AAPC CASES CPMA Review Exam Questions and Answers

AAPC CASES CPMA Review Exam Questions and Answers You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? - Correct ️️ Patient identification, assignment of benefits, patient's medical history, immunizations, physical examination, lab report, clinical impression, and physician orders. As an auditor, who of the following would NOT be expected to submit operative notes? - Correct ️️ Surgical assistants A provider knows that an evaluation and management service they provide on the same date as a major procedure will be bundled, so he submits the claim for the E/M with a different date of service. This is an example of: - Correct ️️ Fraud In preparation for a high volume of patients coming in for chemotherapy, the nurse documents the chemotherapy treatments in advance. The purpose is to speed up the treatment process so patients do not have to wait long. Would this cause concern in an audit? - Correct ️️ Yes, chart entry should not be made in advance of the treatment. Patients can request copies of disclosure of PHI under HIPAA: - Correct ️️ For a six (6) year period of time SOAP and CHEDDAR are two formats of medical record documentation. Which section of each format would you find the patient's history? - Correct ️️ S in SOAP and C in CHEDDAR When must ABNs be signed? - Correct ️️ Far enough in advance that the beneficiary or representative has time to consider the options and make an informed choice