AAPC Final Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
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? - CORRECT ANSWER ABN
Under HIPAA what would be a policy requirement for "minimum necessary"? - CORRECT
ANSWER 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? - CORRECT ANSWER OIG work plan
Select the true statement regarding ABNs - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER $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? -
CORRECT ANSWER Chronic Venous Insufficiency
Who would NOT be considered a covered enity under HIPAA - CORRECT
ANSWER Patients
What document assists provider offices with the development of compliance manuals? -
CORRECT ANSWER OIG complaince program guidance
, Which statement describes a medically necessary service? - CORRECT
ANSWER 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? - CORRECT
ANSWER Consultants, educators, medical auditors
What is the difference between outpatient and inpatient coding? - CORRECT
ANSWER Inpatient coders use ICD-10-CM and ICD-10-PCS
What is a mid level provider? - CORRECT ANSWER mid-level providers include
physician assistants (PA) and nurse practitioners (NP)
What one is the difference parts of medicare? - CORRECT ANSWER 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? - CORRECT
ANSWER Subjective, Objective, Assessment, Plan
What are five tips for coding operative (OP) reports - CORRECT ANSWER diagnosis
code reporting, Start with the procedures listed, Look for key words, highlight unfamiliar
words, read the body
What is medical necessity? - CORRECT ANSWER 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? - CORRECT
ANSWER covered service
AND CORRECT ANSWERS
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? - CORRECT ANSWER ABN
Under HIPAA what would be a policy requirement for "minimum necessary"? - CORRECT
ANSWER 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? - CORRECT ANSWER OIG work plan
Select the true statement regarding ABNs - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER $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? -
CORRECT ANSWER Chronic Venous Insufficiency
Who would NOT be considered a covered enity under HIPAA - CORRECT
ANSWER Patients
What document assists provider offices with the development of compliance manuals? -
CORRECT ANSWER OIG complaince program guidance
, Which statement describes a medically necessary service? - CORRECT
ANSWER 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? - CORRECT
ANSWER Consultants, educators, medical auditors
What is the difference between outpatient and inpatient coding? - CORRECT
ANSWER Inpatient coders use ICD-10-CM and ICD-10-PCS
What is a mid level provider? - CORRECT ANSWER mid-level providers include
physician assistants (PA) and nurse practitioners (NP)
What one is the difference parts of medicare? - CORRECT ANSWER 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? - CORRECT
ANSWER Subjective, Objective, Assessment, Plan
What are five tips for coding operative (OP) reports - CORRECT ANSWER diagnosis
code reporting, Start with the procedures listed, Look for key words, highlight unfamiliar
words, read the body
What is medical necessity? - CORRECT ANSWER 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? - CORRECT
ANSWER covered service
