AAPC Official CPC Certification Exam
Questions With 100% Verified Answers
"hold harmless clause" -
correct answer ✅* found in some non-Medicare health plan
contracts
* prohibits billing to patient for anything beyond deductibles and
co-pays.
A compliance plan may offer several benefits, including: -
correct answer ✅* more accurate payment of claims
* fewer billing mistakes
* improved documentation and more accurate coding
* less chance of violating self-referral and anti-kickback status
A healthcare clearing house is a -
correct answer ✅entity that processes nonstandard health
information they receive from another entity into a standard format
A key provision in HIPAA is the Minimum Necessary requirement.
this means -
correct answer ✅only the minimum necessary protected health
information should be shared to satisfy a particular purpose.
,AAPC Official CPC Certification Exam
Questions With 100% Verified Answers
A medically necessary service is the -
correct answer ✅least radical service/procedure that allows for
effective treatment of the patients' complaint or condition
A patient sustaining an injury to her great saphenous vein would
have sustained injury to which of anatomical site? -
correct answer ✅Leg
APC -
correct answer ✅Ambulatory Payment Classification
ARRA -
correct answer ✅American Recovery and Reinvestment Act (of
2009)
ASC -
correct answer ✅Ambulatory Surgical Centers
Abuse consists of -
correct answer ✅payment for items or services that are billed by
providers in error that should not be paid for by Medicare.
,AAPC Official CPC Certification Exam
Questions With 100% Verified Answers
An ABN protects the provider's financial interest by -
correct answer ✅creating a paper trail that CMS requires before a
provider can bill the patient for payment if Medicare denies
coverage for the stated service or procedure.
An entity that processes nonstandard health information they
receive from another entity into a standard format is considered
what? -
correct answer ✅Clearinghouse
As a part of Health Care Reform, the Affordable Care Act of 2010
amended the definition of fraud to remove the __________
requirement -
correct answer ✅intent
By statute, all work RVUs, must be examined no less often than -
correct answer ✅every 5 years
CF -
correct answer ✅Coversion Factor - fixed dollar amount used to
translate the RVUs into fees
, AAPC Official CPC Certification Exam
Questions With 100% Verified Answers
CMS -
correct answer ✅Centers for Medicare and Medicaid
CMS developed polices regarding medical necessity are based on
regulations found in title XVIII, $1862(a) of the -
correct answer ✅Social Security Act
CMS will accept the ____________ for either a "potentially
non=covered" service or for a statutorily excluded service -
correct answer ✅CMS-R-131
CMS-R-131 -
correct answer ✅ABN form
or
Advance Beneficiary Notice which explains to the patient why
Medicare may deny the particular service or procedure.
CPT -
correct answer ✅Current Procedural Terminology
Questions With 100% Verified Answers
"hold harmless clause" -
correct answer ✅* found in some non-Medicare health plan
contracts
* prohibits billing to patient for anything beyond deductibles and
co-pays.
A compliance plan may offer several benefits, including: -
correct answer ✅* more accurate payment of claims
* fewer billing mistakes
* improved documentation and more accurate coding
* less chance of violating self-referral and anti-kickback status
A healthcare clearing house is a -
correct answer ✅entity that processes nonstandard health
information they receive from another entity into a standard format
A key provision in HIPAA is the Minimum Necessary requirement.
this means -
correct answer ✅only the minimum necessary protected health
information should be shared to satisfy a particular purpose.
,AAPC Official CPC Certification Exam
Questions With 100% Verified Answers
A medically necessary service is the -
correct answer ✅least radical service/procedure that allows for
effective treatment of the patients' complaint or condition
A patient sustaining an injury to her great saphenous vein would
have sustained injury to which of anatomical site? -
correct answer ✅Leg
APC -
correct answer ✅Ambulatory Payment Classification
ARRA -
correct answer ✅American Recovery and Reinvestment Act (of
2009)
ASC -
correct answer ✅Ambulatory Surgical Centers
Abuse consists of -
correct answer ✅payment for items or services that are billed by
providers in error that should not be paid for by Medicare.
,AAPC Official CPC Certification Exam
Questions With 100% Verified Answers
An ABN protects the provider's financial interest by -
correct answer ✅creating a paper trail that CMS requires before a
provider can bill the patient for payment if Medicare denies
coverage for the stated service or procedure.
An entity that processes nonstandard health information they
receive from another entity into a standard format is considered
what? -
correct answer ✅Clearinghouse
As a part of Health Care Reform, the Affordable Care Act of 2010
amended the definition of fraud to remove the __________
requirement -
correct answer ✅intent
By statute, all work RVUs, must be examined no less often than -
correct answer ✅every 5 years
CF -
correct answer ✅Coversion Factor - fixed dollar amount used to
translate the RVUs into fees
, AAPC Official CPC Certification Exam
Questions With 100% Verified Answers
CMS -
correct answer ✅Centers for Medicare and Medicaid
CMS developed polices regarding medical necessity are based on
regulations found in title XVIII, $1862(a) of the -
correct answer ✅Social Security Act
CMS will accept the ____________ for either a "potentially
non=covered" service or for a statutorily excluded service -
correct answer ✅CMS-R-131
CMS-R-131 -
correct answer ✅ABN form
or
Advance Beneficiary Notice which explains to the patient why
Medicare may deny the particular service or procedure.
CPT -
correct answer ✅Current Procedural Terminology
