AAPC Official CPC Certification
Study Guide Notes
COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS
(DETAILED & ELABORATED)
ACTUAL EXAM 2025 TEST 100%
SOLVED 2025!!
Save
Terms in this set (156)
* found in some non-Medicare
health plan contracts
"hold harmless
* prohibits billing to patient for
clause"
anything beyond deductibles and
co-pays.
, * more accurate payment of claims
A compliance * fewer billing mistakes
plan may offer * improved documentation and
several benefits, more accurate coding
including: * less chance of violating self-
referral and anti-kickback status
entity that processes nonstandard
A healthcare
health information they receive
clearing house
from another entity into a standard
is a
format
A key provision only the minimum necessary
in HIPAA is the protected health information
Minimum should be shared to satisfy a
Necessary particular purpose.
requirement. this
means
A medically least radical service/procedure that
necessary allows for effective treatment of the
service is the patients' complaint or condition
, A patient Leg
sustaining an
injury to her
great
saphenous vein
would have
sustained injury
to which of
anatomical site?
APC Ambulatory Payment Classification
American Recovery and
ARRA
Reinvestment Act (of 2009)
ASC Ambulatory Surgical Centers
payment for items or services that
Abuse consists are billed by providers in error that
of should not be paid for by
Medicare.
An ABN creating a paper trail that CMS
protects the requires before a provider can bill
provider's the patient for payment if Medicare
financial interest denies coverage for the stated
by service or procedure.
Study Guide Notes
COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS
(DETAILED & ELABORATED)
ACTUAL EXAM 2025 TEST 100%
SOLVED 2025!!
Save
Terms in this set (156)
* found in some non-Medicare
health plan contracts
"hold harmless
* prohibits billing to patient for
clause"
anything beyond deductibles and
co-pays.
, * more accurate payment of claims
A compliance * fewer billing mistakes
plan may offer * improved documentation and
several benefits, more accurate coding
including: * less chance of violating self-
referral and anti-kickback status
entity that processes nonstandard
A healthcare
health information they receive
clearing house
from another entity into a standard
is a
format
A key provision only the minimum necessary
in HIPAA is the protected health information
Minimum should be shared to satisfy a
Necessary particular purpose.
requirement. this
means
A medically least radical service/procedure that
necessary allows for effective treatment of the
service is the patients' complaint or condition
, A patient Leg
sustaining an
injury to her
great
saphenous vein
would have
sustained injury
to which of
anatomical site?
APC Ambulatory Payment Classification
American Recovery and
ARRA
Reinvestment Act (of 2009)
ASC Ambulatory Surgical Centers
payment for items or services that
Abuse consists are billed by providers in error that
of should not be paid for by
Medicare.
An ABN creating a paper trail that CMS
protects the requires before a provider can bill
provider's the patient for payment if Medicare
financial interest denies coverage for the stated
by service or procedure.
