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AAPC - Final Exam All Answers Correct

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AAPC - Final Exam All Answers Correct Insurance and Reimbursement Who administers Local Coverage Determinations (LCDs)? Options: a. State law; b. National Coverage Determinations; c. Each regional Medicare Administrative Contractor (MAC); d. Local Medicare Management Programs Answer: c. Each regional Medicare Administrative Contractor (MAC) What does ABN stand for? Options: a. Advanced Benefits Notification; b. Advisory Beneficial Notice; c. Admitting Beneficiary Notice; d. Advance Beneficiary Notice Answer: d. Advance Beneficiary Notice Health Insurance What type of health insurance provides coverage for low-income families? Options: a. Commercial HMO; b. Medicaid; c. Medicare; d. Commercial PPO Answer: b. Medicaid Medical Records What type of information is NOT maintained in a medical record? Options: a. Treatment outcomes; b. Financial records; c. Medical or surgical interventions; d. Observations Answer: b. Financial records Compliance and Auditing According to the OIG, internal monitoring and auditing should be performed by what means? Options: a. Focused audits on problems brought to the attention of the compliance officer; b. Baseline audits; c. Periodic audits; d. Audits on all denied claims Answer: c. Periodic audits Anatomy What structure transports urine from the kidneys to the urinary bladder? Options: a. Ureter; b. Urethra; c. Kidney pelvis; d. Urinary vein Answer: a. Ureter Circulation Which system does NOT circulate fluids throughout the body? Options: a. Venous system; b. Endocrine system; c. Arterial system; d. Lymphatic system Answer: b. Endocrine system Respiratory System What is a function of the alveoli in the lungs? Options: a. Oxygen exchange; b. Nicotine is destroyed; c. Fluid in the lungs absorbed; d. Providing an airway to breathe Answer: a. Oxygen exchange Cytopathology is the study of: a. Tissue b. Cells c. Blood d. Organs ️b. Cells The meaning of heteropsia (or anisometropia) is: a. Blindness in half the visual field b. Double vision c. Unequal vision in the two eyes d. Blindness in both eyes ️c. Unequal vision in the two eyes What is the meaning of provider in the ICD-10-CM guidelines? a. Insurance company b. The hospital c. The physician d. The patient ️c. The physician What is the ICD-10-CM code for hay fever? a. J30.1 b. J30.89 c. J30.81 d. J45.909 ️a. J30.1 What is the ICD-10-CM code for eyestrain? a. H53.10, H53.10 b. H57.8 c. H57.8, H57.8 d. H53.10 ️d. H53.10 What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis? a. G03.9, G80.1 b. G80.1, G43.909, G03.9 c. G09, G80.1 d. G80.1, G09 ️d. G80.1, G09 The patient is a 12 month-old with a history of muscle weakness. Unfortunately, his etiology is unknown and to help delineate the diagnosis, Neurology has consulted us to obtain a right bicep muscle biopsy. What diagnosis code is reported? a. R29.898 b. M62.81 c. R53.1 d. G58.9 ️b. M62.81 A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a history of hypertension. What is the correct ICD-10-CM code to report? a. I15.0 b. I13.0 c. R03.0 d. I10 ️c. R03.0 A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back and the other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s) is/are reported? a. D17.1, D17.23 b. D17.21, D17.1 c. D17.30 d. D17.39 ️b. D17.21, D17.1 What is the time frame defining when pain becomes chronic? a. After the global period b. One year c. The 30th day d. No time frame ️d. No time frame A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported? a. E85.3, N08 b. E85.4, N08 c. N08, E85.3 d. N08, E85.4 ️b. E85.4, N08 A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM codes are reported? a. E11.622, Z79.4 b. E11.9, L98.429, Z79.4 c. E11.622, L98.429, Z79.4 d. E11.622, L98.429 ️c. E11.622, L98.429, Z79.4

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AAPC - Final Exam All Answers Correct
Insurance and Reimbursement



Who administers Local Coverage Determinations (LCDs)?

Options: a. State law; b. National Coverage Determinations; c. Each regional Medicare Administrative
Contractor (MAC); d. Local Medicare Management Programs

Answer: c. Each regional Medicare Administrative Contractor (MAC)



What does ABN stand for?

Options: a. Advanced Benefits Notification; b. Advisory Beneficial Notice; c. Admitting Beneficiary
Notice; d. Advance Beneficiary Notice

Answer: d. Advance Beneficiary Notice



Health Insurance



What type of health insurance provides coverage for low-income families?

Options: a. Commercial HMO; b. Medicaid; c. Medicare; d. Commercial PPO

Answer: b. Medicaid



Medical Records



What type of information is NOT maintained in a medical record?

Options: a. Treatment outcomes; b. Financial records; c. Medical or surgical interventions; d.
Observations

Answer: b. Financial records



Compliance and Auditing



According to the OIG, internal monitoring and auditing should be performed by what means?

,Options: a. Focused audits on problems brought to the attention of the compliance officer; b. Baseline
audits; c. Periodic audits; d. Audits on all denied claims

Answer: c. Periodic audits



Anatomy



What structure transports urine from the kidneys to the urinary bladder?

Options: a. Ureter; b. Urethra; c. Kidney pelvis; d. Urinary vein

Answer: a. Ureter



Circulation



Which system does NOT circulate fluids throughout the body?

Options: a. Venous system; b. Endocrine system; c. Arterial system; d. Lymphatic system

Answer: b. Endocrine system



Respiratory System



What is a function of the alveoli in the lungs?

Options: a. Oxygen exchange; b. Nicotine is destroyed; c. Fluid in the lungs absorbed; d. Providing an
airway to breathe

Answer: a. Oxygen exchange



Cytopathology is the study of:



a. Tissue

b. Cells

c. Blood

d. Organs ✔️b. Cells

, The meaning of heteropsia (or anisometropia) is:



a. Blindness in half the visual field

b. Double vision

c. Unequal vision in the two eyes

d. Blindness in both eyes ✔️c. Unequal vision in the two eyes



What is the meaning of provider in the ICD-10-CM guidelines?



a. Insurance company

b. The hospital

c. The physician

d. The patient ✔️c. The physician



What is the ICD-10-CM code for hay fever?



a. J30.1

b. J30.89

c. J30.81

d. J45.909 ✔️a. J30.1



What is the ICD-10-CM code for eyestrain?



a. H53.10, H53.10

b. H57.8

c. H57.8, H57.8

d. H53.10 ✔️d. H53.10

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