AAPC CPC exam prep Compliance and
Regulatory
A blanketed entity does NOT include:
A) Health plans
B) Patients
C) Healthcare carriers
D) Clearinghouses - ANS-B
AAPC credentialed coders have demonstrated mastery of what data?:
A) Code sets
B) Evaluation and management concepts
C) Documentation suggestions
D) All of the above - ANS-D
According to AAPC's Code of Ethics, an AAPC member shall use most effective ____ and ____
method in all expert dealings:
A) non-public and expert
B) prison and moral
C) felony and worthwhile
D) efficient and inexpensive - ANS-B
According to the AAPC Code of Ethics, which term is NOT indexed as an moral precept of
professional behavior?:
A) Integrity
B) Efficiency
C) Responsibility
D) Commitment - ANS-B
According to the example LCD from Novitas Solutions, which of the subsequent situations is
considered a systemic circumstance that can result in the need for recurring foot care? :
A) arthritis
B) chronic venous insufficiency
C) hypertension
D) muscle weak point - ANS-B (Rationale: According to the LCD, Chronic venous insufficiency
is a systemic circumstance that may bring about the want for ordinary foot care.)
Evaluation and management (E/M) services are often supplied and documented in a popular
layout. One such layout is SOAP notes. What does SOAP constitute?
A) Subjective, Objective, Assessment, Plan
B) Statement, Observation, Action, Prepare
C) Symptoms, Objective, Auscultation, Percussion
D) Subjective, Observation, Action, Plan - ANS-A
, Evaluation and control services are frequently provided in a widespread layout including SOAP
notes. What does the acronym SOAP stand for?:
A) Scope, Observation, Action, Plan
B) Source, Opinion, Advice, Provider
C) Subjective, Objective, Assessment, Plan
D) Standard, Objective, Activity, Period - ANS-C
HIPAA stands for:
A) Health Insurance Portability and Accountant Advice
B) Health Information Privacy Access Act
C) Health Insurance Provider Assistance Action
D) Health Insurance Portability and Accountability Act - ANS-D
HITECH gives a ____ day window all through which any violation no longer due to willful neglect
can be corrected with out penalty:
A) forty
B) 60
C) 45
D) 30 - ANS-D
If an NCD does not exist for a specific provider/system done on a Medicare affected person,
who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The medical doctor offering the service
C) Current Procedural Terminology (CPT®) pointers
D) Centers for Medicare & Medicaid Services (CMS) - ANS-A
In what year did HIPAA come to be regulation?:
A) 1992
B) 1997
C) 1996
D) 1995 - ANS-C
In what yr turned into HITECH enacted as a part of the American Recovery and Reinvestment
Act?:
A) 2010
B) 2000
C) 2007
D) 2009 - ANS-D
LCDs handiest have jurisdiction in their ____:
A) Locality
B) Region
C) District
D) State - ANS-B
Many coding professionals cross directly to discover work as:
A) Accountants
B) Medical Assistants
C) Financial Planners
D) Consultants - ANS-D
Regulatory
A blanketed entity does NOT include:
A) Health plans
B) Patients
C) Healthcare carriers
D) Clearinghouses - ANS-B
AAPC credentialed coders have demonstrated mastery of what data?:
A) Code sets
B) Evaluation and management concepts
C) Documentation suggestions
D) All of the above - ANS-D
According to AAPC's Code of Ethics, an AAPC member shall use most effective ____ and ____
method in all expert dealings:
A) non-public and expert
B) prison and moral
C) felony and worthwhile
D) efficient and inexpensive - ANS-B
According to the AAPC Code of Ethics, which term is NOT indexed as an moral precept of
professional behavior?:
A) Integrity
B) Efficiency
C) Responsibility
D) Commitment - ANS-B
According to the example LCD from Novitas Solutions, which of the subsequent situations is
considered a systemic circumstance that can result in the need for recurring foot care? :
A) arthritis
B) chronic venous insufficiency
C) hypertension
D) muscle weak point - ANS-B (Rationale: According to the LCD, Chronic venous insufficiency
is a systemic circumstance that may bring about the want for ordinary foot care.)
Evaluation and management (E/M) services are often supplied and documented in a popular
layout. One such layout is SOAP notes. What does SOAP constitute?
A) Subjective, Objective, Assessment, Plan
B) Statement, Observation, Action, Prepare
C) Symptoms, Objective, Auscultation, Percussion
D) Subjective, Observation, Action, Plan - ANS-A
, Evaluation and control services are frequently provided in a widespread layout including SOAP
notes. What does the acronym SOAP stand for?:
A) Scope, Observation, Action, Plan
B) Source, Opinion, Advice, Provider
C) Subjective, Objective, Assessment, Plan
D) Standard, Objective, Activity, Period - ANS-C
HIPAA stands for:
A) Health Insurance Portability and Accountant Advice
B) Health Information Privacy Access Act
C) Health Insurance Provider Assistance Action
D) Health Insurance Portability and Accountability Act - ANS-D
HITECH gives a ____ day window all through which any violation no longer due to willful neglect
can be corrected with out penalty:
A) forty
B) 60
C) 45
D) 30 - ANS-D
If an NCD does not exist for a specific provider/system done on a Medicare affected person,
who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The medical doctor offering the service
C) Current Procedural Terminology (CPT®) pointers
D) Centers for Medicare & Medicaid Services (CMS) - ANS-A
In what year did HIPAA come to be regulation?:
A) 1992
B) 1997
C) 1996
D) 1995 - ANS-C
In what yr turned into HITECH enacted as a part of the American Recovery and Reinvestment
Act?:
A) 2010
B) 2000
C) 2007
D) 2009 - ANS-D
LCDs handiest have jurisdiction in their ____:
A) Locality
B) Region
C) District
D) State - ANS-B
Many coding professionals cross directly to discover work as:
A) Accountants
B) Medical Assistants
C) Financial Planners
D) Consultants - ANS-D
