AAPC - CPC Prep- Final Review

[AAPC - CPC Prep] Final Review
i i i i i




Whatitypeiofiprofession,iotherithanicoding,imightiskilledicodersienter?i-i

i ✅Consultants,ieducators,imedicaliauditors.



Whatiisitheidifferenceibetweenioutpatientiandiinpatienticoding?i-i

i ✅InpatienticodersiuseiICD-10-CMiandiICD-10-PCS.



Whatiisiaimid-leveliprovider?i-i

i ✅Mid-leveliprovidersiincludeiphysicianiassistantsi(PA)iandinurseipractitionersi(NP).



WhatiareitheidifferentipartsiofiMedicare?i-i

i ✅PartiA,iB,iC,iD.



Evaluationiandimanagementi(E/M)iservicesiareiofteniprovidediandidocumentediiniaistandardiformat.iO
neisuchiformatiisiSOAPinotes.iWhatidoesiSOAPirepresent?i-i

i ✅Subjective,iObjective,iAssessment,iPlan.



Whatiareifiveitipsiforicodingioperativei(op)ireports?i-i

✅Diagnosisicodeireporting,iStartiwithitheiproceduresilisted,iLookiforikeyiwords,iHighlightiunfamiliariw
i

ords,iReaditheibody.



Whatiisimedicalinecessity?i-i

i ✅Relatesitoiwhetheriaiprocedureioriserviceiisiconsiderediappropriateiiniaigivenicircumstance.



WhatiisinotiaicommonireasoniMedicareimayidenyiaiprocedureioriservice?i-i

i ✅Coverediservice.



UnderitheiPrivacyiRule,itheiminimuminecessaryistandardidoesiNOTiapplyitoiwhatitypeiofidisclosures?i-i

i ✅Disclosuresitoitheiindividualiwhoiisitheisubjectiofitheiinformation.



1i|iP a g e

,Whichiisinotioneiofitheisevenikeyicomponentsiofianiinternalicomplianceiplan?i-i

i ✅Conductitrainingibutinotiperformieducationionipracticeistandardsiandiprocedures.



WhatidocumentiassistsiprovideriofficesiwithitheidevelopmentiofiComplianceiManuals?i-i

i ✅OIGiComplianceiProgramiGuidance.



Whichistatementidescribesiaimedicallyinecessaryiservice?i-i

✅Usingitheileastiradicaliservice/procedureithatiallowsiforieffectiveitreatmentiofitheipatient'sicomplai
i

ntioricondition.



Whatidocumentiisireferenceditoiwhenilookingiforipotentialiproblemiareasiidentifiedibyitheigovernmenti
indicatingiscrutinyiofitheiservices?i-i

i ✅OIGiWorkiPlan.



UnderiHIPAA,iwhatiwouldibeiaipolicyirequirementifori"minimuminecessary"?i-i

i ✅Onlyiindividualsiwhoseijobirequiresiitimayihaveiaccessitoiprotectedihealthiinformation.



WhichiactiwasienactediasipartiofitheiAmericaniRecoveryiandiReinvestmentiActiofi2009i(ARRA)iandiaffect
ediprivacyiandisecurity?i-i

i ✅HITECH.



WhoiwouldiNOTibeiconsiderediaicoveredientityiunderiHIPAA?i-i

i ✅Patients.



WhenipresentingiaicostiestimateionianiABNiforiaipotentiallyinoncoverediservice,itheicostiestimateishoul
dibeiwithiniwhatirangeiofitheiactualicost?i-i

i ✅$100iori25ipercent.



AccordingitoitheiexampleiLCDifromiNovitasiSolutions,iwhichiofitheifollowingiconditionsiisiconsiderediais
ystemiciconditionithatimayiresultiinitheineediforiroutineifooticare?i-i

i ✅Chronicivenousiinsufficiency.




2i|iP a g e

,SelectitheiTRUEistatementiregardingiABNs.i-i

i ✅ABNsimayinotibeirecognizedibyinon-Medicareipayers.



WhatiformiisiprovideditoiaipatientitoiindicateiaiserviceimayinotibeicoveredibyiMedicareianditheipatienti
mayibeiresponsibleiforitheicharges?i-i

i ✅ABN.



WhichioptionibelowiisiNOTiaicoveredientityiunderiHIPAA?i-i

i ✅Workers'iCompensation.



IfianiNCDidoesinotiexistiforiaiparticulariservice/procedureiperformedioniaiMedicareipatient,iwhoideterm
inesicoverage?i-i

i ✅MedicareiAdministrativeiContractori(MAC).



Whatiisitheivalueiofiairemittanceiadvice?i-i

i ✅Itistatesiwhatiwillibeipaidiandiwhyianyichangesitoichargesiwereimade.



Voluntaryicomplianceiprogramsialsoiprovideibenefitsibyinotionlyihelpingitoipreventierroneousiori____,i
butialsoibyishowingithatitheiprovideripracticeiisimakingiadditionaligoodifaithieffortsitoisubmiticlaimsiapp
ropriately.i-i

i ✅Fraudulenticlaims



WhatitypeiofiinsuranceiisiMedicareiPartiD?i-i

i ✅PrescriptionidrugicoverageiavailableitoialliMedicareibeneficiaries.



LCDsionlyihaveijurisdictioniinitheiri____.i-i

i ✅Region



HITECHiprovidesiai____idayiwindowiduringiwhichianyiviolationinotidueitoiwillfulineglectimayibeicorrecte
diwithoutipenalty.i-i

i ✅30




3i|iP a g e

, EHRistandsifor:i-i

i ✅Electronicihealthirecord.



WhichiofitheifollowingiisiaiBENEFITiofielectronicitransactions?i-i

i ✅Timelyisubmissionioficlaims



IniwhatiyeariwasitheiAAPCifounded?i-i

i ✅1988.



Manyicodingiprofessionalsigoionitoifindiworkias:i-i

i ✅Consultants.



HIPAAistandsifori-i

i ✅HealthiInsuranceiPortabilityiandiAccountabilityiAct.



Professionalsiwhoispecializeiinicodingiareicalled:i-i

i ✅Codingispecialists.



WhatiisiPHI?i-i

i ✅Protectedihealthiinformation.



WhatidoesitheiabbreviationiMACistandifor?i-i

i ✅MedicareiAdministrativeiContractor.



Healthcareiprovidersiareiresponsibleiforidevelopingi____iandipoliciesiandiproceduresiregardingiprivacyi
initheiripractices.i-i

i ✅NoticesiofiPrivacyiPractices



IniwhatiyeariwasiHITECHienactediasipartiofitheiAmericaniRecoveryiandiReinvestmentiAct?i-i

i ✅2009.



4i|iP a g e