AAPC chapter 1 exam | with 100% Correct Answers
Many coding professionals go on to find work as: Correct Answer: Consultant
A medical record contains information on all but what areas? Correct Answer: Financial records
Technicians who specialize in coding are called: Correct Answer: Coding specialists
EHR stands for: Correct Answer: Electronic health record
What type of provider goes through approximately 26.5 months of education and is licensed to
practice medicine with the oversight of a physician? Correct Answer: Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to coders
working in physician offices and covers physician fees without the use of a private insurer?
Correct Answer: Part B
The Medicare program is made up of several parts. Which part is affected by the Centers for
Medicare and Medicaid Services' - hierarchal condition categories (CMS-HCC)? Correct
Answer: Part C
What does CMS-HCC stand for? Correct Answer: Centers for Medicare and Medicaid Services
- Hierarchal Condition Category
When coding an operative report, what action would NOT be recommended? Correct Answer:
Coding from the header without reading the body of the report
Outpatient coders focus on learning which coding manuals? Correct Answer: CPT, HCPCS
Level II, and ICD-9-CM Volumes 1 and 2
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient, who
determines coverage? Correct Answer: Medicare Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or technologies
are considered medically necessary under Medicare. Correct Answer: National Coverage
Determinations Manual
National Coverage Determinations serve what purpose? Correct Answer: To spell out CMS
policies on when Medicare will pay for items or services
MAC stands for what? Correct Answer: Medicare Administrative Contractor
Local Coverage Determinations are administered by __? Correct Answer: Each regional MAC
LCD's only have jurisdiction in their __ area. Correct Answer: Regional
Many coding professionals go on to find work as: Correct Answer: Consultant
A medical record contains information on all but what areas? Correct Answer: Financial records
Technicians who specialize in coding are called: Correct Answer: Coding specialists
EHR stands for: Correct Answer: Electronic health record
What type of provider goes through approximately 26.5 months of education and is licensed to
practice medicine with the oversight of a physician? Correct Answer: Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to coders
working in physician offices and covers physician fees without the use of a private insurer?
Correct Answer: Part B
The Medicare program is made up of several parts. Which part is affected by the Centers for
Medicare and Medicaid Services' - hierarchal condition categories (CMS-HCC)? Correct
Answer: Part C
What does CMS-HCC stand for? Correct Answer: Centers for Medicare and Medicaid Services
- Hierarchal Condition Category
When coding an operative report, what action would NOT be recommended? Correct Answer:
Coding from the header without reading the body of the report
Outpatient coders focus on learning which coding manuals? Correct Answer: CPT, HCPCS
Level II, and ICD-9-CM Volumes 1 and 2
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient, who
determines coverage? Correct Answer: Medicare Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or technologies
are considered medically necessary under Medicare. Correct Answer: National Coverage
Determinations Manual
National Coverage Determinations serve what purpose? Correct Answer: To spell out CMS
policies on when Medicare will pay for items or services
MAC stands for what? Correct Answer: Medicare Administrative Contractor
Local Coverage Determinations are administered by __? Correct Answer: Each regional MAC
LCD's only have jurisdiction in their __ area. Correct Answer: Regional
