AAPC CPC Exam: Chapter 1 Questions
And Answers.
What does MAC stands for? -
\Medicare Administrative Contractor
Which coding manuals do outpatient coders focus on learning? -
\CPT®, HCPCS Level II and ICD-10-CM
In what year was the AAPC founded? -
\1988
What type of provider goes through approximately 26 1⁄2 months of education and is
licensed to practice medicine with the oversight of a physician? -
\Physician Assistant (PA)
In what year did HIPAA become law? -
\1996
Which type of information is NOT maintained in a medical record? -
\Financial Records
The minimum necessary rule is based on sound current practice that protected health
information should NOT be used or disclosed when it is not necessary to satisfy a
particular purpose or carry out a function. What does this mean? -
\Providers should develop safeguards to prevent unauthorized access to protected
health information.
If an NCD does not exist for a particular service/procedure performed on a Medicare
patient, who determines coverage? -
\Medicare Administrative Contractor (MAC)
Professionals who specialize in coding are called:q -
\Coding specialists
In what year was HITECH enacted as part of the American Recovery and Reinvestment
Act? -
\2009
LCDs only have jurisdiction in their ____. -
\Region
How many components are included in an effective compliance plan? -
, \7
Many coding professionals go on to find work as: -
\Consultants
The Medicare program is made up of several parts. Which part is affected by the
Centers for Medicare & Medicaid Services - Hierarchical Condition Categories (CMS-
HCC)? -
\Part C
According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____
means in all professional dealings. -
\Legal and Ethical
What is the value of a remittance advice? -
\It states what will be paid and why any changes to charges were made.
AAPC credentialed coders have proven mastery of what information? -
\All code sets, evaluation & management principles, and documentation guidelines
Evaluation and management services are often provided in a standard format such as
SOAP notes. What does the acronym SOAP stand for? -
\Subjective, Objective, Assessment, Plan
HITECH provides a ____ day window during which any violation not due to willful
neglect may be corrected without penalty. -
\30
What form is used to submit a provider's charge to the insurance carrier? -
\CMS-1500
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. -
\Fraudulent Claims
Which of the following choices is NOT a benefit of an active compliance plan? -
\Eliminates risk of an audit
The OIG releases a ____ outlining its priorities for the fiscal year ahead and beyond. -
\Work Plan
What is the purpose of National Coverage Determinations? -
\To explain CMS policies on when Medicare will pay for items or services.
What does CMS-HCC stand for? -
And Answers.
What does MAC stands for? -
\Medicare Administrative Contractor
Which coding manuals do outpatient coders focus on learning? -
\CPT®, HCPCS Level II and ICD-10-CM
In what year was the AAPC founded? -
\1988
What type of provider goes through approximately 26 1⁄2 months of education and is
licensed to practice medicine with the oversight of a physician? -
\Physician Assistant (PA)
In what year did HIPAA become law? -
\1996
Which type of information is NOT maintained in a medical record? -
\Financial Records
The minimum necessary rule is based on sound current practice that protected health
information should NOT be used or disclosed when it is not necessary to satisfy a
particular purpose or carry out a function. What does this mean? -
\Providers should develop safeguards to prevent unauthorized access to protected
health information.
If an NCD does not exist for a particular service/procedure performed on a Medicare
patient, who determines coverage? -
\Medicare Administrative Contractor (MAC)
Professionals who specialize in coding are called:q -
\Coding specialists
In what year was HITECH enacted as part of the American Recovery and Reinvestment
Act? -
\2009
LCDs only have jurisdiction in their ____. -
\Region
How many components are included in an effective compliance plan? -
, \7
Many coding professionals go on to find work as: -
\Consultants
The Medicare program is made up of several parts. Which part is affected by the
Centers for Medicare & Medicaid Services - Hierarchical Condition Categories (CMS-
HCC)? -
\Part C
According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____
means in all professional dealings. -
\Legal and Ethical
What is the value of a remittance advice? -
\It states what will be paid and why any changes to charges were made.
AAPC credentialed coders have proven mastery of what information? -
\All code sets, evaluation & management principles, and documentation guidelines
Evaluation and management services are often provided in a standard format such as
SOAP notes. What does the acronym SOAP stand for? -
\Subjective, Objective, Assessment, Plan
HITECH provides a ____ day window during which any violation not due to willful
neglect may be corrected without penalty. -
\30
What form is used to submit a provider's charge to the insurance carrier? -
\CMS-1500
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. -
\Fraudulent Claims
Which of the following choices is NOT a benefit of an active compliance plan? -
\Eliminates risk of an audit
The OIG releases a ____ outlining its priorities for the fiscal year ahead and beyond. -
\Work Plan
What is the purpose of National Coverage Determinations? -
\To explain CMS policies on when Medicare will pay for items or services.
What does CMS-HCC stand for? -
