AAPC FINAL EXAM QUESTIONS
WITH 100% ACCURATE
ANSWERS
1) What form is provided to a patient to indicate a service may not be
covered by Medicare and the patient may be responsible for the charges?
- Correct Answer-ABN
2) Under HIPAA what would be a policy requirement for "minimum
necessary"? - Correct Answer-Only individuals whose job requires it may
have access to protected health information
3) What document is referenced to when looking for potential problem areas
identified by the government indicating scrutiny of the service? - Correct
Answer-OIG work plan
4) Select the true statement regarding ABNs - Correct Answer-A. ABNs
may not be recognized by non-Medicare payers
5) Which act was enacted as part of the American Recovery and
Reinvestment Act of 2009 (ARRA) and affected privacy and security? -
Correct Answer-HITECH
6) When presenting a cost estimate of an ABN for potentially non covered
service, the cost estimate should be written what range of the actual cost?
- Correct Answer-$100 or 25%
7) According to the example LCD from Novita’s solutions, which of the
following conditions is considered a systematic condition that may result
in the need for routine foot care? - Correct Answer-Chronic Venous
Insufficiency
8) Who would NOT be considered a covered entity under HIPAA - Correct
Answer-Patients
, 9) What document assists provider offices with the development of
compliance manuals? - Correct Answer-OIG compliance program
guidance
10) Which statement describes a medically necessary service? -
Correct Answer-Using the least radical service/ procedures that allow for
effective treatment of the patient's complaints or condition
11) What type of profession, other than coding, might skilled coders
enter? - Correct Answer-Consultants, educators, medical auditors
12) What is the difference between outpatient and inpatient coding? -
Correct Answer-Inpatient coders use ICD-10-CM and ICD-10-PCS
13) What is a mid level provider? - Correct Answer-mid-level
providers include physician assistants (PA) and nurse practitioners (NP)
14) What one is the difference parts of Medicare? - Correct Answer-
Part A,B,C,D
15) Evaluation and Management (E/M) services are often provided and
documented in a standard format. One such as SOAP notes. What does
SOAP represent? - Correct Answer-Subjective, Objective, Assessment,
Plan
16) What are five tips for coding operative (OP) reports - Correct
Answer-diagnosis code reporting, Start with the procedures listed, Look
for key words, highlight unfamiliar words, read the body
17) What is medical necessity? - Correct Answer-Relates to whether a
procedure or service is considered appropriate in a given circumstance.
18) What is NOT a common reason Medicare may deny a procedure or
service? - Correct Answer-covered service
19) Under the Privacy rule the minimum necessary standard does not
apply to what type of disclosures? - Correct Answer-Disclosures to the
individual who is the subject of the information
WITH 100% ACCURATE
ANSWERS
1) What form is provided to a patient to indicate a service may not be
covered by Medicare and the patient may be responsible for the charges?
- Correct Answer-ABN
2) Under HIPAA what would be a policy requirement for "minimum
necessary"? - Correct Answer-Only individuals whose job requires it may
have access to protected health information
3) What document is referenced to when looking for potential problem areas
identified by the government indicating scrutiny of the service? - Correct
Answer-OIG work plan
4) Select the true statement regarding ABNs - Correct Answer-A. ABNs
may not be recognized by non-Medicare payers
5) Which act was enacted as part of the American Recovery and
Reinvestment Act of 2009 (ARRA) and affected privacy and security? -
Correct Answer-HITECH
6) When presenting a cost estimate of an ABN for potentially non covered
service, the cost estimate should be written what range of the actual cost?
- Correct Answer-$100 or 25%
7) According to the example LCD from Novita’s solutions, which of the
following conditions is considered a systematic condition that may result
in the need for routine foot care? - Correct Answer-Chronic Venous
Insufficiency
8) Who would NOT be considered a covered entity under HIPAA - Correct
Answer-Patients
, 9) What document assists provider offices with the development of
compliance manuals? - Correct Answer-OIG compliance program
guidance
10) Which statement describes a medically necessary service? -
Correct Answer-Using the least radical service/ procedures that allow for
effective treatment of the patient's complaints or condition
11) What type of profession, other than coding, might skilled coders
enter? - Correct Answer-Consultants, educators, medical auditors
12) What is the difference between outpatient and inpatient coding? -
Correct Answer-Inpatient coders use ICD-10-CM and ICD-10-PCS
13) What is a mid level provider? - Correct Answer-mid-level
providers include physician assistants (PA) and nurse practitioners (NP)
14) What one is the difference parts of Medicare? - Correct Answer-
Part A,B,C,D
15) Evaluation and Management (E/M) services are often provided and
documented in a standard format. One such as SOAP notes. What does
SOAP represent? - Correct Answer-Subjective, Objective, Assessment,
Plan
16) What are five tips for coding operative (OP) reports - Correct
Answer-diagnosis code reporting, Start with the procedures listed, Look
for key words, highlight unfamiliar words, read the body
17) What is medical necessity? - Correct Answer-Relates to whether a
procedure or service is considered appropriate in a given circumstance.
18) What is NOT a common reason Medicare may deny a procedure or
service? - Correct Answer-covered service
19) Under the Privacy rule the minimum necessary standard does not
apply to what type of disclosures? - Correct Answer-Disclosures to the
individual who is the subject of the information
