AAPC CRC STUDY GUIDE EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Which medicare part is reimbursed based on the risk adjustment models - ANS part c
who typically employs risk adjustment coders - ANS health plans
is a health plan required to follow the minimum necessary rule - ANS yes, health plans are
covered entities and are therefore required to follow the minimum necessary rule
what is an example of fraud - ANS reporting a diagnosis or co-morbidity that does not exist to
obtain higher reimbursement
which part of medicare is also called medicare advantage - ANS part c
which health insurance assistance program is sponsored by federal and state governments -
ANS medicaid
what OIG document should a medicare advantage participant review for potential problem
areas that will receive special scrutiny in the upcoming year - ANS OIG work plan
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,which code set is used by risk adjustment coders - ANS icd-10-cm
which regulation strengthens HIPAA rules by addressing privacy and security concerns
associated with the electronic transmission of health information - ANS Health Information
Technology for Economic and Clinical Health Act (HITECH)
what is coding - ANS translating a written or dictated medical record into a series of
alphanumeric codes
which organ is in the thoracic cavity - ANS lungs
what does the term distal indicate - ANS farther from the point of attachment
blood is received back into the left atrium of the heart through.... - ANS pulmonary veins
the root of the nail is also known as what - ANS germinal matrix
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 - ANS personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation - ANS ocular
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, which organ does pulmonary refer to - ANS lungs
what is a PEG tube - ANS a tube inserted into the stomach for long term feeding
angina pectoris refers to which system - ANS cardiovascular
what is cholelithiasis - ANS stones in the gallbladder
a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the
patient with ED due to diabetic autonomic neuropathy. - ANS e11.43, n52.1
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 - ANS g45.9
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 - ANS j69.0,
t17.810a, j44.9
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 -
ANS i82.5z1, z79.01
ch. 3, question 5
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Which medicare part is reimbursed based on the risk adjustment models - ANS part c
who typically employs risk adjustment coders - ANS health plans
is a health plan required to follow the minimum necessary rule - ANS yes, health plans are
covered entities and are therefore required to follow the minimum necessary rule
what is an example of fraud - ANS reporting a diagnosis or co-morbidity that does not exist to
obtain higher reimbursement
which part of medicare is also called medicare advantage - ANS part c
which health insurance assistance program is sponsored by federal and state governments -
ANS medicaid
what OIG document should a medicare advantage participant review for potential problem
areas that will receive special scrutiny in the upcoming year - ANS OIG work plan
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,which code set is used by risk adjustment coders - ANS icd-10-cm
which regulation strengthens HIPAA rules by addressing privacy and security concerns
associated with the electronic transmission of health information - ANS Health Information
Technology for Economic and Clinical Health Act (HITECH)
what is coding - ANS translating a written or dictated medical record into a series of
alphanumeric codes
which organ is in the thoracic cavity - ANS lungs
what does the term distal indicate - ANS farther from the point of attachment
blood is received back into the left atrium of the heart through.... - ANS pulmonary veins
the root of the nail is also known as what - ANS germinal matrix
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 - ANS personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation - ANS ocular
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, which organ does pulmonary refer to - ANS lungs
what is a PEG tube - ANS a tube inserted into the stomach for long term feeding
angina pectoris refers to which system - ANS cardiovascular
what is cholelithiasis - ANS stones in the gallbladder
a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the
patient with ED due to diabetic autonomic neuropathy. - ANS e11.43, n52.1
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 - ANS g45.9
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 - ANS j69.0,
t17.810a, j44.9
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 -
ANS i82.5z1, z79.01
ch. 3, question 5
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
