AAPC CRC Study Guide with Accurate
Solutions
which medicare part is reimbursed based on the risk adjustment models - ANS-part c
who typically employs risk adjustment coders - ANS-health plans
is a health plan required to follow the minimum necessary rule - ANS-yes, health plans
are covered entities and are therefore required to follow the minimum necessary rule
what is an example of fraud - ANS-reporting a diagnosis or co-morbidity that does not
exist to obtain higher reimbursement
which part of medicare is also called medicare advantage - ANS-part c
which health insurance assistance program is sponsored by federal and state
governments - ANS-medicaid
what OIG document should a medicare advantage participant review for potential
problem areas that will receive special scrutiny in the upcoming year - ANS-OIG work
plan
which code set is used by risk adjustment coders - ANS-icd-10-cm
which regulation strengthens HIPAA rules by addressing privacy and security concerns
associated with the electronic transmission of health information - ANS-Health
Information Technology for Economic and Clinical Health Act (HITECH)
what is coding - ANS-translating a written or dictated medical record into a series of
alphanumeric codes
which organ is in the thoracic cavity - ANS-lungs
what does the term distal indicate - ANS-farther from the point of attachment
blood is received back into the left atrium of the heart through.... - ANS-pulmonary veins
the root of the nail is also known as what - ANS-germinal matrix
the documentation states: Past Surgical history: she had a lumpectomy of the breast for
DCIS 12 years ago which successfully eradicated the CA
, how would this be reported - ANS-personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation - ANS-ocular
which organ does pulmonary refer to - ANS-lungs
what is a PEG tube - ANS-a tube inserted into the stomach for long term feeding
angina pectoris refers to which system - ANS-cardiovascular
what is cholelithiasis - ANS-stones in the gallbladder
a patient with diabetes type 2 presents with ED. after examination, the provider
diagnosis the patient with ED due to diabetic autonomic neuropathy. - ANS-e11.43,
n52.1
what must be included on a discharge summary submitted as a physician provider type
- ANS-the discharge date
true or false: diagnoses listed in a diagnostic report should be reported when
documented as relevant by the provider in the documentation for face-to-face encounter
- ANS-true
true or false: chronic conditions reported in the past medical history can be coded for
risk adjustment if there is documentation supporting current treatment - ANS-true
ch. 7 question 5
Epistaxis; congestive heart failure; Long term (current) use of anticoagulants - ANS-
r04.0, i50.9, z79.01
ch 7 question 6
the provider documents a history of old chronic pulmonary embolism - ANS-z86.711
a patient arrives at the emergency department with SOB. the provider documents the
patient has a known history of CHF and is currently on Bumex for the CHF - ANS-i50.9
ch. 7 question 8
the neurologist documents a history of TIA, patient to start aspirin daily - ANS-z86.73
Solutions
which medicare part is reimbursed based on the risk adjustment models - ANS-part c
who typically employs risk adjustment coders - ANS-health plans
is a health plan required to follow the minimum necessary rule - ANS-yes, health plans
are covered entities and are therefore required to follow the minimum necessary rule
what is an example of fraud - ANS-reporting a diagnosis or co-morbidity that does not
exist to obtain higher reimbursement
which part of medicare is also called medicare advantage - ANS-part c
which health insurance assistance program is sponsored by federal and state
governments - ANS-medicaid
what OIG document should a medicare advantage participant review for potential
problem areas that will receive special scrutiny in the upcoming year - ANS-OIG work
plan
which code set is used by risk adjustment coders - ANS-icd-10-cm
which regulation strengthens HIPAA rules by addressing privacy and security concerns
associated with the electronic transmission of health information - ANS-Health
Information Technology for Economic and Clinical Health Act (HITECH)
what is coding - ANS-translating a written or dictated medical record into a series of
alphanumeric codes
which organ is in the thoracic cavity - ANS-lungs
what does the term distal indicate - ANS-farther from the point of attachment
blood is received back into the left atrium of the heart through.... - ANS-pulmonary veins
the root of the nail is also known as what - ANS-germinal matrix
the documentation states: Past Surgical history: she had a lumpectomy of the breast for
DCIS 12 years ago which successfully eradicated the CA
, how would this be reported - ANS-personal history of breast cancer
the documentation states: soft druse, some calcified
what system would have this documentation - ANS-ocular
which organ does pulmonary refer to - ANS-lungs
what is a PEG tube - ANS-a tube inserted into the stomach for long term feeding
angina pectoris refers to which system - ANS-cardiovascular
what is cholelithiasis - ANS-stones in the gallbladder
a patient with diabetes type 2 presents with ED. after examination, the provider
diagnosis the patient with ED due to diabetic autonomic neuropathy. - ANS-e11.43,
n52.1
what must be included on a discharge summary submitted as a physician provider type
- ANS-the discharge date
true or false: diagnoses listed in a diagnostic report should be reported when
documented as relevant by the provider in the documentation for face-to-face encounter
- ANS-true
true or false: chronic conditions reported in the past medical history can be coded for
risk adjustment if there is documentation supporting current treatment - ANS-true
ch. 7 question 5
Epistaxis; congestive heart failure; Long term (current) use of anticoagulants - ANS-
r04.0, i50.9, z79.01
ch 7 question 6
the provider documents a history of old chronic pulmonary embolism - ANS-z86.711
a patient arrives at the emergency department with SOB. the provider documents the
patient has a known history of CHF and is currently on Bumex for the CHF - ANS-i50.9
ch. 7 question 8
the neurologist documents a history of TIA, patient to start aspirin daily - ANS-z86.73
