AAPC CHAPTER 1 EXAM WITH VERIFIED ANSWERS GRADED A+
1. Consultant Many coding professionals go on to find work as:
2. Financial records A medical record contains information on all but what
areas?
3. Coding specialists Technicians who specialize in coding are called:
4. Electronic health EHR stands for:
record
5. Physician Assistant What type of provider goes through approximately 26.5
(PA) months of education and is licensed to practice medi-
cine with the oversight of a physician?
6. Part B The Medicare program is made up of several parts.
Which part is most significant to coders working in
physician offices and covers physician fees without the
use of a private insurer?
7. Part C The Medicare program is made up of several parts.
Which part is affected by the Centers for Medicare and
Medicaid Services' - hierarchal condition categories
(CMS-HCC)?
8. Centers for What does CMS-HCC stand for?
Medicare and Med-
icaid Services - Hi-
erarchal Condition
Category
9. Coding from the When coding an operative report, what action would
header without NOT be recommended?
reading the body of
the report
10. CPT, HCPCS Level Outpatient coders focus on learning which coding man-
II, and ICD-9-CM Vol- uals?
umes 1 and 2
11.
1/5
, AAPC CHAPTER 1 EXAM WITH VERIFIED ANSWERS GRADED A+
Medicare Adminis- If an NCD doesn't exist for a particular service/proce-
trative Contractor dure performed on a Medicare patient, who determines
(MAC) coverage?
12. National Cover- The describes whether specific medical items, ser-
age Determinations vices, treatment procedures, or technologies are con-
Manual sidered medically necessary under Medicare.
13. To spell out CMS National Coverage Determinations serve what pur-
policies on when pose?
Medicare will pay for
items or services
14. Medicare Adminis- MAC stands for what?
trative Contractor
15. Each regional MAC Local Coverage Determinations are administered by
?
16. Regional LCD's only have jurisdiction in their area.
17. Advance Beneficia- ABN stands for
ry Notice
18. Prior to providing a When are providers responsible for obtaining an ABN
service or item to a for a service not considered medically necessary?
beneficiary
19. Health Insurance HIPAA stands for
Portability and Ac-
countability Act
20. 1996 HIPAA was made into law in what year?
21. Patient A covered entity does NOT include
22. Translating What is the definition of coding?
documentation into
numerical/alphanu-
merical codes used
2/5
1. Consultant Many coding professionals go on to find work as:
2. Financial records A medical record contains information on all but what
areas?
3. Coding specialists Technicians who specialize in coding are called:
4. Electronic health EHR stands for:
record
5. Physician Assistant What type of provider goes through approximately 26.5
(PA) months of education and is licensed to practice medi-
cine with the oversight of a physician?
6. Part B The Medicare program is made up of several parts.
Which part is most significant to coders working in
physician offices and covers physician fees without the
use of a private insurer?
7. Part C The Medicare program is made up of several parts.
Which part is affected by the Centers for Medicare and
Medicaid Services' - hierarchal condition categories
(CMS-HCC)?
8. Centers for What does CMS-HCC stand for?
Medicare and Med-
icaid Services - Hi-
erarchal Condition
Category
9. Coding from the When coding an operative report, what action would
header without NOT be recommended?
reading the body of
the report
10. CPT, HCPCS Level Outpatient coders focus on learning which coding man-
II, and ICD-9-CM Vol- uals?
umes 1 and 2
11.
1/5
, AAPC CHAPTER 1 EXAM WITH VERIFIED ANSWERS GRADED A+
Medicare Adminis- If an NCD doesn't exist for a particular service/proce-
trative Contractor dure performed on a Medicare patient, who determines
(MAC) coverage?
12. National Cover- The describes whether specific medical items, ser-
age Determinations vices, treatment procedures, or technologies are con-
Manual sidered medically necessary under Medicare.
13. To spell out CMS National Coverage Determinations serve what pur-
policies on when pose?
Medicare will pay for
items or services
14. Medicare Adminis- MAC stands for what?
trative Contractor
15. Each regional MAC Local Coverage Determinations are administered by
?
16. Regional LCD's only have jurisdiction in their area.
17. Advance Beneficia- ABN stands for
ry Notice
18. Prior to providing a When are providers responsible for obtaining an ABN
service or item to a for a service not considered medically necessary?
beneficiary
19. Health Insurance HIPAA stands for
Portability and Ac-
countability Act
20. 1996 HIPAA was made into law in what year?
21. Patient A covered entity does NOT include
22. Translating What is the definition of coding?
documentation into
numerical/alphanu-
merical codes used
2/5
