QUESTIONS AND VERIFIED ANSWERS|
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AAPC CPC FINAL EXAM PRACTICE
AAPC CPC
(AMERICAN ACADEMY OF PROFESSIONAL CODERS) (CERTIFIED
PROFESSIONAL CODER)
FINAL EXAM PRACTICE:
,Medical Billing: Claim Form for Provider Charges
Question
A healthcare provider has completed services for a patient and needs to submit
charges to the insurance carrier for reimbursement. Which form is used to submit a
provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - CORRECT-ANSWERS--c. CMS-1500
Outpatient Coding Manuals
Question
Outpatient coders are responsible for assigning diagnosis and procedure codes for
services provided in physician offices, clinics, ambulatory surgery centers, and other
outpatient settings. Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - CORRECT-ANSWERS--a. CPT, HCPCS
Level II and ICD-10-CM
HITECH Act and the American Recovery and Reinvestment Act (ARRA)
Question
The Health Information Technology for Economic and Clinical Health (HITECH) Act
was enacted to promote the adoption and meaningful use of electronic health
,records (EHRs) and improve the security of health information. In what year was
HITECH enacted as part of the American Recovery and Reinvestment Act (ARRA)?
a. 2010
b. 2009
c. 2000
d. 2007 - CORRECT-ANSWERS--b. 2009
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.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals - CORRECT-ANSWERS--c. Fraudulent claims
Which CMS product describes whether specific medical items, services, treatment
procedures or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule - CORRECT-ANSWERS--b. National
Coverage Determinations Manual
Which condition results from an injury to the head? The symptoms include headache,
dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease - CORRECT-ANSWERS--b. Concussion
, In order, starting with the innermost layer, what are the four walls of the digestive
tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa - CORRECT-ANSWERS--a. Mucosa,
submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery
scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions,
crusts, and scales
c. An allergic reaction characterized by wheals and generally accompanied by
pruritus
d. A contagious infection of skin generally caused by staphylococcus bacterium -
CORRECT-ANSWERS--a. A chronic condition characterized by red, dry, elevated
lesions, covered by silvery scales
A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion - CORRECT-ANSWERS--b. Colostrum >> Colostrum is the first type of breast
milk produced after delivery, usually during the first few days postpartum. It is a thick,
yellowish fluid that is rich in antibodies, proteins, vitamins, and immune factors that
help protect the newborn from infection and support early immune development.
Although produced in small amounts, colostrum provides highly concentrated