AAPC CRC Study Guide Exam Questions
And Answers |Latest 2025 | Guaranteed Pass
Which medicare part is reimbursed based on the risk adjustment models - Answer✔part c
who typically employs risk adjustment coders - Answer✔health plans
is a health plan required to follow the minimum necessary rule - Answer✔yes, health plans are
covered entities and are therefore required to follow the minimum necessary rule
what is an example of fraud - Answer✔reporting a diagnosis or co-morbidity that does not exist
to obtain higher reimbursement
which part of medicare is also called medicare advantage - Answer✔part c
which health insurance assistance program is sponsored by federal and state governments -
Answer✔medicaid
what OIG document should a medicare advantage participant review for potential problem
areas that will receive special scrutiny in the upcoming year - Answer✔OIG work plan
which code set is used by risk adjustment coders - Answer✔icd-10-cm
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which regulation strengthens HIPAA rules by addressing privacy and security concerns
associated with the electronic transmission of health information - Answer✔Health Information
Technology for Economic and Clinical Health Act (HITECH)
what is coding - Answer✔translating a written or dictated medical record into a series of
alphanumeric codes
which organ is in the thoracic cavity - Answer✔lungs
what does the term distal indicate - Answer✔farther from the point of attachment
blood is received back into the left atrium of the heart through.... - Answer✔pulmonary veins
the root of the nail is also known as what - Answer✔germinal matrix
the documentation states: Past Surgical history: she had a lumpectomy of the breast for DCIS
12 years ago which successfully eradicated the CA
how would this be reported - Answer✔personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation - Answer✔ocular
which organ does pulmonary refer to - Answer✔lungs
what is a PEG tube - Answer✔a tube inserted into the stomach for long term feeding
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angina pectoris refers to which system - Answer✔cardiovascular
what is cholelithiasis - Answer✔stones in the gallbladder
a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the
patient with ED due to diabetic autonomic neuropathy. - Answer✔e11.43, n52.1
a patient is transported from the nursing home for facial drooping, slurred speech, and
dizziness. the patient was admitted for testing. after an MRI, the provider diagnosed the patient
with a TIA - Answer✔g45.9
the physician was called to the hospital floor for the medical management of a patient admitted
one day ago with a reduced oxygen level due to aspiration pneumonia and COPD. no chest pain
at present, but still SOB and some swelling in his lower extremities. patient was tachypneic
yesterday; lungs reveal course crackles in both bases, right worse than left. the physician writes
instructions to continue with intravenous antibiotic treatment and respiratory support with
ventilator management. he reviewed the chest X-ray which shows gastric contents in the lungs
and labs. patient is improving and a pulmonary consultation has been requested -
Answer✔j69.0, t17.810a, j44.9
a patient with chronic DVT in the lower leg requires heparin to maintain therapeutic
anticoagulation levels. he has regular PTTs drawn to monitor his level of anticoagulation -
Answer✔i82.5z1, z79.01
ch. 3, question 5
diagnosis with severe exacerbation of chi, poorly controlled hon, and worsening ckd and acute
renal failure - Answer✔i13.0, i50.9, n17.9, n18.9
a patient suffering an abdominal aortic aneurysm involving the renal undergoes endovascular
repair deploying a fenestrated visceral autograft using 2 visceral artery endoprostheses -
Answer✔i71.4, i72.2
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