2023/2024 AAPC CPC Exam Prep/ CPC Exam Prep
AAPC New Version
Difference between entropion and ectropion ---------- Answer -------- Entropion is the
inward turning of the eyelid and ectropion is the outward turning of the eyelid
Ateriovenous anastomosis is used to increase blood flow in hemodialysis. Which one of
the following describes a direct arteriovenous anastomosis ---------- Answer --------
section of artery and a neighboring vein are joined
Ventral, umbilical, spigelian, and incisional are types of ---------- Answer -------- hernias
Fracturing the acetabulum involves what area?
A. Skull
B. Shoulder
C. Pelvis
D. Leg ---------- Answer -------- Pelvis
When a patient is having a tenotomy performed on the abductor hallucis muscle, where
is this muscle located? ---------- Answer -------- FOOT
Chapter 15 O00-O9A ---------- Answer -------- sequencing priority over codes from other
chapters.
Which statement is TRUE about reporting codes for diabetes mellitus ---------- Answer --
------ If the type of diabetes mellitus is not documented in the medical record the default
type is E11,- type 2 diabetes mellitus
Which statment is TRUE about reporting codes for diabetes mellitus ---------- Answer ----
---- External cause codes should never be sequences as a first-listed or primary code
What is PHI ---------- Answer -------- Protected Health Information
A medicare patient is receiving chemotherapy at her oncologist's office. While the
patient is receiving chemotherapy, the oncologist calls in a prescription for pain
medication to a pharmacy in the same building. The pharmacy delivers the medication
to the patient in the oncologist's office for the patient to take home. What part of
Medicare should be billed for the pain medication by the pharamacy? ---------- Answer --
------ Medicare Part D is for prescription drug coverage. The patient's prescription for the
pain medication would be billed to Medicare Part D
What is medical coding? ---------- Answer -------- Translating medical documentation into
codes.
, Which one is not a covered entity of HIPPA
MEDICARE
Workers' compensation
Dentists
Pharmacies ---------- Answer -------- Workers' compensation
Which one falls under a commercial payer?
A Medicare
B. Medicaid
C. Blue Cross Blue Shield
D. All the above are commercial payers ---------- Answer -------- Blue Cross Blue Shield
There are two primary types of insurers: commercial and government. Commercial
payers are private payers that offer both group and individual plans. For example, Blue
Cross Blue Shield organizations are private payers who usually operate in the state in
which they are based.
When should an ABN be signed? ---------- Answer -------- When a service is not
expected to be covered by Medicare.
The amount on an ABN should be within how much of the cost to the patient? ----------
Answer -------- $100 or 25% of cost
An entity that processes nonstandard health information they receive from another
entity into a standard format is considered what? ---------- Answer -------- Clearing house
A Health care clearing house is an entity that processes nonstandard health information
they receive from another entity into a standard (such as standard electronic format, or
data content) or vice versa
Intentional billing of services not provided is considered? ---------- Answer -------- Fraud
What OIG document should a provider review for potentional problem areas that will
receive special scrutiny in the upcoming year? ---------- Answer -------- OIG Work Plan
Each year in October, the OIG releases a work plan outlining its priorities for the fiscal
year ahead
Chapter 2 - 1. A patient sustaining an injury to her great saphenous vein would have
sustained an injury to which of the following anatomical sites? ---------- Answer --------
Leg
The great saphenous vein carries blood from the great toe up the leg to the thigh, where
it drains into the femoral vein
Which of the following is a function of the pancreas
AAPC New Version
Difference between entropion and ectropion ---------- Answer -------- Entropion is the
inward turning of the eyelid and ectropion is the outward turning of the eyelid
Ateriovenous anastomosis is used to increase blood flow in hemodialysis. Which one of
the following describes a direct arteriovenous anastomosis ---------- Answer --------
section of artery and a neighboring vein are joined
Ventral, umbilical, spigelian, and incisional are types of ---------- Answer -------- hernias
Fracturing the acetabulum involves what area?
A. Skull
B. Shoulder
C. Pelvis
D. Leg ---------- Answer -------- Pelvis
When a patient is having a tenotomy performed on the abductor hallucis muscle, where
is this muscle located? ---------- Answer -------- FOOT
Chapter 15 O00-O9A ---------- Answer -------- sequencing priority over codes from other
chapters.
Which statement is TRUE about reporting codes for diabetes mellitus ---------- Answer --
------ If the type of diabetes mellitus is not documented in the medical record the default
type is E11,- type 2 diabetes mellitus
Which statment is TRUE about reporting codes for diabetes mellitus ---------- Answer ----
---- External cause codes should never be sequences as a first-listed or primary code
What is PHI ---------- Answer -------- Protected Health Information
A medicare patient is receiving chemotherapy at her oncologist's office. While the
patient is receiving chemotherapy, the oncologist calls in a prescription for pain
medication to a pharmacy in the same building. The pharmacy delivers the medication
to the patient in the oncologist's office for the patient to take home. What part of
Medicare should be billed for the pain medication by the pharamacy? ---------- Answer --
------ Medicare Part D is for prescription drug coverage. The patient's prescription for the
pain medication would be billed to Medicare Part D
What is medical coding? ---------- Answer -------- Translating medical documentation into
codes.
, Which one is not a covered entity of HIPPA
MEDICARE
Workers' compensation
Dentists
Pharmacies ---------- Answer -------- Workers' compensation
Which one falls under a commercial payer?
A Medicare
B. Medicaid
C. Blue Cross Blue Shield
D. All the above are commercial payers ---------- Answer -------- Blue Cross Blue Shield
There are two primary types of insurers: commercial and government. Commercial
payers are private payers that offer both group and individual plans. For example, Blue
Cross Blue Shield organizations are private payers who usually operate in the state in
which they are based.
When should an ABN be signed? ---------- Answer -------- When a service is not
expected to be covered by Medicare.
The amount on an ABN should be within how much of the cost to the patient? ----------
Answer -------- $100 or 25% of cost
An entity that processes nonstandard health information they receive from another
entity into a standard format is considered what? ---------- Answer -------- Clearing house
A Health care clearing house is an entity that processes nonstandard health information
they receive from another entity into a standard (such as standard electronic format, or
data content) or vice versa
Intentional billing of services not provided is considered? ---------- Answer -------- Fraud
What OIG document should a provider review for potentional problem areas that will
receive special scrutiny in the upcoming year? ---------- Answer -------- OIG Work Plan
Each year in October, the OIG releases a work plan outlining its priorities for the fiscal
year ahead
Chapter 2 - 1. A patient sustaining an injury to her great saphenous vein would have
sustained an injury to which of the following anatomical sites? ---------- Answer --------
Leg
The great saphenous vein carries blood from the great toe up the leg to the thigh, where
it drains into the femoral vein
Which of the following is a function of the pancreas
