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A set of practice questions for the aapc cpc exam, covering topics related to medical coding, billing, and healthcare regulations. The questions are designed to test knowledge of medical terminology, coding guidelines, and billing procedures. Each question includes the correct answer, allowing users to assess their understanding of the subject matter.
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A Medicare patient is receiving chemotherapy at her oncologists office. While the patient is receiving chemotherapy, the oncologist calls in a prescription for pain medication to a pharmacy in the same building. The pharmacy delivers the medication to the patient in the oncologists office for the patient to take home. What part of Medicare should be billed for the pain medication by the pharmacy? A. Part A B. Part B C. Part C D. Part D - correct answer - Part D What is medical coding? - correct answer - Translating medical documentation into codes. Which one is NOT a covered entity of HIPPA? A. Medicare B. Workers Compensation C. Dentists D. Pharmacies - correct answer - B. Workers Compensation Which one falls under a commercial payer? A. Medicare B. Medicaid C. Blue Cross Blue Shield D. All of the above are commercial payers - correct answer - C. Blue Cross Blue Shield When should an ABN be signed? - correct answer - When a service is not expected to be covered by Medicare. The amount on an ABN should be within how much of the cost to the patient?
A.$250 of cost B. $100 or %25 of cost C. $10 or %10 of cost D. $100 of %10 of cost - correct answer - B. $100 or %25 of cost An entity that processes nonstandard health information they receive from another entity into a standard is considered what? - correct answer - Clearinghouse What is PHI? - correct answer - Protected Health Information Intentional billing of services not provided is considered _________________ - correct answer - Fraud What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? - correct answer - OIG Work Plan A patient sustaining an injury to her great saphenous vein would have sustained an injury to which of the following anatomical site? A. Neck B. Arm C. Leg D. Abdomen - correct answer - C. Leg Which of the following is a function of the pancreas? A. Supplies digestive enzymes B. Manufactures melatonin C. Stimulates growth D. Secrets vasopressin - correct answer - A. Supplies digestive enzymes Sebaceous glands are a part of which anatomic system? A. Circulatory
What is the result of a ureteral blockage? - correct answer - Urine will not be able to flow from the kidney to the bladder Which of the following is a renal calculus? A. Pyelectasia B. Hydroureter C. Nephrolithiasis D. Pyonephrosis - correct answer - C. Nephrolithiasis