AAPC CRC study guide questions with
verified answers A+ passed
part c - correct answer ✔✔which Medicare part is reimbursed based on the risk adjustment
models
health plans - correct answer ✔✔who typically employs risk adjustment coders
yes, health plans are covered entities and are therefore required to follow the minimum
necessary rule - correct answer ✔✔is a health plan required to follow the minimum necessary
rule
reporting a diagnosis or co-morbidity that does not exist to obtain higher reimbursement -
correct answer ✔✔what is an example of fraud
part c - correct answer ✔✔which part of medicare is also called medicare advantage
medicaid - correct answer ✔✔which health insurance assistance program is sponsored by
federal and state governments
OIG work plan - correct answer ✔✔what OIG document should a medicare advantage
participant review for potential problem areas that will receive special scrutiny in the upcoming
year
icd-10-cm - correct answer ✔✔which code set is used by risk adjustment coders
,Health Information Technology for Economic and Clinical Health Act (HITECH) - correct answer
✔✔which regulation strengthens HIPAA rules by addressing privacy and security concerns
associated with the electronic transmission of health information
translating a written or dictated medical record into a series of alphanumeric codes - correct
answer ✔✔what is coding
lungs - correct answer ✔✔which organ is in the thoracic cavity
farther from the point of attachment - correct answer ✔✔what does the term distal indicate
pulmonary veins - correct answer ✔✔blood is received back into the left atrium of the heart
through....
germinal matrix - correct answer ✔✔the root of the nail is also known as what
personal history of breast cancer - correct answer ✔✔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
ocular - correct answer ✔✔the documentation states: soft druse, some calcified
what system would have this documentation
lungs - correct answer ✔✔which organ does pulmonary refer to
, a tube inserted into the stomach for long term feeding - correct answer ✔✔what is a PEG tube
cardiovascular - correct answer ✔✔angina pectoris refers to which system
stones in the gallbladder - correct answer ✔✔what is cholelithiasis
e11.43, n52.1 - correct answer ✔✔a patient with diabetes type 2 presents with ED. after
examination, the provider diagnosis the patient with ED due to diabetic autonomic neuropathy.
g45.9 - correct answer ✔✔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
j69.0, t17.810a, j44.9 - correct answer ✔✔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
i82.5z1, z79.01 - correct answer ✔✔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
i13.0, i50.9, n17.9, n18.9 - correct answer ✔✔ch. 3, question 5
diagnosis with severe exacerbation of chi, poorly controlled hon, and worsening ckd and acute
renal failure
verified answers A+ passed
part c - correct answer ✔✔which Medicare part is reimbursed based on the risk adjustment
models
health plans - correct answer ✔✔who typically employs risk adjustment coders
yes, health plans are covered entities and are therefore required to follow the minimum
necessary rule - correct answer ✔✔is a health plan required to follow the minimum necessary
rule
reporting a diagnosis or co-morbidity that does not exist to obtain higher reimbursement -
correct answer ✔✔what is an example of fraud
part c - correct answer ✔✔which part of medicare is also called medicare advantage
medicaid - correct answer ✔✔which health insurance assistance program is sponsored by
federal and state governments
OIG work plan - correct answer ✔✔what OIG document should a medicare advantage
participant review for potential problem areas that will receive special scrutiny in the upcoming
year
icd-10-cm - correct answer ✔✔which code set is used by risk adjustment coders
,Health Information Technology for Economic and Clinical Health Act (HITECH) - correct answer
✔✔which regulation strengthens HIPAA rules by addressing privacy and security concerns
associated with the electronic transmission of health information
translating a written or dictated medical record into a series of alphanumeric codes - correct
answer ✔✔what is coding
lungs - correct answer ✔✔which organ is in the thoracic cavity
farther from the point of attachment - correct answer ✔✔what does the term distal indicate
pulmonary veins - correct answer ✔✔blood is received back into the left atrium of the heart
through....
germinal matrix - correct answer ✔✔the root of the nail is also known as what
personal history of breast cancer - correct answer ✔✔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
ocular - correct answer ✔✔the documentation states: soft druse, some calcified
what system would have this documentation
lungs - correct answer ✔✔which organ does pulmonary refer to
, a tube inserted into the stomach for long term feeding - correct answer ✔✔what is a PEG tube
cardiovascular - correct answer ✔✔angina pectoris refers to which system
stones in the gallbladder - correct answer ✔✔what is cholelithiasis
e11.43, n52.1 - correct answer ✔✔a patient with diabetes type 2 presents with ED. after
examination, the provider diagnosis the patient with ED due to diabetic autonomic neuropathy.
g45.9 - correct answer ✔✔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
j69.0, t17.810a, j44.9 - correct answer ✔✔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
i82.5z1, z79.01 - correct answer ✔✔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
i13.0, i50.9, n17.9, n18.9 - correct answer ✔✔ch. 3, question 5
diagnosis with severe exacerbation of chi, poorly controlled hon, and worsening ckd and acute
renal failure
