AAPC CPC CERTIFICATION TEST QUESTIONS AND ANSWERS

AAPC CPC CERTIFICATION TEST
QUESTIONS AND ANSWERS

A Medicare patient is receiving chemotherapy at her oncologists office. While the patient is re
km km km km km km km km km km km km km km




ceiving chemotherapy, the oncologist calls in a prescription for pain medication to a pharmac
km km km km km km km km km km km km km




y in the same building . The pharmacy delivers the medication to the patient in the oncologists
km km km km km km km km km km km km km km km km




office for the patient to take home. What part of Medicare should be billed for the pain medica
km km km km km km km km km km km km km km km km km km




tion by the pharmacy? km km km




A. Part A km km




B. Part B km km




C. Part C km km




D. Part D - ans-Part D
km km km km km




What is medical coding? - ans-Translating medical documentation into codes.
km km km km km km km km km




Which one is NOT a covered entity of HIPPA? km km km km km km km km




A. Medicarekm




B. Workers Compensation
km km




C. Dentistskm




D. Pharmacies - ans-B. Workers Compensation
km km km km km




Which one falls under a commercial payer? km km km km km km




A. Medicarekm




B. Medicaidkm




C. Blue Cross Blue Shield
km km km km




D. All of the above are commercial payers - ans-C. Blue Cross Blue Shield
km km km km km km km km km km km km km




When should an ABN be signed? - ans- km km km km km km km




When a service is not expected to be covered by Medicare.
km km km km km km km km km km




The amount on an ABN should be within how much of the cost to the patient?
km km km km km km km km km km km km km km km




A.$250 of cost km km




B. $100 or %25 of cost
km km km km km




C. $10 or %10 of cost
km km km km km




D. $100 of %10 of cost - ans-B. $100 or %25 of cost
km km km km km km km km km km km km




An entity that processes nonstandard health information they receive from another entity into
km km km km km km km km km km km km km




a standard is considered what? - ans-Clearinghouse
km km km km km km




What is PHI? - ans-Protected Health Information
km km km km km km




Intentional billing of services not provided is considered _________________ - ans-Fraud
km km km km km km km km km km




What OIG document should a provider review for potential problem areas that will receive sp
km km km km km km km km km km km km km km




ecial scrutiny in the upcoming year? - ans-OIG Work Plan
km km km km km km km km km




A patient sustaining an injury to her great saphenous vein would have sustained an injury to
km km km km km km km km km km km km km km km km




which of the following anatomical site? km km km km km




A. Neck km




B. Arm km