AAPC CPMA Practice Exam Study Questions with
Detailed Verified Answers 100% Correct Answers
Already Graded A+
Quiz: What elements must be in a medical record Ans: Patient ID, Assignment
of Benefits, medical history, immunizations, physical exam, lab report, clinical
impression, physician orders
Quiz: What is the minimum signature assignment of the author of entry in
the medical record? Ans: First initial, Last Name and credentials
Quiz: Based on the JC accreditation guidelines for personal data, what 2
elements must be evident in the medical record? Ans: There must be a
patient information sheet that contains biographical data, name, address, etc.
along with authorization for treatment whether it is an office visit, diagnostic
services or surgical procedure.
Quiz: What is the appropriate way to dispose of PHI that is no longer
needed? Ans: Discard it in a locked shredding receptacle
Quiz: When must ABNs be signed? Ans: Far enough in advance that the
beneficiary or representative has time to consider the options and make an
informed decision.
© 2025 Get it right Stuvia US All rights reserved
, Quiz: SOAP and CHEDDAR are two formats of medical record
documentation. Which section of each format would you find the patient's
history? Ans: S in SOAP and H in CHEDDAR
Quiz: Patients can request copies of disclosure of PHI under HIPAA: Ans: For
a six (6) year period of time
Quiz: When can a RAC extrapolate the overpayment(s) on claims? Ans: If a
RAC can demonstrate a high level of error, the RAC can then extrapolate the
findings and request a refund.
Quiz: Example: Column 1 Code/Column 2 Code 45385/45380 CPT Code
45385 - Colonoscopy, flexible, proximal to splenic flexure; with removal of
tumor(s), polyp(s), or other lesion(s) by snare technique CPT Code 45380 -
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or
multiple Policy: More extensive procedure Modifier -59 is: Ans: Only
appropriate if the two procedures are performed on separate lesions or at
separate patient encounters.
Quiz: Is reporting 14000 with 11401 unbundling? Ans: Yes according to CPT
guidelines the excision of a benign lesion or malignant lesion is not separately
reportable.
Quiz: Commercial and Government carriers audit medical records. Select the
statement that is TRUE regarding commercial and government carriers. Ans:
Commercial carriers and Government carriers both use claims data to identify
providers and services to audit.
© 2025 Get it right Stuvia US All rights reserved
Detailed Verified Answers 100% Correct Answers
Already Graded A+
Quiz: What elements must be in a medical record Ans: Patient ID, Assignment
of Benefits, medical history, immunizations, physical exam, lab report, clinical
impression, physician orders
Quiz: What is the minimum signature assignment of the author of entry in
the medical record? Ans: First initial, Last Name and credentials
Quiz: Based on the JC accreditation guidelines for personal data, what 2
elements must be evident in the medical record? Ans: There must be a
patient information sheet that contains biographical data, name, address, etc.
along with authorization for treatment whether it is an office visit, diagnostic
services or surgical procedure.
Quiz: What is the appropriate way to dispose of PHI that is no longer
needed? Ans: Discard it in a locked shredding receptacle
Quiz: When must ABNs be signed? Ans: Far enough in advance that the
beneficiary or representative has time to consider the options and make an
informed decision.
© 2025 Get it right Stuvia US All rights reserved
, Quiz: SOAP and CHEDDAR are two formats of medical record
documentation. Which section of each format would you find the patient's
history? Ans: S in SOAP and H in CHEDDAR
Quiz: Patients can request copies of disclosure of PHI under HIPAA: Ans: For
a six (6) year period of time
Quiz: When can a RAC extrapolate the overpayment(s) on claims? Ans: If a
RAC can demonstrate a high level of error, the RAC can then extrapolate the
findings and request a refund.
Quiz: Example: Column 1 Code/Column 2 Code 45385/45380 CPT Code
45385 - Colonoscopy, flexible, proximal to splenic flexure; with removal of
tumor(s), polyp(s), or other lesion(s) by snare technique CPT Code 45380 -
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or
multiple Policy: More extensive procedure Modifier -59 is: Ans: Only
appropriate if the two procedures are performed on separate lesions or at
separate patient encounters.
Quiz: Is reporting 14000 with 11401 unbundling? Ans: Yes according to CPT
guidelines the excision of a benign lesion or malignant lesion is not separately
reportable.
Quiz: Commercial and Government carriers audit medical records. Select the
statement that is TRUE regarding commercial and government carriers. Ans:
Commercial carriers and Government carriers both use claims data to identify
providers and services to audit.
© 2025 Get it right Stuvia US All rights reserved
