Chapter 1 Questions AAPC CPC |
with 100% Correct Answers
Which type of information is not maintained in a medical record?
a. observations
b. medical or surgical interventions
c. Treatment outcomes
d. Financial records Correct Answer: d. Financial records
EHR stands for:
a. Extended health record
b. Electronic health response
c. Electronic health record
d. Establish health record Correct Answer: C. Electronic health record
The Medicare program is made of several parts. Which part covers provider fees without the use
of a private insurer?
a. Part A
b. Part B
c. Part C
d. Part D Correct Answer: b. Part B
What does CMS-HCC stand for?
a. County Mandated Services-Heightened Control Center
b. Country Mandated Services- Hospital Coding Initiative
c. Centers for Medicare & Medicaid services- Hierarchal Condition Category
d. Centers for Medicare & Medicaid Sercies- Hospital Correct Coding Initiative Correct Answer:
c. Centers for Medicare and Medicaid Services- Hierarchal Condition Category
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II, icd-10-cm, ICD-10-PCS
b. ICD-10-CM and ICD-10-PCS
c. CPT, HCPCS Levell II, ICD-10-CM
d. CPT and ICD-10-CM Correct Answer: c. CPT, HCPCS Level II, and ICD-10-CM
The____describes whether specific medical items, services, treatment procedures or technologies
are consider medically necessary under Medicare.
A. National Coverage Determinations Manual
B. Medicare Physician Fee Schedule
C. Medicare Severity-Diagnosis Related Groups (MS-DRG)
D. Internet Only Manual Correct Answer: A. National Coverage Determinations Manual
What does MAC stand for?
A. Medicaid Alert Contractor
, B. Medicare Administrative Contractor
C. Medicare Advisory Contractor
D. Medicaid Administrative Contractor Correct Answer: B. Medicare Administrative Contractor
LCD's only have jurisdiction in their?
A. Locality
B. State
C. Region
D. District Correct Answer: c. Region
When are providers responsible for obtaining an ABN for a service Not considered medically
necessary?
A. After providing a service or item to a beneficiary
B. Prior to providing a service or item to a beneficiary
C. During a procedure or service
D. After denial has been received from Medicare. Correct Answer: B. Prior to providing a
service or item to a beneficiary
In what year did HIPAA become Law?
a. 1992
b. 1995
c. 1997
d. 1996 Correct Answer: d. 1996
Evaluation and management services are often provide in a standard format such as SOAP notes.
What does the acronym SOAP stand for?
A. Standard, Objective, Activity, Period
B. Scope, Observation, Action, Plan
C. Subjective, Objective, Assessment, Plan
D. Source, Opinion, Advice, Provider Correct Answer: C. Subjective, Objective, Assessment,
Plan
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous
or ___, but also by showing that the physician practice is making additional good faith efforts to
submit claims appropriately.
A. Duplicate claims
B. Fraudulent claims
C. Mistaken principals
D. Over utilized codes Correct Answer: B. Fraudulent claims
According to AAPC's Code of Ethics, a member shall use only __ and ___ means in all
professional dealings.
A. Private and professional
B. Efficient and inexpensive
C. Legal and profitable
D. Legal and ethical Correct Answer: D. Legal and ethical
with 100% Correct Answers
Which type of information is not maintained in a medical record?
a. observations
b. medical or surgical interventions
c. Treatment outcomes
d. Financial records Correct Answer: d. Financial records
EHR stands for:
a. Extended health record
b. Electronic health response
c. Electronic health record
d. Establish health record Correct Answer: C. Electronic health record
The Medicare program is made of several parts. Which part covers provider fees without the use
of a private insurer?
a. Part A
b. Part B
c. Part C
d. Part D Correct Answer: b. Part B
What does CMS-HCC stand for?
a. County Mandated Services-Heightened Control Center
b. Country Mandated Services- Hospital Coding Initiative
c. Centers for Medicare & Medicaid services- Hierarchal Condition Category
d. Centers for Medicare & Medicaid Sercies- Hospital Correct Coding Initiative Correct Answer:
c. Centers for Medicare and Medicaid Services- Hierarchal Condition Category
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II, icd-10-cm, ICD-10-PCS
b. ICD-10-CM and ICD-10-PCS
c. CPT, HCPCS Levell II, ICD-10-CM
d. CPT and ICD-10-CM Correct Answer: c. CPT, HCPCS Level II, and ICD-10-CM
The____describes whether specific medical items, services, treatment procedures or technologies
are consider medically necessary under Medicare.
A. National Coverage Determinations Manual
B. Medicare Physician Fee Schedule
C. Medicare Severity-Diagnosis Related Groups (MS-DRG)
D. Internet Only Manual Correct Answer: A. National Coverage Determinations Manual
What does MAC stand for?
A. Medicaid Alert Contractor
, B. Medicare Administrative Contractor
C. Medicare Advisory Contractor
D. Medicaid Administrative Contractor Correct Answer: B. Medicare Administrative Contractor
LCD's only have jurisdiction in their?
A. Locality
B. State
C. Region
D. District Correct Answer: c. Region
When are providers responsible for obtaining an ABN for a service Not considered medically
necessary?
A. After providing a service or item to a beneficiary
B. Prior to providing a service or item to a beneficiary
C. During a procedure or service
D. After denial has been received from Medicare. Correct Answer: B. Prior to providing a
service or item to a beneficiary
In what year did HIPAA become Law?
a. 1992
b. 1995
c. 1997
d. 1996 Correct Answer: d. 1996
Evaluation and management services are often provide in a standard format such as SOAP notes.
What does the acronym SOAP stand for?
A. Standard, Objective, Activity, Period
B. Scope, Observation, Action, Plan
C. Subjective, Objective, Assessment, Plan
D. Source, Opinion, Advice, Provider Correct Answer: C. Subjective, Objective, Assessment,
Plan
Voluntary compliance programs also provide benefits by not only helping to prevent erroneous
or ___, but also by showing that the physician practice is making additional good faith efforts to
submit claims appropriately.
A. Duplicate claims
B. Fraudulent claims
C. Mistaken principals
D. Over utilized codes Correct Answer: B. Fraudulent claims
According to AAPC's Code of Ethics, a member shall use only __ and ___ means in all
professional dealings.
A. Private and professional
B. Efficient and inexpensive
C. Legal and profitable
D. Legal and ethical Correct Answer: D. Legal and ethical
