AAPC FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
What kform kis kprovided kto ka kpatient kto kindicate ka kservice kmay knot kbe kcovered kby kmedicare kand kthe
kpatient kmay kbe kresponsible kfor kthe kcharges? k- kABN
Under kHIPAA kwhat kwould kbe ka kpolicy krequirement kfor k"minimum knecessary"? k- kOnly kindividuals
kwhos kjob krequires kit kmay khave kaccess kto kprotected khealth kinformation
What kdocument kis kreferenced kto kwhen klooking kfor kpotential kproblem kareas kindentified kby kthe
kgovernment kindicating kscrutiny kof kthe kservice? k- kOIG kwork kplan
Select kthe ktrue kstatement kregarding kABNs k- kA. kABNs kmay knot kbe krecognized kby knon kmedicare
kpayers
Which kact kwas kenacted kas kpart kof kthe kAmerican kRecovery kand kReinvestment kAct kof k2009 k(ARRA)
kand kaffected kprivacy kand ksecurity? k- kHITECH
When kpresenting ka kcost kestimate kof kan kABN kfor kpotentially knon kcovered kservice, kthe kcost kestimate
kshould kbe kwritten kwhat krange kof kthe kactual kcost? k- k$100 kor k25%
According kto kthe kexample kLCD kfrom knovitas ksolutions, kwhich kof kthe kfollowing kconditions kis
kconsidered ka ksystematic kcondition kthat kmay kresult kin kthe kneed kfor kroutine kfoot kcare? k- kChronic
kVenous kInsufficiency
Who kwould kNOT kbe kconsidered ka kcovered kenity kunder kHIPAA k- kPatients
What kdocument kassists kprovider koffices kwith kthe kdevelopment kof kcompliance kmanuals? k- kOIG
kcomplaince kprogram kguidance
Which kstatement kdescribes ka kmedically knecessary kservice? k- kUsing kthe kleast kradical kservice/
kprocedures kthat kallow kfor keffective ktreatment kof kthe kpatient's kcomplaints kor kcondition
What ktype kof kprofession, kother kthan kcoding, kmight kskilled kcoders kenter? k- kConsultants, keducators,
kmedical kauditors
What kis kthe kdifference kbetween koutpatient kand kinpatient kcoding? k- kInpatient kcoders kuse kICD-10-CM
kand kICD-10-PCS
What kis ka kmid klevel kprovider? k- kmid-level kproviders kinclude kphysician kassistants k(PA) kand knurse
kpractitioners k(NP)
What kone kis kthe kdifference kparts kof kmedicare? k- kPart kA,B,C,D
Evaluation kand kManagement k(E/M) kservices kare koften kprovided kand kdocumented kin ka kstandard
kformat. kOne ksuch kas kSOAP knotes. kWhat kdoes kSOAP krepresent? k- kSubjective, kObjective, kAssessment,
kPlan
, What kare kfive ktips kfor kcoding koperative k(OP) kreports k- kdiagnosis kcode kreporting, kStart kwith kthe
kprocedures klisted, kLook kfor kkey kwords, khighlight kunfamiliar kwords, kread kthe kbody
What kis kmedical knecessity? k- kRelates kto kwhether ka kprocedure kor kservice kis kconsidered kappropriate
kin ka kgiven kcircumstance.
What kis kNOT ka kcommon kreason kmedicare kmay kdeny ka kprocedure kor kservice? k- kcovered kservice
Under kthe kPrivacy krulem kthe kminimum knecessary kstandard kdoes knot kapply kto kwhat ktype kof
kdisclosures? k- kDisclosures kto kthe kindividual kwho kis kthe ksubject kof kthe kinformation
Which kis kNOT kone kof kthe kseven kkey kcomponents kof kinternal kcomplaince kplan? k- kConduct ktraining
kbut knot kperform keducation kon kpractice kstandards kand kprocedures
ABN kstands kfor? k- kAdvance kBeneficiary kNotice
What kdoes kthe kabbreviation kMAC kstand kfor? k- kMedicare kAdministration kContractor
The kOIG krecommends kthat kprovider kpractices kenforce kdisciplinary kactions kthrough kwell kpublicized
kcompliance kguidelines kto kensure kactions kthat kare? k- kConsistent kand kappropriate
EHR kstands kfor? k- kelectronic khealth krecord
Which kof kthe kfollowing kis ka kbenefit kof kelectronic ktransactions? k- kTimely ksubmission kof kclaims
What kyear kwas kHITECH kenacted kas kpart kof kthe kAmerican kRecovery kand kReinforcment kAct k- k2009
When kare kproviders kresponsible kfor kobtaining kon kABN kfor ka kservice kNOT kconsidered kmedically
knecessary? k- kPrior kto kproviding ka kservice kor kitem kto ka kbeneficiary
In kwhat kyear kdid kHIPAA kbecame klaw? k- k1996
Local kcoverage kdetermination kare kadministered kby kwhom? k- kEach kRegional kMAC
Which kof kthe kfollowing kchoices kis kNOT ka kbenefit kof kan kactive kcomplaince kplan? k- kEliminates krisk kof
kan kaudlit
LCDs konly khave kjurisdiction kin ktheir? k- kRegion
The kOIG kreleases ka k? koutlining kits kpriorities kfor kthe kfiscal kyear kahead kand kbeyond k- kWork kPlan
The kAAPC koffers k500 klocal kchapters kacross kthe kcountry kfor kthe kpurpose kof? k- kContinuing keducation
kand knetworking
The kmedicare kprogram kis kmade kup kof kseveral kparts. kWhich kpart kcovers kprovider kfees kwithout kthe
kuse kof ka kprivate kinsurer k- kPart kB
What ktype kof kprovider kgoes kthrough kapproximately k26 k1/2 kmonths kof keducation kafter kcompletion
kof ka kbachelors kdegree kand kis klicensed kto kpractice kmedicine kwith kthe koversight kof ka kphysician? k-
kPhysician kassistant k(PA)
A kcovered kenity kmay kobtain kconsent kfrom kan kindividual kto kuse kor kdisclose kprotected khealth
kinformation kto kcarry kout kall kof kthe kfollowing kexcept kfor kwhat? k- kResearch
SOLUTIONS
What kform kis kprovided kto ka kpatient kto kindicate ka kservice kmay knot kbe kcovered kby kmedicare kand kthe
kpatient kmay kbe kresponsible kfor kthe kcharges? k- kABN
Under kHIPAA kwhat kwould kbe ka kpolicy krequirement kfor k"minimum knecessary"? k- kOnly kindividuals
kwhos kjob krequires kit kmay khave kaccess kto kprotected khealth kinformation
What kdocument kis kreferenced kto kwhen klooking kfor kpotential kproblem kareas kindentified kby kthe
kgovernment kindicating kscrutiny kof kthe kservice? k- kOIG kwork kplan
Select kthe ktrue kstatement kregarding kABNs k- kA. kABNs kmay knot kbe krecognized kby knon kmedicare
kpayers
Which kact kwas kenacted kas kpart kof kthe kAmerican kRecovery kand kReinvestment kAct kof k2009 k(ARRA)
kand kaffected kprivacy kand ksecurity? k- kHITECH
When kpresenting ka kcost kestimate kof kan kABN kfor kpotentially knon kcovered kservice, kthe kcost kestimate
kshould kbe kwritten kwhat krange kof kthe kactual kcost? k- k$100 kor k25%
According kto kthe kexample kLCD kfrom knovitas ksolutions, kwhich kof kthe kfollowing kconditions kis
kconsidered ka ksystematic kcondition kthat kmay kresult kin kthe kneed kfor kroutine kfoot kcare? k- kChronic
kVenous kInsufficiency
Who kwould kNOT kbe kconsidered ka kcovered kenity kunder kHIPAA k- kPatients
What kdocument kassists kprovider koffices kwith kthe kdevelopment kof kcompliance kmanuals? k- kOIG
kcomplaince kprogram kguidance
Which kstatement kdescribes ka kmedically knecessary kservice? k- kUsing kthe kleast kradical kservice/
kprocedures kthat kallow kfor keffective ktreatment kof kthe kpatient's kcomplaints kor kcondition
What ktype kof kprofession, kother kthan kcoding, kmight kskilled kcoders kenter? k- kConsultants, keducators,
kmedical kauditors
What kis kthe kdifference kbetween koutpatient kand kinpatient kcoding? k- kInpatient kcoders kuse kICD-10-CM
kand kICD-10-PCS
What kis ka kmid klevel kprovider? k- kmid-level kproviders kinclude kphysician kassistants k(PA) kand knurse
kpractitioners k(NP)
What kone kis kthe kdifference kparts kof kmedicare? k- kPart kA,B,C,D
Evaluation kand kManagement k(E/M) kservices kare koften kprovided kand kdocumented kin ka kstandard
kformat. kOne ksuch kas kSOAP knotes. kWhat kdoes kSOAP krepresent? k- kSubjective, kObjective, kAssessment,
kPlan
, What kare kfive ktips kfor kcoding koperative k(OP) kreports k- kdiagnosis kcode kreporting, kStart kwith kthe
kprocedures klisted, kLook kfor kkey kwords, khighlight kunfamiliar kwords, kread kthe kbody
What kis kmedical knecessity? k- kRelates kto kwhether ka kprocedure kor kservice kis kconsidered kappropriate
kin ka kgiven kcircumstance.
What kis kNOT ka kcommon kreason kmedicare kmay kdeny ka kprocedure kor kservice? k- kcovered kservice
Under kthe kPrivacy krulem kthe kminimum knecessary kstandard kdoes knot kapply kto kwhat ktype kof
kdisclosures? k- kDisclosures kto kthe kindividual kwho kis kthe ksubject kof kthe kinformation
Which kis kNOT kone kof kthe kseven kkey kcomponents kof kinternal kcomplaince kplan? k- kConduct ktraining
kbut knot kperform keducation kon kpractice kstandards kand kprocedures
ABN kstands kfor? k- kAdvance kBeneficiary kNotice
What kdoes kthe kabbreviation kMAC kstand kfor? k- kMedicare kAdministration kContractor
The kOIG krecommends kthat kprovider kpractices kenforce kdisciplinary kactions kthrough kwell kpublicized
kcompliance kguidelines kto kensure kactions kthat kare? k- kConsistent kand kappropriate
EHR kstands kfor? k- kelectronic khealth krecord
Which kof kthe kfollowing kis ka kbenefit kof kelectronic ktransactions? k- kTimely ksubmission kof kclaims
What kyear kwas kHITECH kenacted kas kpart kof kthe kAmerican kRecovery kand kReinforcment kAct k- k2009
When kare kproviders kresponsible kfor kobtaining kon kABN kfor ka kservice kNOT kconsidered kmedically
knecessary? k- kPrior kto kproviding ka kservice kor kitem kto ka kbeneficiary
In kwhat kyear kdid kHIPAA kbecame klaw? k- k1996
Local kcoverage kdetermination kare kadministered kby kwhom? k- kEach kRegional kMAC
Which kof kthe kfollowing kchoices kis kNOT ka kbenefit kof kan kactive kcomplaince kplan? k- kEliminates krisk kof
kan kaudlit
LCDs konly khave kjurisdiction kin ktheir? k- kRegion
The kOIG kreleases ka k? koutlining kits kpriorities kfor kthe kfiscal kyear kahead kand kbeyond k- kWork kPlan
The kAAPC koffers k500 klocal kchapters kacross kthe kcountry kfor kthe kpurpose kof? k- kContinuing keducation
kand knetworking
The kmedicare kprogram kis kmade kup kof kseveral kparts. kWhich kpart kcovers kprovider kfees kwithout kthe
kuse kof ka kprivate kinsurer k- kPart kB
What ktype kof kprovider kgoes kthrough kapproximately k26 k1/2 kmonths kof keducation kafter kcompletion
kof ka kbachelors kdegree kand kis klicensed kto kpractice kmedicine kwith kthe koversight kof ka kphysician? k-
kPhysician kassistant k(PA)
A kcovered kenity kmay kobtain kconsent kfrom kan kindividual kto kuse kor kdisclose kprotected khealth
kinformation kto kcarry kout kall kof kthe kfollowing kexcept kfor kwhat? k- kResearch
