AAPC - CRC TEST 1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Which of the following medications are prescribed to cancer
patients to eradicate the cancer or for prophylaxis?
I. Tamoxifen
II. Anastrozole
III. Januvia
IV. Crestor
A. I and II
B. I and III
C. II and III
D. I, II, III and IV -
correct answer ✅A. I and II
The definition of a best medical record for a RADV audit is:
A. Documentation validates the CMS requested HCCs, contains all
the necessary documentation elements and has an additional HCC
not requested by CMS
B. Documentation that validates all the requested HCCs
C. Documentation that validates the requested HCC, but there is no
provider signature
,AAPC - CRC TEST 1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
D. Documentation that validates the requested HCC plus validates
an additional HCC, contains all the necessary documentation
elements, but is missing the provider signature, for which a signed
CMS attestation was provided but not signed by the provider -
correct answer ✅A. Documentation validates the CMS requested
HCCs, contains all the necessary documentation elements and has
an additional HCC not requested by CMS
Which of the following are reported by a provider for beneficiaries
in a Medicare Advantage Plan?
I. Nature of the presenting problem
II. Resolved conditions that have been treated in the past
III. Family history for all conditions
IV. All chronic conditions -
correct answer ✅C. I and IV
Which of the following records would be a good source for a
retrospective chart audit?
A. DME documentation
B. Cardiologist records
, AAPC - CRC TEST 1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
C. Dietician notes
D. RN notes -
correct answer ✅B. Cardiologist records
Retrospective audits should include the following attributes:
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS -
correct answer ✅D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
A. ZPIC
B. RADV
C. RAC
D. CERT -
correct answer ✅B. RADV
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Which of the following medications are prescribed to cancer
patients to eradicate the cancer or for prophylaxis?
I. Tamoxifen
II. Anastrozole
III. Januvia
IV. Crestor
A. I and II
B. I and III
C. II and III
D. I, II, III and IV -
correct answer ✅A. I and II
The definition of a best medical record for a RADV audit is:
A. Documentation validates the CMS requested HCCs, contains all
the necessary documentation elements and has an additional HCC
not requested by CMS
B. Documentation that validates all the requested HCCs
C. Documentation that validates the requested HCC, but there is no
provider signature
,AAPC - CRC TEST 1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
D. Documentation that validates the requested HCC plus validates
an additional HCC, contains all the necessary documentation
elements, but is missing the provider signature, for which a signed
CMS attestation was provided but not signed by the provider -
correct answer ✅A. Documentation validates the CMS requested
HCCs, contains all the necessary documentation elements and has
an additional HCC not requested by CMS
Which of the following are reported by a provider for beneficiaries
in a Medicare Advantage Plan?
I. Nature of the presenting problem
II. Resolved conditions that have been treated in the past
III. Family history for all conditions
IV. All chronic conditions -
correct answer ✅C. I and IV
Which of the following records would be a good source for a
retrospective chart audit?
A. DME documentation
B. Cardiologist records
, AAPC - CRC TEST 1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
C. Dietician notes
D. RN notes -
correct answer ✅B. Cardiologist records
Retrospective audits should include the following attributes:
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS -
correct answer ✅D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
A. ZPIC
B. RADV
C. RAC
D. CERT -
correct answer ✅B. RADV
