AAPC CPMA PRACTICE EXAM STUDY
QUESTIONS & ANSWERS 2025
GRADED A+
1 of 36
Term
A comprehensive audit is:
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sometimes referred to as a focused review, is an audit of a specified number
of medical records in which a previous audit has identified
problems based on procedure and/or diagnosis codes or other audit
findings.
, Patient ID, Assignment of Benefits, medical history, immunizations, physical exam,
lab report, clinical impression, physician orders
There must be a patient information sheet that contains biographical data, name,
address, etc. along with authorization for treatment whether it is an office visit,
diagnostic services or surgical procedure.
Far enough in advance that the beneficiary or representative has time to
consider the options and make an informed decision.
Don't know?
2 of 36
Term
An analysis that provides the organization an overview of the deficit
areas captured by a medical record audit is called what?
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An aggregate analysis provides an overview of the deficient areas for an
organization. At a glance the practice can identify percentages of
undercoding and upcoding as well as other coding errors.
ICD-10-CM, CPT®, HCPCS Level II code books, NCCI edits, medical terminology book,
global days, surgery audit tool, rules of insurance carriers
NCCI policy manual for modifier 25
, For a six (6) year period of time
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3 of 36
Term
What elements must be in a medical record
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Patient ID, Assignment of
Patient id, family history, treatment
Benefits, medical history,
plans, medication lists, discharge
immunizations, physical exam,
summaries, follow-up appointments
lab report, clinical impression,
physician orders
Patient id, billing statements, Patient id, insurance policy number,
appointment reminders, insurance appointment history, lab results,
claims, patient satisfaction surveys clinical notes, physician referrals
Don't know?
QUESTIONS & ANSWERS 2025
GRADED A+
1 of 36
Term
A comprehensive audit is:
Give this one a try later!
sometimes referred to as a focused review, is an audit of a specified number
of medical records in which a previous audit has identified
problems based on procedure and/or diagnosis codes or other audit
findings.
, Patient ID, Assignment of Benefits, medical history, immunizations, physical exam,
lab report, clinical impression, physician orders
There must be a patient information sheet that contains biographical data, name,
address, etc. along with authorization for treatment whether it is an office visit,
diagnostic services or surgical procedure.
Far enough in advance that the beneficiary or representative has time to
consider the options and make an informed decision.
Don't know?
2 of 36
Term
An analysis that provides the organization an overview of the deficit
areas captured by a medical record audit is called what?
Give this one a try later!
An aggregate analysis provides an overview of the deficient areas for an
organization. At a glance the practice can identify percentages of
undercoding and upcoding as well as other coding errors.
ICD-10-CM, CPT®, HCPCS Level II code books, NCCI edits, medical terminology book,
global days, surgery audit tool, rules of insurance carriers
NCCI policy manual for modifier 25
, For a six (6) year period of time
Don't know?
3 of 36
Term
What elements must be in a medical record
Give this one a try later!
Patient ID, Assignment of
Patient id, family history, treatment
Benefits, medical history,
plans, medication lists, discharge
immunizations, physical exam,
summaries, follow-up appointments
lab report, clinical impression,
physician orders
Patient id, billing statements, Patient id, insurance policy number,
appointment reminders, insurance appointment history, lab results,
claims, patient satisfaction surveys clinical notes, physician referrals
Don't know?
