2
AAPC FINAL EXAM QUESTIONS WITH VERIFIED DETAILED
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ANSWERS
What form is provided to a patient to indicate a service may not be covered by medicare and
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the patient may be responsible for the charges? - ✔✔ABN
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Under HIPAA what would be a policy requirement for "minimum necessary"? - ✔✔Only
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individuals whos job requires it may have access to protected health information
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What document is referenced to when looking for potential problem areas indentified by
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the government indicating scrutiny of the service? - ✔✔OIG work plan
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Select the true statement regarding ABNs - ✔✔A. ABNs may not be recognized by non
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medicare payers ||
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009
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(ARRA) and affected privacy and security? - ✔✔HITECH
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When presenting a cost estimate of an ABN for potentially non covered service, the cost
|| || || || || || || || || || || || || || ||
estimate should be written what range of the actual cost? - ✔✔$100 or 25%
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According to the example LCD from novitas solutions, which of the following conditions is
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considered a systematic condition that may result in the need for routine foot care? -
|| || || || || || || || || || || || || || ||
✔✔Chronic Venous Insufficiency || ||
Who would NOT be considered a covered enity under HIPAA - ✔✔Patients
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, 2
What document assists provider offices with the development of compliance manuals? -
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✔✔OIG complaince program guidance
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Which statement describes a medically necessary service? - ✔✔Using the least radical
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service/ procedures that allow for effective treatment of the patient's complaints or
|| || || || || || || || || || || ||
condition
What type of profession, other than coding, might skilled coders enter? - ✔✔Consultants,
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educators, medical auditors || ||
What is the difference between outpatient and inpatient coding? - ✔✔Inpatient coders use
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ICD-10-CM and ICD-10-PCS || ||
What is a mid level provider? - ✔✔mid-level providers include physician assistants (PA)
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and nurse practitioners (NP)
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What one is the difference parts of medicare? - ✔✔Part A,B,C,D
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Evaluation and Management (E/M) services are often provided and documented in a
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standard format. One such as SOAP notes. What does SOAP represent? - ✔✔Subjective,
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Objective, Assessment, Plan || ||
What are five tips for coding operative (OP) reports - ✔✔diagnosis code reporting, Start
|| || || || || || || || || || || || || ||
with the procedures listed, Look for key words, highlight unfamiliar words, read the body
|| || || || || || || || || || || || ||
What is medical necessity? - ✔✔Relates to whether a procedure or service is considered
|| || || || || || || || || || || || || ||
appropriate in a given circumstance. || || || ||
AAPC FINAL EXAM QUESTIONS WITH VERIFIED DETAILED
|| || || || || || ||
ANSWERS
What form is provided to a patient to indicate a service may not be covered by medicare and
|| || || || || || || || || || || || || || || || ||
the patient may be responsible for the charges? - ✔✔ABN
|| || || || || || || || || ||
Under HIPAA what would be a policy requirement for "minimum necessary"? - ✔✔Only
|| || || || || || || || || || || || ||
individuals whos job requires it may have access to protected health information
|| || || || || || || || || || ||
What document is referenced to when looking for potential problem areas indentified by
|| || || || || || || || || || || || ||
the government indicating scrutiny of the service? - ✔✔OIG work plan
|| || || || || || || || || ||
Select the true statement regarding ABNs - ✔✔A. ABNs may not be recognized by non
|| || || || || || || || || || || || || || ||
medicare payers ||
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009
|| || || || || || || || || || || || || || ||
(ARRA) and affected privacy and security? - ✔✔HITECH
|| || || || || || ||
When presenting a cost estimate of an ABN for potentially non covered service, the cost
|| || || || || || || || || || || || || || ||
estimate should be written what range of the actual cost? - ✔✔$100 or 25%
|| || || || || || || || || || || || ||
According to the example LCD from novitas solutions, which of the following conditions is
|| || || || || || || || || || || || || ||
considered a systematic condition that may result in the need for routine foot care? -
|| || || || || || || || || || || || || || ||
✔✔Chronic Venous Insufficiency || ||
Who would NOT be considered a covered enity under HIPAA - ✔✔Patients
|| || || || || || || || || || ||
, 2
What document assists provider offices with the development of compliance manuals? -
|| || || || || || || || || || || ||
✔✔OIG complaince program guidance
|| || ||
Which statement describes a medically necessary service? - ✔✔Using the least radical
|| || || || || || || || || || || ||
service/ procedures that allow for effective treatment of the patient's complaints or
|| || || || || || || || || || || ||
condition
What type of profession, other than coding, might skilled coders enter? - ✔✔Consultants,
|| || || || || || || || || || || || ||
educators, medical auditors || ||
What is the difference between outpatient and inpatient coding? - ✔✔Inpatient coders use
|| || || || || || || || || || || || ||
ICD-10-CM and ICD-10-PCS || ||
What is a mid level provider? - ✔✔mid-level providers include physician assistants (PA)
|| || || || || || || || || || || || ||
and nurse practitioners (NP)
|| || ||
What one is the difference parts of medicare? - ✔✔Part A,B,C,D
|| || || || || || || || || ||
Evaluation and Management (E/M) services are often provided and documented in a
|| || || || || || || || || || || ||
standard format. One such as SOAP notes. What does SOAP represent? - ✔✔Subjective,
|| || || || || || || || || || || || ||
Objective, Assessment, Plan || ||
What are five tips for coding operative (OP) reports - ✔✔diagnosis code reporting, Start
|| || || || || || || || || || || || || ||
with the procedures listed, Look for key words, highlight unfamiliar words, read the body
|| || || || || || || || || || || || ||
What is medical necessity? - ✔✔Relates to whether a procedure or service is considered
|| || || || || || || || || || || || || ||
appropriate in a given circumstance. || || || ||
