Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

AAPC CPC Chapter 1 Exam questions with answers, Exams of Nursing

AAPC CPC Chapter 1 Exam questions with answers

Typology: Exams

2022/2023

Available from 08/08/2023

gerald-leetch
gerald-leetch 🇺🇸

3

(9)

960 documents

1 / 8

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
AAPC CPC Exam Chapter 1 questions
with answers 2023
What does MAC stands for?
Medicare Administrative Contractor
Which coding manuals do outpatient coders focus on learning?
CPT®, HCPCS Level II and ICD-10-CM
In what year was the AAPC founded?
1988
What type of provider goes through approximately 26 1⁄2 months of education and is
licensed to practice medicine with the oversight of a physician?
Physician Assistant (PA)
In what year did HIPAA become law?
1996
Which type of information is NOT maintained in a medical record?
Financial Records
The minimum necessary rule is based on sound current practice that protected
health information should NOT be used or disclosed when it is not necessary to
satisfy a particular purpose or carry out a function. What does this mean?
Providers should develop safeguards to prevent unauthorized access to protected
health information.
If an NCD does not exist for a particular service/procedure performed on a Medicare
patient, who determines coverage?
Medicare Administrative Contractor (MAC)
Professionals who specialize in coding are called:q
Coding specialists
In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
2009
pf3
pf4
pf5
pf8

Partial preview of the text

Download AAPC CPC Chapter 1 Exam questions with answers and more Exams Nursing in PDF only on Docsity!

AAPC CPC Exam Chapter 1 questions

with answers 2023

What does MAC stands for? ✔Medicare Administrative Contractor Which coding manuals do outpatient coders focus on learning? ✔CPT®, HCPCS Level II and ICD-10-CM In what year was the AAPC founded? ✔ 1988 What type of provider goes through approximately 26 1⁄2 months of education and is licensed to practice medicine with the oversight of a physician? ✔Physician Assistant (PA) In what year did HIPAA become law? ✔ 1996 Which type of information is NOT maintained in a medical record? ✔Financial Records The minimum necessary rule is based on sound current practice that protected health information should NOT be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function. What does this mean? ✔Providers should develop safeguards to prevent unauthorized access to protected health information. If an NCD does not exist for a particular service/procedure performed on a Medicare patient, who determines coverage? ✔Medicare Administrative Contractor (MAC) Professionals who specialize in coding are called:q ✔Coding specialists In what year was HITECH enacted as part of the American Recovery and Reinvestment Act? ✔ 2009

LCDs only have jurisdiction in their ____. ✔Region How many components are included in an effective compliance plan? ✔ 7 Many coding professionals go on to find work as: ✔Consultants The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare & Medicaid Services - Hierarchical Condition Categories (CMS-HCC)? ✔Part C According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____ means in all professional dealings. ✔Legal and Ethical What is the value of a remittance advice? ✔It states what will be paid and why any changes to charges were made. AAPC credentialed coders have proven mastery of what information? ✔All code sets, evaluation & management principles, and documentation guidelines Evaluation and management services are often provided in a standard format such as SOAP notes. What does the acronym SOAP stand for? ✔Subjective, Objective, Assessment, Plan HITECH provides a ____ day window during which any violation not due to willful neglect may be corrected without penalty. ✔ 30 What form is used to submit a provider's charge to the insurance carrier? ✔CMS- Voluntary compliance programs also provide benefits by not only helping to prevent erroneous or ____, but also by showing that the provider practice is making additional good faith efforts to submit claims appropriately.

✔D

Under HIPAA, would would be a policy requirement of MINIMUM NECESSARY? A.) Only individuals whose job requires it may have access to protected health information. B.) Only the patient has access to his or her own PHI C.) Only the treating provider has access to PHI. D.) Anyone within the provider's office can have access to PHI. ✔A Which act was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA) and affected privacy and security? ✔HITECH What document assists provider offices with the development of compliance manuals? ✔OIG Compliance Program Guidance What document is referenced when looking for potential problem areas identified by the government indicating scrutiny of the services? ✔OIG Work Plan ABN ✔Advanced Beneficiary Notice AMA ✔American Medical Association APC ✔Ambulatory Payment Classification ARRA ✔American Recovery and Reinvestment Act of 2009 ASC ✔Ambulatory Surgical Center CDT ✔Current Dental Terminology

CMS

✔Centers for Medicare and Medicaid Services CMS-HCC ✔Centers for Medicare & Medicaid Services-Hierarchical Condition Category CPC ✔Certified Professional Coder CPT ✔Current Procedural Terminology EHR ✔electronic health record EIN ✔Employer Identification Number E/M ✔Evaluation and Management HCPCS ✔Healthcare Common Procedure Coding System HHS ✔Department of Health and Human Services HIPAA ✔Health Insurance Portability and Accountability Act of 1996 HITECH ✔Health Information Technology for Economic and Clinical Health Act HMO ✔health maintenance organization ICD-10-CM

✔Physician extenders such as PA & NP What are the different parts of Medicare and what do they cover? ✔Part A: Inpatient Care Part B: Outpatient Care Part C: MCR Advantage plans Pard D: Prescriptions What are common reasons Medicare may deny a procedure or service? ✔1. Diagnosis/Condition

  1. Frequency of services
  2. Experimental procedure/service Under the Privacy Rule, the minimum necessary standard does NOT apply to what type of disclosures? ✔1. Requests by provider for treatment purposes.
  3. To the individual who is subject of information.
  4. Made pursuant to individual's authorization.
  5. Required for compliance w/HIPAA Admin Rules
  6. Disclosures to HHS when required for enforcement.
  7. Required by other law. What are the 7 key components of an internal compliance plan? ✔1. Internal monitoring & auditing
  8. Development of written procedures and standards.
  9. Compliance officer
  10. Training & Education
  11. Investigate allegations & report
  12. Open lines of communication.
  13. Enforcing disciplinary standards. PHI ✔Protected Health Information PPACA ✔Patient Protection and Affordable Care Act SOAP ✔subjective, objective, assessment, plan TPO

✔Treatment, payment, and healthcare operations