AAPC - CRC TEST 1 EXAM QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
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
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
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
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?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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
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
C. Dietician notes
D. RN notes
B. Cardiologist records
Retrospective audits should include the following attributes:
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS
D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
A. ZPIC
B. RADV
C. RAC
D. CERT
B. RADV
What information is required when submitting documentation to support a diagnosis for a
RADV/IVA?
A. All patient records for the calendar year resulting in care for a chronic condition
B. All inpatient hospital records where a readmission occurred
C. A single DOS for outpatient records and the full inpatient set for hospital records
D. All professional provider documentation for the previous year
C. A single DOS for outpatient records and the full inpatient set for hospital records
What is TRUE regarding the code assignment requirement for chronic kidney disease requiring
dialysis (N18.6)?
A. The diagnosis should only be reported when the patient is admitted to the hospital.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS GRADED A+ 2025/2026
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
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
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
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?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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
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
C. Dietician notes
D. RN notes
B. Cardiologist records
Retrospective audits should include the following attributes:
I. Provider signatures
II. Supporting documentation of the patient's diagnoses
III. DOS
D. I, II and III
Which type of audit evaluates appropriate risk scores of patients?
A. ZPIC
B. RADV
C. RAC
D. CERT
B. RADV
What information is required when submitting documentation to support a diagnosis for a
RADV/IVA?
A. All patient records for the calendar year resulting in care for a chronic condition
B. All inpatient hospital records where a readmission occurred
C. A single DOS for outpatient records and the full inpatient set for hospital records
D. All professional provider documentation for the previous year
C. A single DOS for outpatient records and the full inpatient set for hospital records
What is TRUE regarding the code assignment requirement for chronic kidney disease requiring
dialysis (N18.6)?
A. The diagnosis should only be reported when the patient is admitted to the hospital.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
