AAPC CRC Practice Test 2 with all Correct & 100%
Verified Answers |Latest Version |Already Graded A+
How many charts can be submitted to CMS to validate an HCC?
A. One
B. Three
C. Two
D. Five ✔Correct Answer-D. Five
The results of a RADV audit are extrapolated across all members of the plan that was audited. What
does this mean?
A. Financial penalties will be limited to each specific member
B. Financial penalties will be averaged over the plan membership
C. Financial penalties will be imposed across the plan membership
D. Financial penalties will not be imposed until two years post audit ✔Correct Answer-C. Financial
penalties will be imposed across the plan membership
Retrospective audits generally include finding additional diagnoses. CMS has stated that the deletion
of conditions needs to be part of these audits. What might happen when a health plan deletes
unsupported diagnoses that were submitted on a claim?
I. There is a potential of loss of revenue
II. Billing compliance issues might come too light
III. All companies follow CMS directives
A. I and II
B. I
C. I and III
D. III ✔Correct Answer-A. I and II
Which one of the following would prevent a chart from being coded for Medicare risk adjustment?
A. Patient's DOB is not documented on the medical record
B. The patient presented for an acute condition
C. Medical record does not include the credentials of the treating provider
D. Date of service is past 90 days ✔Correct Answer-C. Medical record does not include the
credentials of the treating provider
Which diagnoses can be coded from a medical record that states a member has the condition, but
does not contain supporting documentation?
I. COPD
II. Croup
III. A-Fib
IV. GERD
V. Parkinson's disease
VI. MS
A. I and II
B. III, IV, V and VI
C. II, V and VI
D. I, III, V, and VI ✔Correct Answer-D. I, III, V, and VI
, RADV/IVA audit submissions typically require:
I. Provider printed name
II. Two patient identifiers
III. Provider's signature
IV. Must include specialist consultationsV. Must include coordination of care documentation by
clinical staff
A. II and III
B. I, II and IV
C. I, III, IV, and V
D. I, II, III, IV, and V ✔Correct Answer-A. II and III
Which statements are TRUE regarding retrospective audits?
I. Can be performed by internal employees
II. Can be performed by external consultants who sign a business agreement
III. Performed prior to data being submitted
IV. Performed after data was submitted
A. I and III
B. I and IV
C. I, II, and IV
D. III and IV ✔Correct Answer-C. I, II, and IV
If a medical record has conflicting information documented, how is it resolved?
A. The conflicting information is deleted and new documentation is created.
B. The conflicting information is only corrected if the revision will result in a higher RAF.
C. The provider is queried and if you do not receive a response, delete the conflicting information.
D. The provider is queried and an addendum/late entry is created to address the conflicting
information. ✔Correct Answer-D. The provider is queried and an addendum/late entry is created
to address the conflicting information.
Which statement(s) is/are TRUE?
I. If in the assessment section of an EMR record states "Diabetes- E11.29" then E11.29 should be
coded on the claim.
II. If in the assessment section of an EMR record states "Diabetes with Diabetic Renal Manifestations
E11.29" then E11.29 should be coded on the claim.
III. If in the assessment section of an EMR record states "HTN I10 and DM E11.9" then I10 and E11.9
should be coded on the claim.
IV. If in the assessment section of an EMR record states "COPD J44.9," "HTN I10," "GERD K21.9," then
J44.9, I10, and K21.9 should be coded on the claim.
A. I
B. I and II
C. I, II, and III
D. II, III, and IV ✔Correct Answer-D. II, III, and IV
A 45 year-old female patient presents to her primary care office complaining of crying and overall
unhappiness and sadness. The physician has seen this patient before for the same condition and has
diagnosed the patient with Major Depressive Disorder, Recurrent. Which one of the following ICD-
10-CM codes is for Major Depressive Disorder, Recurrent?
A. F32.1B. F33.9C. F43.21D. F32.A ✔Correct Answer-B. F33.9
Verified Answers |Latest Version |Already Graded A+
How many charts can be submitted to CMS to validate an HCC?
A. One
B. Three
C. Two
D. Five ✔Correct Answer-D. Five
The results of a RADV audit are extrapolated across all members of the plan that was audited. What
does this mean?
A. Financial penalties will be limited to each specific member
B. Financial penalties will be averaged over the plan membership
C. Financial penalties will be imposed across the plan membership
D. Financial penalties will not be imposed until two years post audit ✔Correct Answer-C. Financial
penalties will be imposed across the plan membership
Retrospective audits generally include finding additional diagnoses. CMS has stated that the deletion
of conditions needs to be part of these audits. What might happen when a health plan deletes
unsupported diagnoses that were submitted on a claim?
I. There is a potential of loss of revenue
II. Billing compliance issues might come too light
III. All companies follow CMS directives
A. I and II
B. I
C. I and III
D. III ✔Correct Answer-A. I and II
Which one of the following would prevent a chart from being coded for Medicare risk adjustment?
A. Patient's DOB is not documented on the medical record
B. The patient presented for an acute condition
C. Medical record does not include the credentials of the treating provider
D. Date of service is past 90 days ✔Correct Answer-C. Medical record does not include the
credentials of the treating provider
Which diagnoses can be coded from a medical record that states a member has the condition, but
does not contain supporting documentation?
I. COPD
II. Croup
III. A-Fib
IV. GERD
V. Parkinson's disease
VI. MS
A. I and II
B. III, IV, V and VI
C. II, V and VI
D. I, III, V, and VI ✔Correct Answer-D. I, III, V, and VI
, RADV/IVA audit submissions typically require:
I. Provider printed name
II. Two patient identifiers
III. Provider's signature
IV. Must include specialist consultationsV. Must include coordination of care documentation by
clinical staff
A. II and III
B. I, II and IV
C. I, III, IV, and V
D. I, II, III, IV, and V ✔Correct Answer-A. II and III
Which statements are TRUE regarding retrospective audits?
I. Can be performed by internal employees
II. Can be performed by external consultants who sign a business agreement
III. Performed prior to data being submitted
IV. Performed after data was submitted
A. I and III
B. I and IV
C. I, II, and IV
D. III and IV ✔Correct Answer-C. I, II, and IV
If a medical record has conflicting information documented, how is it resolved?
A. The conflicting information is deleted and new documentation is created.
B. The conflicting information is only corrected if the revision will result in a higher RAF.
C. The provider is queried and if you do not receive a response, delete the conflicting information.
D. The provider is queried and an addendum/late entry is created to address the conflicting
information. ✔Correct Answer-D. The provider is queried and an addendum/late entry is created
to address the conflicting information.
Which statement(s) is/are TRUE?
I. If in the assessment section of an EMR record states "Diabetes- E11.29" then E11.29 should be
coded on the claim.
II. If in the assessment section of an EMR record states "Diabetes with Diabetic Renal Manifestations
E11.29" then E11.29 should be coded on the claim.
III. If in the assessment section of an EMR record states "HTN I10 and DM E11.9" then I10 and E11.9
should be coded on the claim.
IV. If in the assessment section of an EMR record states "COPD J44.9," "HTN I10," "GERD K21.9," then
J44.9, I10, and K21.9 should be coded on the claim.
A. I
B. I and II
C. I, II, and III
D. II, III, and IV ✔Correct Answer-D. II, III, and IV
A 45 year-old female patient presents to her primary care office complaining of crying and overall
unhappiness and sadness. The physician has seen this patient before for the same condition and has
diagnosed the patient with Major Depressive Disorder, Recurrent. Which one of the following ICD-
10-CM codes is for Major Depressive Disorder, Recurrent?
A. F32.1B. F33.9C. F43.21D. F32.A ✔Correct Answer-B. F33.9
