AAPC - MEDICAL CODING EXAM
QUESTIONS AND ANSWERS
According to AAPC's Code of Ethics, a member shall use only __ and ___ means in
all professional dealings. - Answer-Legal and ethical
Medicare Part D is what type of insurance? - Answer-Prescription drug coverage
available to all Medicare Beneficiaries
What type of health insurance provides coverage for low-income families? - Answer-
Medicaid
What is PHI? - Answer-Protected health information
What form is used to send a provider's charge to the insurance carrier? - Answer-
CMS-1500
Which option below is NOT a covered entity under HIPAA? - Answer-Worker's
Compensation
Which of the following is a BENEFIT of electronic transactions? - Answer-Timely
submission of claims
What is the value of a remittance advice? - Answer-It tells you what you will be paid
and why ay changes to charges were made.
The OIG recommends that the physician's practice enforcement and disciplinary
mechanisms be - Answer-Consistent
Each October the OIC releases a __ outlining its priorities fo the fiscal year ahead -
Answer-Work Plan
When are providers responsible for obtaining an ABN for a service not considered
medically necessary? - Answer-Prior to providing a service or item to a beneficiary
HIPAA stands for - Answer-Health Insurance Portability and Accountability Act
HIPAA was made into law in what year? - Answer-1996
A covered entity does NOT include - Answer-Patient
What is the definition of coding? - Answer-Translating documentation into
numerical/alphanumerical codes used to obtain reimbursement
Who is responsible for enforcing he HIPAA security rule? - Answer-OCR
QUESTIONS AND ANSWERS
According to AAPC's Code of Ethics, a member shall use only __ and ___ means in
all professional dealings. - Answer-Legal and ethical
Medicare Part D is what type of insurance? - Answer-Prescription drug coverage
available to all Medicare Beneficiaries
What type of health insurance provides coverage for low-income families? - Answer-
Medicaid
What is PHI? - Answer-Protected health information
What form is used to send a provider's charge to the insurance carrier? - Answer-
CMS-1500
Which option below is NOT a covered entity under HIPAA? - Answer-Worker's
Compensation
Which of the following is a BENEFIT of electronic transactions? - Answer-Timely
submission of claims
What is the value of a remittance advice? - Answer-It tells you what you will be paid
and why ay changes to charges were made.
The OIG recommends that the physician's practice enforcement and disciplinary
mechanisms be - Answer-Consistent
Each October the OIC releases a __ outlining its priorities fo the fiscal year ahead -
Answer-Work Plan
When are providers responsible for obtaining an ABN for a service not considered
medically necessary? - Answer-Prior to providing a service or item to a beneficiary
HIPAA stands for - Answer-Health Insurance Portability and Accountability Act
HIPAA was made into law in what year? - Answer-1996
A covered entity does NOT include - Answer-Patient
What is the definition of coding? - Answer-Translating documentation into
numerical/alphanumerical codes used to obtain reimbursement
Who is responsible for enforcing he HIPAA security rule? - Answer-OCR
