AAPC CRC study guide
Question 1.
which medicare part is reimbursed based on the risk adjustment models
ANSWER
part c
Question 2.
who typically employs risk adjustment coders
ANSWER
health plans
Question 3.
is a health plan required to follow the minimum necessary rule
ANSWER
yes, health plans are covered entities and are therefore required to follow the minimum necessary rule
Question 4.
what is an example of fraud
ANSWER
reporting a diagnosis or co-morbidity that does not exist to obtain higher re-imbursement
Question 5.
which part of medicare is also called medicare advantage
ANSWER
part c
Question 6.
which health insurance assistance program is sponsored by federal and state governments
ANSWER
medicaid
Question 7.
what OIG document should a medicare advantage participant review for potential problem areas that will receive special scrutiny in
the upcoming year
ANSWER
OIG work plan
, Question 8.
which code set is used by risk adjustment coders
ANSWER
icd-10-cm
Question 9.
which regulation strengthens HIPAA rules by addressing privacy and security concerns associated with the electronic transmission of
health information
ANSWER
Health Information Technology for Economic and Clinical Health Act (HITECH)
Question 10.
what is coding
ANSWER
translating a written or dictated medical record into a series of alphanumeric codes
Question 11.
which organ is in the thoracic cavity
ANSWER
lungs
Question 12.
what does the term distal indicate
ANSWER
farther from the point of attachment
Question 13.
blood is received back into the left atrium of the heart through....
ANSWER
pulmonary veins
Question 14.
the root of the nail is also known as what
ANSWER
germinal matrix
, Question 15.
the documentation states: Past Surgical history: she had a lumpectomy of the breast for DCIS 12 years ago which successfully
eradicated the CA how would this be reported
ANSWER
personal history of breast cancer
Question 16.
the documentation states: soft druse, some calcified what system would have this documentation
ANSWER
ocular
Question 17.
which organ does pulmonary refer to
ANSWER
lungs
Question 18.
what is a PEG tube
ANSWER
a tube inserted into the stomach for long term feeding
Question 19.
angina pectoris refers to which system
ANSWER
cardiovascular
Question 20.
what is cholelithiasis
ANSWER
stones in the gallbladder
Question 21.
a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the patient with ED due to diabetic
autonomic neuropathy.
ANSWER
e11.43, n52.1
Question 1.
which medicare part is reimbursed based on the risk adjustment models
ANSWER
part c
Question 2.
who typically employs risk adjustment coders
ANSWER
health plans
Question 3.
is a health plan required to follow the minimum necessary rule
ANSWER
yes, health plans are covered entities and are therefore required to follow the minimum necessary rule
Question 4.
what is an example of fraud
ANSWER
reporting a diagnosis or co-morbidity that does not exist to obtain higher re-imbursement
Question 5.
which part of medicare is also called medicare advantage
ANSWER
part c
Question 6.
which health insurance assistance program is sponsored by federal and state governments
ANSWER
medicaid
Question 7.
what OIG document should a medicare advantage participant review for potential problem areas that will receive special scrutiny in
the upcoming year
ANSWER
OIG work plan
, Question 8.
which code set is used by risk adjustment coders
ANSWER
icd-10-cm
Question 9.
which regulation strengthens HIPAA rules by addressing privacy and security concerns associated with the electronic transmission of
health information
ANSWER
Health Information Technology for Economic and Clinical Health Act (HITECH)
Question 10.
what is coding
ANSWER
translating a written or dictated medical record into a series of alphanumeric codes
Question 11.
which organ is in the thoracic cavity
ANSWER
lungs
Question 12.
what does the term distal indicate
ANSWER
farther from the point of attachment
Question 13.
blood is received back into the left atrium of the heart through....
ANSWER
pulmonary veins
Question 14.
the root of the nail is also known as what
ANSWER
germinal matrix
, Question 15.
the documentation states: Past Surgical history: she had a lumpectomy of the breast for DCIS 12 years ago which successfully
eradicated the CA how would this be reported
ANSWER
personal history of breast cancer
Question 16.
the documentation states: soft druse, some calcified what system would have this documentation
ANSWER
ocular
Question 17.
which organ does pulmonary refer to
ANSWER
lungs
Question 18.
what is a PEG tube
ANSWER
a tube inserted into the stomach for long term feeding
Question 19.
angina pectoris refers to which system
ANSWER
cardiovascular
Question 20.
what is cholelithiasis
ANSWER
stones in the gallbladder
Question 21.
a patient with diabetes type 2 presents with ED. after examination, the provider diagnosis the patient with ED due to diabetic
autonomic neuropathy.
ANSWER
e11.43, n52.1
