AAPC FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS9
What form is provided to a patient to indicate a service may not be covered by medicare and
the patient may be responsible for the charges? - ANSWERS-ABN
Under HIPAA what would be a policy requirement for "minimum necessary"? - ANSWERS-Only
individuals whos job requires it may have access to protected health information
What document is referenced to when looking for potential problem areas indentified by the
government indicating scrutiny of the service? - ANSWERS-OIG work plan
Select the true statement regarding ABNs - ANSWERS-A. ABNs may not be recognized by non
medicare payers
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA)
and affected privacy and security? - ANSWERS-HITECH
When presenting a cost estimate of an ABN for potentially non covered service, the cost
estimate should be written what range of the actual cost? - ANSWERS-$100 or 25%
According to the example LCD from novitas solutions, which of the following conditions is
considered a systematic condition that may result in the need for routine foot care? - ANSWERS-
Chronic Venous Insufficiency
Who would NOT be considered a covered enity under HIPAA - ANSWERS-Patients
, What document assists provider offices with the development of compliance manuals? -
ANSWERS-OIG complaince program guidance
Which statement describes a medically necessary service? - ANSWERS-Using the least radical
service/ procedures that allow for effective treatment of the patient's complaints or condition
What type of profession, other than coding, might skilled coders enter? - ANSWERS-
Consultants, educators, medical auditors
What is the difference between outpatient and inpatient coding? - ANSWERS-Inpatient coders
use ICD-10-CM and ICD-10-PCS
What is a mid level provider? - ANSWERS-mid-level providers include physician assistants (PA)
and nurse practitioners (NP)
What one is the difference parts of medicare? - ANSWERS-Part A,B,C,D
Evaluation and Management (E/M) services are often provided and documented in a standard
format. One such as SOAP notes. What does SOAP represent? - ANSWERS-Subjective, Objective,
Assessment, Plan
What are five tips for coding operative (OP) reports - ANSWERS-diagnosis code reporting, Start
with the procedures listed, Look for key words, highlight unfamiliar words, read the body
What is medical necessity? - ANSWERS-Relates to whether a procedure or service is considered
appropriate in a given circumstance.
What is NOT a common reason medicare may deny a procedure or service? - ANSWERS-covered
service
COMPLETE SOLUTIONS9
What form is provided to a patient to indicate a service may not be covered by medicare and
the patient may be responsible for the charges? - ANSWERS-ABN
Under HIPAA what would be a policy requirement for "minimum necessary"? - ANSWERS-Only
individuals whos job requires it may have access to protected health information
What document is referenced to when looking for potential problem areas indentified by the
government indicating scrutiny of the service? - ANSWERS-OIG work plan
Select the true statement regarding ABNs - ANSWERS-A. ABNs may not be recognized by non
medicare payers
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA)
and affected privacy and security? - ANSWERS-HITECH
When presenting a cost estimate of an ABN for potentially non covered service, the cost
estimate should be written what range of the actual cost? - ANSWERS-$100 or 25%
According to the example LCD from novitas solutions, which of the following conditions is
considered a systematic condition that may result in the need for routine foot care? - ANSWERS-
Chronic Venous Insufficiency
Who would NOT be considered a covered enity under HIPAA - ANSWERS-Patients
, What document assists provider offices with the development of compliance manuals? -
ANSWERS-OIG complaince program guidance
Which statement describes a medically necessary service? - ANSWERS-Using the least radical
service/ procedures that allow for effective treatment of the patient's complaints or condition
What type of profession, other than coding, might skilled coders enter? - ANSWERS-
Consultants, educators, medical auditors
What is the difference between outpatient and inpatient coding? - ANSWERS-Inpatient coders
use ICD-10-CM and ICD-10-PCS
What is a mid level provider? - ANSWERS-mid-level providers include physician assistants (PA)
and nurse practitioners (NP)
What one is the difference parts of medicare? - ANSWERS-Part A,B,C,D
Evaluation and Management (E/M) services are often provided and documented in a standard
format. One such as SOAP notes. What does SOAP represent? - ANSWERS-Subjective, Objective,
Assessment, Plan
What are five tips for coding operative (OP) reports - ANSWERS-diagnosis code reporting, Start
with the procedures listed, Look for key words, highlight unfamiliar words, read the body
What is medical necessity? - ANSWERS-Relates to whether a procedure or service is considered
appropriate in a given circumstance.
What is NOT a common reason medicare may deny a procedure or service? - ANSWERS-covered
service
