AAPC Chapter 1: The Business of
Medicine Exam Questions With 100%
Verified Answers
Which statement describes a medically necessary service? -
correct answer ✅Using the least radical service/procedure that
allows for effective treatment of the patient's complaint or
condition
According to the example LCD from Novitas Solutions, which of the
following conditions is considered a systemic condition that may
result in the need for routine foot care? -
correct answer ✅Chronic venous insufficiency
What form is provided to a patient to indicate a service may not be
covered by Medicare and that patient may be responsible for the
charges? -
correct answer ✅ABN
What is true regarding ABN's? -
correct answer ✅ABN's may not be recognized by non-Medicare
payers.
When presenting a cost estimate on an ABN for a potentially non-
covered service, the cost estimate should be within what range of
,AAPC Chapter 1: The Business of
Medicine Exam Questions With 100%
Verified Answers
the actual cost? -
correct answer ✅$100 or 25%
Who would NOT be considered a covered entity under HIPAA? -
correct answer ✅Patients
Under HIPAA, what would be a policy requirement for minimum
necessary? -
correct answer ✅Only individuals whose job requires it may have
access to protected health information
Which Act was enacted as part of the American Recovery and
Reinvestment Act (ARRA) of 2009 and affected privacy and
security? -
correct answer ✅HITECH
What document assists provider offices with the development of
compliance manuals? -
correct answer ✅OIG Compliance Plan Guidance
, AAPC Chapter 1: The Business of
Medicine Exam Questions With 100%
Verified Answers
What document is referenced when looking for potential problem
areas identified by the government indicating scrutiny of the
services within the coming year? -
correct answer ✅OIG Work Plan
What type of profession, other than coding, might skilled coders
enter? -
correct answer ✅Consultants, educators, and medical auditors
What is the difference between outpatient and inpatient coding? -
correct answer ✅Inpatient coders use ICD-10-CM and ICD-10-PCS
What is a mid-level provider? -
correct answer ✅Physician assistants (PA) and nurse practitioners
(NP)
What are the different parts of Medicare? -
correct answer ✅Parts A,B,C, and D
Evaluation and Management (E/M) services are often provided and
documented in a standard SOAP format. What does SOAP
Medicine Exam Questions With 100%
Verified Answers
Which statement describes a medically necessary service? -
correct answer ✅Using the least radical service/procedure that
allows for effective treatment of the patient's complaint or
condition
According to the example LCD from Novitas Solutions, which of the
following conditions is considered a systemic condition that may
result in the need for routine foot care? -
correct answer ✅Chronic venous insufficiency
What form is provided to a patient to indicate a service may not be
covered by Medicare and that patient may be responsible for the
charges? -
correct answer ✅ABN
What is true regarding ABN's? -
correct answer ✅ABN's may not be recognized by non-Medicare
payers.
When presenting a cost estimate on an ABN for a potentially non-
covered service, the cost estimate should be within what range of
,AAPC Chapter 1: The Business of
Medicine Exam Questions With 100%
Verified Answers
the actual cost? -
correct answer ✅$100 or 25%
Who would NOT be considered a covered entity under HIPAA? -
correct answer ✅Patients
Under HIPAA, what would be a policy requirement for minimum
necessary? -
correct answer ✅Only individuals whose job requires it may have
access to protected health information
Which Act was enacted as part of the American Recovery and
Reinvestment Act (ARRA) of 2009 and affected privacy and
security? -
correct answer ✅HITECH
What document assists provider offices with the development of
compliance manuals? -
correct answer ✅OIG Compliance Plan Guidance
, AAPC Chapter 1: The Business of
Medicine Exam Questions With 100%
Verified Answers
What document is referenced when looking for potential problem
areas identified by the government indicating scrutiny of the
services within the coming year? -
correct answer ✅OIG Work Plan
What type of profession, other than coding, might skilled coders
enter? -
correct answer ✅Consultants, educators, and medical auditors
What is the difference between outpatient and inpatient coding? -
correct answer ✅Inpatient coders use ICD-10-CM and ICD-10-PCS
What is a mid-level provider? -
correct answer ✅Physician assistants (PA) and nurse practitioners
(NP)
What are the different parts of Medicare? -
correct answer ✅Parts A,B,C, and D
Evaluation and Management (E/M) services are often provided and
documented in a standard SOAP format. What does SOAP
