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Latest notes & summaries Aapc
AAPC - Final Exam/100 Questions with Correct Solutions/2024
- Exam (elaborations)
- • 21 pages's •
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AAPC•AAPC
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AAPC - Final Exam/100 Questions with Correct Solutions/2024
Which statement describes a medically necessary service? 
A. Performing a procedure/service based on cost to eliminate wasteful services. 
B. Using the least radical service/procedure that allows for effective treatment of the patient's 
complaint or condition. 
C. Using the closest facility to perform a service or procedure. 
D. Using the appropriate course of treatment to fit within the patient's lifestyle. *Answer: B. 
Using the least radical service/procedure that allows for effective trea...
- Exam (elaborations)
- • 15 pages's •
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AAPC•AAPC
Preview 2 out of 15 pages
Which statement describes a medically necessary service? 
A. Performing a procedure/service based on cost to eliminate wasteful services. 
B. Using the least radical service/procedure that allows for effective treatment of the patient's 
complaint or condition. 
C. Using the closest facility to perform a service or procedure. 
D. Using the appropriate course of treatment to fit within the patient's lifestyle. *Answer: B. 
Using the least radical service/procedure that allows for effective trea...
What is the meaning of provider in the ICD-10-CM guidelines? The physican 
 
The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding 
what? Neoplasms 
 
What is an example of an eponym? Paget's disease 
 
Who are the parties responsible for providing the ICD-10-CM guidelines? NCHS and CMS 
 
Rationale: ICD-10-CM guidelines introduction states, Centers for Medicare & Medicaid Services 
(CMS) and the National Center for Health Statistics (NCHS) provide the guid...
- Exam (elaborations)
- • 5 pages's •
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AAPC•AAPC
Preview 2 out of 5 pages
What is the meaning of provider in the ICD-10-CM guidelines? The physican 
 
The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding 
what? Neoplasms 
 
What is an example of an eponym? Paget's disease 
 
Who are the parties responsible for providing the ICD-10-CM guidelines? NCHS and CMS 
 
Rationale: ICD-10-CM guidelines introduction states, Centers for Medicare & Medicaid Services 
(CMS) and the National Center for Health Statistics (NCHS) provide the guid...
What is a root word? Main word that stands alone that holds meaning of medical term - can 
have more than one root 
 
What is a prefix? It's attached to beginning of word to modify or alter meaning - indicate 
location, time or number 
 
What is a suffix? It's attached to the end of a word to modify or alter meaning - medically 
they indicate the procedure, condition, disorder or disease. 
 
Blephar/o EYELID 
 
Bucc/o CHEEK 
 
Cholecyst/o GALLBLADDER 
 
Colp/o VAGINA
- Exam (elaborations)
- • 6 pages's •
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AAPC•AAPC
Preview 2 out of 6 pages
What is a root word? Main word that stands alone that holds meaning of medical term - can 
have more than one root 
 
What is a prefix? It's attached to beginning of word to modify or alter meaning - indicate 
location, time or number 
 
What is a suffix? It's attached to the end of a word to modify or alter meaning - medically 
they indicate the procedure, condition, disorder or disease. 
 
Blephar/o EYELID 
 
Bucc/o CHEEK 
 
Cholecyst/o GALLBLADDER 
 
Colp/o VAGINA
What is NOT a function of skin? Acts as a gland by synthesizing vitamin A 
Which layer is NOT considered part of the skin? Hypodermis 
What is true about the stratum germinativum? It lies on top of the dermis and has access to a 
rich supply of blood 
What is the best way to describe psoriasis? A chronic condition characterized by red, dry, 
elevated lesions, covered by silvery scales 
What is affected by myasthenia gravis? Neuromuscular Junction 
What bones have tronchanters? femur (NOT the hum...
- Exam (elaborations)
- • 7 pages's •
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AAPC•AAPC
Preview 2 out of 7 pages
What is NOT a function of skin? Acts as a gland by synthesizing vitamin A 
Which layer is NOT considered part of the skin? Hypodermis 
What is true about the stratum germinativum? It lies on top of the dermis and has access to a 
rich supply of blood 
What is the best way to describe psoriasis? A chronic condition characterized by red, dry, 
elevated lesions, covered by silvery scales 
What is affected by myasthenia gravis? Neuromuscular Junction 
What bones have tronchanters? femur (NOT the hum...
What is NOT a function of skin? Acts as a gland by synthesizing vitamin A 
 
Which layer is NOT considered part of the skin? Hypodermis 
 
What is true about the stratum germinativum? It lies on top of the dermis and has access to a 
rich supply of blood 
 
What is the best way to describe psoriasis? A chronic condition characterized by red, dry, 
elevated lesions, covered by silvery scales 
 
What is affected by myasthenia gravis? Neuromuscular Junction 
 
What bones have tronchanters? femur (N...
- Exam (elaborations)
- • 7 pages's •
-
AAPC•AAPC
Preview 2 out of 7 pages
What is NOT a function of skin? Acts as a gland by synthesizing vitamin A 
 
Which layer is NOT considered part of the skin? Hypodermis 
 
What is true about the stratum germinativum? It lies on top of the dermis and has access to a 
rich supply of blood 
 
What is the best way to describe psoriasis? A chronic condition characterized by red, dry, 
elevated lesions, covered by silvery scales 
 
What is affected by myasthenia gravis? Neuromuscular Junction 
 
What bones have tronchanters? femur (N...
What document is referenced to when looking for potential problem areas identified by the 
government indicating scrutiny of the services within the coming year?: 
A) OIG Compliance Plan Guidance 
B) OIG Security Summary 
C) OIG Work Plan 
D) OIG Investigation Plan C (Rationale: Twice a year, the OIG releases a Work Plan 
outlining its priorities for the fiscal year ahead. Within the Work Plan, potential problem areas 
with claims submissions are listed and will be targeted with special scrutiny...
- Exam (elaborations)
- • 18 pages's •
-
AAPC•AAPC
Preview 3 out of 18 pages
What document is referenced to when looking for potential problem areas identified by the 
government indicating scrutiny of the services within the coming year?: 
A) OIG Compliance Plan Guidance 
B) OIG Security Summary 
C) OIG Work Plan 
D) OIG Investigation Plan C (Rationale: Twice a year, the OIG releases a Work Plan 
outlining its priorities for the fiscal year ahead. Within the Work Plan, potential problem areas 
with claims submissions are listed and will be targeted with special scrutiny...
Medical coding process of translating a healthcare provider's documentation of a patient 
encounter into a series of numeric or alphanumeric codes 
 
Health information coders, medical record coders, coder/abstractors, coding specialists 
coders who specialize in coding inpatient hospital services 
 
MS-DRG Medical Severity-Diagnosis Related Groups 
 
MS-DRG are used to: determine the amount the hospital will be reimbursed if the patient is 
covered by Medicare or other insurance programs using...
- Exam (elaborations)
- • 11 pages's •
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AAPC•AAPC
Preview 2 out of 11 pages
Medical coding process of translating a healthcare provider's documentation of a patient 
encounter into a series of numeric or alphanumeric codes 
 
Health information coders, medical record coders, coder/abstractors, coding specialists 
coders who specialize in coding inpatient hospital services 
 
MS-DRG Medical Severity-Diagnosis Related Groups 
 
MS-DRG are used to: determine the amount the hospital will be reimbursed if the patient is 
covered by Medicare or other insurance programs using...
When coding in operative report what action would NOT be recommended? Coding from the 
header with out reading the body of the report 
 
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who 
determines coverage? Medicare administrative contractor (MAC) 
 
MAC stands for what!? Medicare administrative contractor 
 
What is the definition of coding? Translating documentation into numerical/alphabetical 
codes used to obtain reimbursement. 
 
How many comp...
- Exam (elaborations)
- • 17 pages's •
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AAPC•AAPC
Preview 3 out of 17 pages
When coding in operative report what action would NOT be recommended? Coding from the 
header with out reading the body of the report 
 
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who 
determines coverage? Medicare administrative contractor (MAC) 
 
MAC stands for what!? Medicare administrative contractor 
 
What is the definition of coding? Translating documentation into numerical/alphabetical 
codes used to obtain reimbursement. 
 
How many comp...
Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? 
 
A. All external cause codes do not require a seventh character. 
B. Only report one external cause code to fully explain each cause. 
C. Report code Y92.9 if the place of occurrence is not stated. 
D. External cause codes should never be sequenced as a first-listed or primary code D. 
External cause codes should never be sequenced as a first-listed or primary code 
 
Multiple choice D is the correct answer. The...
- Exam (elaborations)
- • 7 pages's •
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AAPC•AAPC
Preview 2 out of 7 pages
Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? 
 
A. All external cause codes do not require a seventh character. 
B. Only report one external cause code to fully explain each cause. 
C. Report code Y92.9 if the place of occurrence is not stated. 
D. External cause codes should never be sequenced as a first-listed or primary code D. 
External cause codes should never be sequenced as a first-listed or primary code 
 
Multiple choice D is the correct answer. The...