AAPC - CPC Chapter 1: The
Business of Medicine - Final
A covered entity may attain consent from an individual to use or expose included fitness
information to perform all the following EXCEPT what? - ANS-Research
AAPC credentialed coders have established mastery of what records? - ANS-Code sets
Evaluation and Management ideas
Documentation hints
ABN - ANS-Advance Beneficiary Notice
According to AAPC's Code of Ethics, an AAPC member shall use best _______ and
_______ manner in all professional dealings? - ANS-Legal and ethical
According to OIG, internal monitoring and auditing should be achieved by way of what
means? - ANS-Periodic audits
According to the AAPC Code of Ethics, which term is NOT listed as an moral principle of
expert conduct? - ANS-Efficiency
According to the instance LCD from Novitas Solutions, which of the subsequent conditions is
considered a systemic situation that could result in the want for routine foot care? -
ANS-Chronic venous insufficiency
Response Feedback:
Rationale: According to the LCD, Chronic venous insufficiency is a systemic condition that
could result in the need for habitual foot care.
According to the OIG, internal monitoring and auditing need to be completed by means of
what means? - ANS-Periodic Audits
AMA - ANS-American Medical Association
APC - ANS-Ambulatory Payment Classification
Are ABN's required in an emergency or urgent care scenario? - ANS-NO, in fact CMS
coverage prohibits giving an ABN to a patient who's "below duress".
ARRA - ANS-American Recovery and Reinvestment Act of 2009
ASC - ANS-Ambulatory Surgical Center
, Can Non-Medicare payers refuse to apprehend an ABN? - ANS-Yes, if the fitness plan
agreement has a "keep innocent" clause found inside the language that prohibits billing the
patient for whatever aside from co-will pay or deductibles.
Can the patient request this be billed to Medicare earlier than charge is made by way of
them? - ANS-yes, with the understanding that it will possibly be denied & they'll be financially
liable.
Can the service be accomplished if the affected person refuses to signal the ABN and the
issuer does not be given challenge? - ANS-No, a signature is needed at the ABN to maintain
the affected person financially liable. The simplest options are not to offer the carrier/system
or to provide the provider with the information the provider may not be capable of recoup
price from both Medicare or the beneficiary.
CDT - ANS-Current Dental Terminology
CMS - ANS-Centers for Medicare and Medicaid Services
CMS-HCC - ANS-Centers for Medicare and Medicaid Services-Heirarchical Condition
category
CPC - ANS-Certified professional Coder
CPT - ANS-Current Procedural Terminology
Do NON PAR providers must observe this rule if they see a Medicare patient? - ANS-there
are limits set on what can be charged for each CPT code, referred to as a limiting rate.
E/M - ANS-Evaluation and Management
EHR - ANS-Electronic fitness report
EIN - ANS-Employer Identification Number
Evaluation and Management (E/M) services are frequently provided and documented in a
popular SOAP layout. What does SOAP constitute? - ANS-Subjective
Objective
Assessment
Plan
HCPCS - ANS-Healthcare Common Procedure Coding System
Healthcare companies are answerable for growing ___________ and policies and
techniques regarding privacy in their practices? - ANS-Notice of Privacy Practices
HHS - ANS-Dept of Health and Human Services
Business of Medicine - Final
A covered entity may attain consent from an individual to use or expose included fitness
information to perform all the following EXCEPT what? - ANS-Research
AAPC credentialed coders have established mastery of what records? - ANS-Code sets
Evaluation and Management ideas
Documentation hints
ABN - ANS-Advance Beneficiary Notice
According to AAPC's Code of Ethics, an AAPC member shall use best _______ and
_______ manner in all professional dealings? - ANS-Legal and ethical
According to OIG, internal monitoring and auditing should be achieved by way of what
means? - ANS-Periodic audits
According to the AAPC Code of Ethics, which term is NOT listed as an moral principle of
expert conduct? - ANS-Efficiency
According to the instance LCD from Novitas Solutions, which of the subsequent conditions is
considered a systemic situation that could result in the want for routine foot care? -
ANS-Chronic venous insufficiency
Response Feedback:
Rationale: According to the LCD, Chronic venous insufficiency is a systemic condition that
could result in the need for habitual foot care.
According to the OIG, internal monitoring and auditing need to be completed by means of
what means? - ANS-Periodic Audits
AMA - ANS-American Medical Association
APC - ANS-Ambulatory Payment Classification
Are ABN's required in an emergency or urgent care scenario? - ANS-NO, in fact CMS
coverage prohibits giving an ABN to a patient who's "below duress".
ARRA - ANS-American Recovery and Reinvestment Act of 2009
ASC - ANS-Ambulatory Surgical Center
, Can Non-Medicare payers refuse to apprehend an ABN? - ANS-Yes, if the fitness plan
agreement has a "keep innocent" clause found inside the language that prohibits billing the
patient for whatever aside from co-will pay or deductibles.
Can the patient request this be billed to Medicare earlier than charge is made by way of
them? - ANS-yes, with the understanding that it will possibly be denied & they'll be financially
liable.
Can the service be accomplished if the affected person refuses to signal the ABN and the
issuer does not be given challenge? - ANS-No, a signature is needed at the ABN to maintain
the affected person financially liable. The simplest options are not to offer the carrier/system
or to provide the provider with the information the provider may not be capable of recoup
price from both Medicare or the beneficiary.
CDT - ANS-Current Dental Terminology
CMS - ANS-Centers for Medicare and Medicaid Services
CMS-HCC - ANS-Centers for Medicare and Medicaid Services-Heirarchical Condition
category
CPC - ANS-Certified professional Coder
CPT - ANS-Current Procedural Terminology
Do NON PAR providers must observe this rule if they see a Medicare patient? - ANS-there
are limits set on what can be charged for each CPT code, referred to as a limiting rate.
E/M - ANS-Evaluation and Management
EHR - ANS-Electronic fitness report
EIN - ANS-Employer Identification Number
Evaluation and Management (E/M) services are frequently provided and documented in a
popular SOAP layout. What does SOAP constitute? - ANS-Subjective
Objective
Assessment
Plan
HCPCS - ANS-Healthcare Common Procedure Coding System
Healthcare companies are answerable for growing ___________ and policies and
techniques regarding privacy in their practices? - ANS-Notice of Privacy Practices
HHS - ANS-Dept of Health and Human Services
