part B - CORRECT ANSWER Covers medically necessary physicians'
services, outpatient care, and other medical services (including some preventive
services) not covered under Medicare Part A. It can be an optional benefit.
Medicare Part C - CORRECT ANSWER Also called Medicare Advantage,
combines the benefits of Medicare Part A, Part B, and-sometimes- Part D. The plans
are managed by private insurers approved by Medicare.
Medicare Part D - CORRECT ANSWER A prescription drug program available to
all Medicare beneficiaries.
Medicaid - CORRECT ANSWER A health insurance assistance program for
some low-income people (especially children and pregnant women) sponsored by
federal and state governments.
RBRVS - CORRECT ANSWER Resource-Based Relative Value Scale
Resource-Based Relative Value Scale (RBRVS) - CORRECT ANSWER
Medicare payments for physician services are standardized using _____ and are
divided into three components.
2023 QUESTIONS AND ANSWERS
ALREADY PASSED
Documentation (content) - CORRECT ANSWER Proper code assignment is
determined both by _____________ in the medical record and by the unique rules
that govern each code set in that instance
An auditor - CORRECT ANSWER The role a coder may take on to verify that the
documentation supports the codes the physician has selected
Query the physician - CORRECT ANSWER If the medical record is inaccurate or
incomplete, it will not translate properly to the language of codes. What can a coder
do in order for the medical record to be complete and accurate so they can bill
properly?
Quarterly (usually) - CORRECT ANSWER How often are codes and insurance
payment policies updated?
NPP - CORRECT ANSWER Non-Physician Provider (also known as mid-level
providers or physician extenders)
PA - CORRECT ANSWER Physician assistant
NP - CORRECT ANSWER Nurse practitioner
Commercial and Government - CORRECT ANSWER The two types of primary
insurances
Commercial Carriers - CORRECT ANSWER Private payers that may offer both
group and individual plans
Medicare - CORRECT ANSWER The most significant government insurer; a
federal health insurance program
, AAPC CPC 2021 Exam Study Guide
2023 QUESTIONS AND ANSWERS
ALREADY PASSED
People over 65, blind or disabled individuals, and people with permanent kidney
failure or end-stage renal disease - CORRECT ANSWER Medicare provides
coverage for what kind of people?
ESRD - CORRECT ANSWER end-stage renal disease
Medicare Part A - CORRECT ANSWER Helps cover inpatient hospital care, as
well as care provided in skilled nursing facilities, hospice care, and home healthcare,
Medicare Part B - CORRECT ANSWER Covers medically necessary physicians'
services, outpatient care, and other medical services (including some preventive
services) not covered under Medicare Part A. It can be an optional benefit.
Medicare Part C - CORRECT ANSWER Also called Medicare Advantage,
combines the benefits of Medicare Part A, Part B, and-sometimes- Part D. The plans
are managed by private insurers approved by Medicare.
Medicare Part D - CORRECT ANSWER A prescription drug program available to
all Medicare beneficiaries.
Medicaid - CORRECT ANSWER A health insurance assistance program for
some low-income people (especially children and pregnant women) sponsored by
federal and state governments.
RBRVS - CORRECT ANSWER Resource-Based Relative Value Scale
Resource-Based Relative Value Scale (RBRVS) - CORRECT ANSWER
Medicare payments for physician services are standardized using _____ and are
divided into three components.
