Aapc Final Exam Questions With Correct
Answers 2025/2026
What yform yis yprovided yto ya ypatient yto yindicate ya yservice ymay ynot ybe ycovered yby ymedicare
yand ythe ypatien yt ymay ybe yresponsible yfor ythe ycharges? y- ycorrect yanswer-ABN
Under yHIPAA ywhat ywould ybe ya ypolicy yrequirement yfor y"minimum ynecessary"? y-
ycorrect yanswer- yOnly yindividuals ywhos yjob yrequires yit ymay yhave yaccess yto yprotected
yhealth yinformation
What ydocument yis yreferenced yto ywhen ylooking yfor ypotential yproblem yareas yindentified yby ythe
ygovernme ynt yindicating yscrutiny yof ythe yservice? y-Bcorrect yanswer-OIG ywork yplan
Select ythe ytrue ystatement yregarding yABNs y- ycorrect yanswer-
A. yABNs ymay ynot ybe yrecognized yby ynon ymedicare ypayers
Which yact ywas yenacted yas ypart yof ythe yAmerican yRecovery yand yReinvestment yAct yof y2009
y(ARRA) yand yaffe ycted yprivacy yand ysecurity? y- ycorrect yanswer-HITECH
,When ypresenting ya ycost yestimate yof yan yABN yfor ypotentially ynon ycovered yservice, ythe ycost
yestimate yshoul yd ybe ywritten ywhat yrange yof ythe yactual ycost? y- ycorrect yanswer-$100 yor y25%
AccordingBto ythe yexample yLCD yfrom ynovitas ysolutions, ywhich yof ythe yfollowing yconditions yis
yconsidered ya ys yystematic ycondition ythat ymay yresult yin ythe yneed yfor yroutine yfoot ycare? y-
ycorrect yanswer-
Chronic yVenous yInsufficiency
Who ywould yNOT ybe yconsidered ya ycovered yenity yunder yHIPAA y- ycorrect yanswer-Patients
What ydocument yassists yprovider yoffices ywith ythe ydevelopment yof ycompliance ymanuals?
y- ycorrect yanswer-OIG ycomplaince yprogram yguidance
Which ystatement ydescribes ya ymedically ynecessary yservice? y- ycorrect yanswer-
Using ythe yleast yradical yservice/ yprocedures ythat yallow yfor yeffective ytreatment yof ythe ypatient's
ycomplaints yor ycondition
, What ytype yof yprofession, yother ythan ycoding, ymight yskilled ycoders yenter? y- ycorrect
yanswer- yConsultants, yeducators, ymedical yauditors
What yis ythe ydifference ybetween youtpatient yand yinpatient ycoding? y- ycorrect
yanswer- yInpatient ycoders yuse yICD-10-CM yand yICD-10-PCS
What yis ya ymid ylevel yprovider? y- ycorrect yanswer-mid-
level yproviders yinclude yphysician yassistants y(PA) yand ynurse ypractitioners y(NP)
What yone yis ythe ydifference yparts yof ymedicare? y- ycorrect yanswer-Part yA,B,C,D
Evaluation yand yManagement y(E/M) yservices yare yoften yprovided yand ydocumented yin ya ystandard
yformat. yO yne ysuch yas ySOAP ynotes. yWhat ydoes ySOAP yrepresent? y- ycorrect yanswer-
Subjective, yObjective, yAssessment, yPlan
What yare yfive ytips yfor ycoding yoperative y(OP) yreports y- ycorrect yanswer-
diagnosis ycode yreporting, yStart ywith ythe yprocedures ylisted, yLook yfor ykey ywords, yhighlight
yunfamiliar yword ys, yread ythe ybody
What yis ymedical ynecessity? y- ycorrect yanswer-
Relates yto ywhether ya yprocedure yor yservice yis yconsidered yappropriate yin ya ygiven ycircumstance.
Answers 2025/2026
What yform yis yprovided yto ya ypatient yto yindicate ya yservice ymay ynot ybe ycovered yby ymedicare
yand ythe ypatien yt ymay ybe yresponsible yfor ythe ycharges? y- ycorrect yanswer-ABN
Under yHIPAA ywhat ywould ybe ya ypolicy yrequirement yfor y"minimum ynecessary"? y-
ycorrect yanswer- yOnly yindividuals ywhos yjob yrequires yit ymay yhave yaccess yto yprotected
yhealth yinformation
What ydocument yis yreferenced yto ywhen ylooking yfor ypotential yproblem yareas yindentified yby ythe
ygovernme ynt yindicating yscrutiny yof ythe yservice? y-Bcorrect yanswer-OIG ywork yplan
Select ythe ytrue ystatement yregarding yABNs y- ycorrect yanswer-
A. yABNs ymay ynot ybe yrecognized yby ynon ymedicare ypayers
Which yact ywas yenacted yas ypart yof ythe yAmerican yRecovery yand yReinvestment yAct yof y2009
y(ARRA) yand yaffe ycted yprivacy yand ysecurity? y- ycorrect yanswer-HITECH
,When ypresenting ya ycost yestimate yof yan yABN yfor ypotentially ynon ycovered yservice, ythe ycost
yestimate yshoul yd ybe ywritten ywhat yrange yof ythe yactual ycost? y- ycorrect yanswer-$100 yor y25%
AccordingBto ythe yexample yLCD yfrom ynovitas ysolutions, ywhich yof ythe yfollowing yconditions yis
yconsidered ya ys yystematic ycondition ythat ymay yresult yin ythe yneed yfor yroutine yfoot ycare? y-
ycorrect yanswer-
Chronic yVenous yInsufficiency
Who ywould yNOT ybe yconsidered ya ycovered yenity yunder yHIPAA y- ycorrect yanswer-Patients
What ydocument yassists yprovider yoffices ywith ythe ydevelopment yof ycompliance ymanuals?
y- ycorrect yanswer-OIG ycomplaince yprogram yguidance
Which ystatement ydescribes ya ymedically ynecessary yservice? y- ycorrect yanswer-
Using ythe yleast yradical yservice/ yprocedures ythat yallow yfor yeffective ytreatment yof ythe ypatient's
ycomplaints yor ycondition
, What ytype yof yprofession, yother ythan ycoding, ymight yskilled ycoders yenter? y- ycorrect
yanswer- yConsultants, yeducators, ymedical yauditors
What yis ythe ydifference ybetween youtpatient yand yinpatient ycoding? y- ycorrect
yanswer- yInpatient ycoders yuse yICD-10-CM yand yICD-10-PCS
What yis ya ymid ylevel yprovider? y- ycorrect yanswer-mid-
level yproviders yinclude yphysician yassistants y(PA) yand ynurse ypractitioners y(NP)
What yone yis ythe ydifference yparts yof ymedicare? y- ycorrect yanswer-Part yA,B,C,D
Evaluation yand yManagement y(E/M) yservices yare yoften yprovided yand ydocumented yin ya ystandard
yformat. yO yne ysuch yas ySOAP ynotes. yWhat ydoes ySOAP yrepresent? y- ycorrect yanswer-
Subjective, yObjective, yAssessment, yPlan
What yare yfive ytips yfor ycoding yoperative y(OP) yreports y- ycorrect yanswer-
diagnosis ycode yreporting, yStart ywith ythe yprocedures ylisted, yLook yfor ykey ywords, yhighlight
yunfamiliar yword ys, yread ythe ybody
What yis ymedical ynecessity? y- ycorrect yanswer-
Relates yto ywhether ya yprocedure yor yservice yis yconsidered yappropriate yin ya ygiven ycircumstance.
