AAPC - CPC Chapter 1: The Business of
Medicine - 2024 Final Exam with
Answers
Under HIPAA, what would be a policy requirement for minimum necessary? - Answer>> Only individuals whose job requires it may have access to protected health information
Which Act was enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 and affected privacy and security? - Answer>> HITECH
What document assists provider offices with the development of compliance manuals? - Answer>> OIG Compliance Plan Guidance
What type of profession, other than coding, might skilled coders enter? - Answer>> Consultants, educators, and medical auditors
What is the difference between outpatient and inpatient coding? - Answer>> Inpatient coders use ICD-10-CM and ICD-10-PCS
What are the different parts of Medicare? - Answer>> Parts A,B,C, and D
Evaluation and Management (E/M) services are often provided and documented in a standard SOAP format. What does SOAP represent? - Answer>> Subjective
Objective
Assessment Plan
What are 5 tips for coding operative reports? - Answer>> Diagnosis code reporting
Start with procedures listed
Look for key words
Highlight unfamiliar words
Read the body
What is medical necessity? - Answer>> Relates to whether a procedure or service is considered appropriate in a given circumstance
What is NOT a common reason Medicare may deny a procedure or service? - Answer>> Covered service
Which is NOT one of the seven key components of an internal compliance plan? - Answer>> Conduct training but not perform education on practice standards and procedures
What is the value of a remittance advice? - Answer>> It states
what will be paid and why any changes to charges were made
The ____________ describes whether specific medical items, services, treatment procedures or technologies are considered medically necessary under Medicare? - Answer>> National Coverage Determinations Manual
Which option is NOT a covered entity under HIPAA? - Answer>> Workers' Compensation What type of insurance is Medicare Part D? - Answer>> Prescription drug coverage available to all Medicare beneficiaries
According to AAPC's Code of Ethics, an AAPC member shall use only _______ and _______ means in all professional dealings? - Answer>> Legal and ethical
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or _________, but also by showing that the provider is making additional good faith efforts to submit claims appropriately? - Answer>> Fraudulent claims
A covered entity may obtain consent from an individual to use or disclose protected health information to carry out all of the following EXCEPT what? - Answer>> Research
Healthcare providers are responsible for developing ___________ and policies and procedures regarding privacy in their practices? - Answer>> Notice of Privacy Practices
EHR - Answer>> Electronic health record
If an NCD does not exist for a particular service/procedure performed on a Medicare patient, who determines coverage? - Answer>> Medicare Administrative Contractor (MAC)
ABN - Answer>> Advance Beneficiary Notice
Professionals who specialize in coding are called? - Answer>>
Coding specialists
Medicine - 2024 Final Exam with
Answers
Under HIPAA, what would be a policy requirement for minimum necessary? - Answer>> Only individuals whose job requires it may have access to protected health information
Which Act was enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 and affected privacy and security? - Answer>> HITECH
What document assists provider offices with the development of compliance manuals? - Answer>> OIG Compliance Plan Guidance
What type of profession, other than coding, might skilled coders enter? - Answer>> Consultants, educators, and medical auditors
What is the difference between outpatient and inpatient coding? - Answer>> Inpatient coders use ICD-10-CM and ICD-10-PCS
What are the different parts of Medicare? - Answer>> Parts A,B,C, and D
Evaluation and Management (E/M) services are often provided and documented in a standard SOAP format. What does SOAP represent? - Answer>> Subjective
Objective
Assessment Plan
What are 5 tips for coding operative reports? - Answer>> Diagnosis code reporting
Start with procedures listed
Look for key words
Highlight unfamiliar words
Read the body
What is medical necessity? - Answer>> Relates to whether a procedure or service is considered appropriate in a given circumstance
What is NOT a common reason Medicare may deny a procedure or service? - Answer>> Covered service
Which is NOT one of the seven key components of an internal compliance plan? - Answer>> Conduct training but not perform education on practice standards and procedures
What is the value of a remittance advice? - Answer>> It states
what will be paid and why any changes to charges were made
The ____________ describes whether specific medical items, services, treatment procedures or technologies are considered medically necessary under Medicare? - Answer>> National Coverage Determinations Manual
Which option is NOT a covered entity under HIPAA? - Answer>> Workers' Compensation What type of insurance is Medicare Part D? - Answer>> Prescription drug coverage available to all Medicare beneficiaries
According to AAPC's Code of Ethics, an AAPC member shall use only _______ and _______ means in all professional dealings? - Answer>> Legal and ethical
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or _________, but also by showing that the provider is making additional good faith efforts to submit claims appropriately? - Answer>> Fraudulent claims
A covered entity may obtain consent from an individual to use or disclose protected health information to carry out all of the following EXCEPT what? - Answer>> Research
Healthcare providers are responsible for developing ___________ and policies and procedures regarding privacy in their practices? - Answer>> Notice of Privacy Practices
EHR - Answer>> Electronic health record
If an NCD does not exist for a particular service/procedure performed on a Medicare patient, who determines coverage? - Answer>> Medicare Administrative Contractor (MAC)
ABN - Answer>> Advance Beneficiary Notice
Professionals who specialize in coding are called? - Answer>>
Coding specialists
