AAPC CPD FINAL EXAM 2024 NEWEST EXAM 2
VERSIONS AND PRACTICE QUESTIONS (VERSION A AND
B) 500 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) /ALREADY GRADED A+
What form is provided to a patient to indicate a service may not be covered by
medicare and the patient may be responsible for the charges? - ANSWER: ABN
Under HIPAA what would be a policy requirement for "minimum necessary"? -
ANSWER: Only individuals whos job requires it may have access to protected health
information
What document is referenced to when looking for potential problem areas
indentified by the government indicating scrutiny of the service? - ANSWER: OIG
work plan
Select the true statement regarding ABNs - ANSWER: A. ABNs may not be recognized
by non medicare payers
Which act was enacted as part of the American Recovery and Reinvestment Act of
2009 (ARRA) and affected privacy and security? - ANSWER: HITECH
When presenting a cost estimate of an ABN for potentially non covered service, the
cost estimate should be written what range of the actual cost? - ANSWER: $100 or
25%
According to the example LCD from novitas solutions, which of the following
conditions is considered a systematic condition that may result in the need for
routine foot care? - ANSWER: Chronic Venous Insufficiency
Who would NOT be considered a covered enity under HIPAA - ANSWER: Patients
What document assists provider offices with the development of compliance
manuals? - ANSWER: OIG complaince program guidance
Which statement describes a medically necessary service? - ANSWER: Using the least
radical service/ procedures that allow for effective treatment of the patient's
complaints or condition
What type of profession, other than coding, might skilled coders enter? - ANSWER:
Consultants, educators, medical auditors
What is the difference between outpatient and inpatient coding? - ANSWER:
Inpatient coders use ICD-10-CM and ICD-10-PCS
, What is a mid level provider? - ANSWER: mid-level providers include physician
assistants (PA) and nurse practitioners (NP)
What one is the difference parts of medicare? - ANSWER: Part A,B,C,D
Evaluation and Management (E/M) services are often provided and documented in a
standard format. One such as SOAP notes. What does SOAP represent? - ANSWER:
Subjective, Objective, Assessment, Plan
What are five tips for coding operative (OP) reports - ANSWER: diagnosis code
reporting, Start with the procedures listed, Look for key words, highlight unfamiliar
words, read the body
What is medical necessity? - ANSWER: Relates to whether a procedure or service is
considered appropriate in a given circumstance.
What is NOT a common reason medicare may deny a procedure or service? -
ANSWER: covered service
Under the Privacy rulem the minimum necessary standard does not apply to what
type of disclosures? - ANSWER: Disclosures to the individual who is the subject of the
information
Which is NOT one of the seven key components of internal complaince plan? -
ANSWER: Conduct training but not perform education on practice standards and
procedures
ABN stands for? - ANSWER: Advance Beneficiary Notice
What does the abbreviation MAC stand for? - ANSWER: Medicare Administration
Contractor
The OIG recommends that provider practices enforce disciplinary actions through
well publicized compliance guidelines to ensure actions that are? - ANSWER:
Consistent and appropriate
EHR stands for? - ANSWER: electronic health record
Which of the following is a benefit of electronic transactions? - ANSWER: Timely
submission of claims
What year was HITECH enacted as part of the American Recovery and Reinforcment
Act - ANSWER: 2009
When are providers responsible for obtaining on ABN for a service NOT considered
medically necessary? - ANSWER: Prior to providing a service or item to a beneficiary
VERSIONS AND PRACTICE QUESTIONS (VERSION A AND
B) 500 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) /ALREADY GRADED A+
What form is provided to a patient to indicate a service may not be covered by
medicare and the patient may be responsible for the charges? - ANSWER: ABN
Under HIPAA what would be a policy requirement for "minimum necessary"? -
ANSWER: Only individuals whos job requires it may have access to protected health
information
What document is referenced to when looking for potential problem areas
indentified by the government indicating scrutiny of the service? - ANSWER: OIG
work plan
Select the true statement regarding ABNs - ANSWER: A. ABNs may not be recognized
by non medicare payers
Which act was enacted as part of the American Recovery and Reinvestment Act of
2009 (ARRA) and affected privacy and security? - ANSWER: HITECH
When presenting a cost estimate of an ABN for potentially non covered service, the
cost estimate should be written what range of the actual cost? - ANSWER: $100 or
25%
According to the example LCD from novitas solutions, which of the following
conditions is considered a systematic condition that may result in the need for
routine foot care? - ANSWER: Chronic Venous Insufficiency
Who would NOT be considered a covered enity under HIPAA - ANSWER: Patients
What document assists provider offices with the development of compliance
manuals? - ANSWER: OIG complaince program guidance
Which statement describes a medically necessary service? - ANSWER: Using the least
radical service/ procedures that allow for effective treatment of the patient's
complaints or condition
What type of profession, other than coding, might skilled coders enter? - ANSWER:
Consultants, educators, medical auditors
What is the difference between outpatient and inpatient coding? - ANSWER:
Inpatient coders use ICD-10-CM and ICD-10-PCS
, What is a mid level provider? - ANSWER: mid-level providers include physician
assistants (PA) and nurse practitioners (NP)
What one is the difference parts of medicare? - ANSWER: Part A,B,C,D
Evaluation and Management (E/M) services are often provided and documented in a
standard format. One such as SOAP notes. What does SOAP represent? - ANSWER:
Subjective, Objective, Assessment, Plan
What are five tips for coding operative (OP) reports - ANSWER: diagnosis code
reporting, Start with the procedures listed, Look for key words, highlight unfamiliar
words, read the body
What is medical necessity? - ANSWER: Relates to whether a procedure or service is
considered appropriate in a given circumstance.
What is NOT a common reason medicare may deny a procedure or service? -
ANSWER: covered service
Under the Privacy rulem the minimum necessary standard does not apply to what
type of disclosures? - ANSWER: Disclosures to the individual who is the subject of the
information
Which is NOT one of the seven key components of internal complaince plan? -
ANSWER: Conduct training but not perform education on practice standards and
procedures
ABN stands for? - ANSWER: Advance Beneficiary Notice
What does the abbreviation MAC stand for? - ANSWER: Medicare Administration
Contractor
The OIG recommends that provider practices enforce disciplinary actions through
well publicized compliance guidelines to ensure actions that are? - ANSWER:
Consistent and appropriate
EHR stands for? - ANSWER: electronic health record
Which of the following is a benefit of electronic transactions? - ANSWER: Timely
submission of claims
What year was HITECH enacted as part of the American Recovery and Reinforcment
Act - ANSWER: 2009
When are providers responsible for obtaining on ABN for a service NOT considered
medically necessary? - ANSWER: Prior to providing a service or item to a beneficiary
