MEDICAL CODING EXAM CHAPTER #1
QUESTIONS AND ANSWERS
What does OIG stand for - Answer-The Office of Inspector General
The OCR released what document - Answer-HIPAA Administrative Simplification
What does the OIG Work Plan do - Answer-It is released every October and outlines
the priorities for the fiscal year ahead
Who would not be considered a covered entity under HIPAA - Answer-Patient
Under HIPAA what would be a policy requirement for "minimum necessary" -
Answer-Only individuals whose job requires it may have access to protected health
information (PHI)
AAPC was founded what year - Answer-1988
Why was AAPC founded - Answer-To provide education and professional
certification to physician based medical coders
What are the benefits to being AAPC certified - Answer-Training, Certification,
Continued education, Networking, Job opportunities
AAPC members shall do what - Answer-Use only Legal and ethical principles that
reflect the profession's core values
What does ABN stand for - Answer-Advance Beneficiary Notice
What does AMA stand for - Answer-American Medical Association
What does APC stand for - Answer-Ambulatory Payment Classification
What does ARRA stand for - Answer-American Recovery and Reinvestment Act of
2009
What does ASC stand for - Answer-Ambulatory Surgical Centers
What does CDT stand for - Answer-Current Dental Terminology
What does CMS stand for - Answer-Centers for Medicare & Medicare Services
What does CPC stand for - Answer-Certified Professional Coder
What does CPT stand for - Answer-Current Procedural Terminology
What does EHR stand for - Answer-Electronic Health Record
, What does EIN stand for - Answer-Employer Identification Number
What does E/M or E&M stand for - Answer-Evaluation and Management
What does HCPCS stand for - Answer-Healthcare Common Procedure Coding
System
What does HHS stand for - Answer-Department of Health & Human Services
What does HIPAA stand for - Answer-Health Insurance Portability and Accountability
Act of 1996
Physician standard billing through a insurance carrier uses which form - Answer-
CMS-1500
A PA program takes approximately how long to complete - Answer-26 1/2 months
What are the two types of payers - Answer-Private insurance and Government
insurance plans
Midlevel providers include - Answer-Physician assistants (PA) and Nurse
practitioners (NP)
What is the abbreviation for Centers for Medicare & Medicaid Services - Answer-
CMS
Medicaid is a health insurance assistance program that covers whom - Answer-Low-
income; children and pregnant women
State funded insurance programs provide coverage for children up to what age -
Answer-21
What documentation is the recording of the pertinent facts and observations about
an individual's health history - Answer-Medical Record
Non-covered items are considered what - Answer-Not reasonable or necessary
NCD's National Coverage Determinations explain when Medicare will pay for items
and services. Who is responsible for interpreting national policies into regional
policies - Answer-MAC Medicare Administrative Contractor
LCD's are what - Answer-Local Coverage Determinations which have jurisdiction
only within their regional area
Practices should check CMS Manual system how often - Answer-Quarterly
Coders in a physician office will use which Medicare section - Answer-Medicare B
What year was HIPAA started - Answer-1996
QUESTIONS AND ANSWERS
What does OIG stand for - Answer-The Office of Inspector General
The OCR released what document - Answer-HIPAA Administrative Simplification
What does the OIG Work Plan do - Answer-It is released every October and outlines
the priorities for the fiscal year ahead
Who would not be considered a covered entity under HIPAA - Answer-Patient
Under HIPAA what would be a policy requirement for "minimum necessary" -
Answer-Only individuals whose job requires it may have access to protected health
information (PHI)
AAPC was founded what year - Answer-1988
Why was AAPC founded - Answer-To provide education and professional
certification to physician based medical coders
What are the benefits to being AAPC certified - Answer-Training, Certification,
Continued education, Networking, Job opportunities
AAPC members shall do what - Answer-Use only Legal and ethical principles that
reflect the profession's core values
What does ABN stand for - Answer-Advance Beneficiary Notice
What does AMA stand for - Answer-American Medical Association
What does APC stand for - Answer-Ambulatory Payment Classification
What does ARRA stand for - Answer-American Recovery and Reinvestment Act of
2009
What does ASC stand for - Answer-Ambulatory Surgical Centers
What does CDT stand for - Answer-Current Dental Terminology
What does CMS stand for - Answer-Centers for Medicare & Medicare Services
What does CPC stand for - Answer-Certified Professional Coder
What does CPT stand for - Answer-Current Procedural Terminology
What does EHR stand for - Answer-Electronic Health Record
, What does EIN stand for - Answer-Employer Identification Number
What does E/M or E&M stand for - Answer-Evaluation and Management
What does HCPCS stand for - Answer-Healthcare Common Procedure Coding
System
What does HHS stand for - Answer-Department of Health & Human Services
What does HIPAA stand for - Answer-Health Insurance Portability and Accountability
Act of 1996
Physician standard billing through a insurance carrier uses which form - Answer-
CMS-1500
A PA program takes approximately how long to complete - Answer-26 1/2 months
What are the two types of payers - Answer-Private insurance and Government
insurance plans
Midlevel providers include - Answer-Physician assistants (PA) and Nurse
practitioners (NP)
What is the abbreviation for Centers for Medicare & Medicaid Services - Answer-
CMS
Medicaid is a health insurance assistance program that covers whom - Answer-Low-
income; children and pregnant women
State funded insurance programs provide coverage for children up to what age -
Answer-21
What documentation is the recording of the pertinent facts and observations about
an individual's health history - Answer-Medical Record
Non-covered items are considered what - Answer-Not reasonable or necessary
NCD's National Coverage Determinations explain when Medicare will pay for items
and services. Who is responsible for interpreting national policies into regional
policies - Answer-MAC Medicare Administrative Contractor
LCD's are what - Answer-Local Coverage Determinations which have jurisdiction
only within their regional area
Practices should check CMS Manual system how often - Answer-Quarterly
Coders in a physician office will use which Medicare section - Answer-Medicare B
What year was HIPAA started - Answer-1996
