AAPC -

AAPC - Final Exam/100 Questions with Correct Solutions/2024

Which statement describes a medically necessary service? A. Performing a procedure/service based on cost to eliminate wasteful services. B. Using the least radical service/procedure that allows for effective treatment of the patient's complaint or condition. C. Using the closest facility to perform a service or procedure. D. Using the appropriate course of treatment to fit within the patient's lifestyle. *Answer: B. Using the least radical service/procedure that allows for effective trea...

What is the meaning of provider in the ICD-10-CM guidelines? The physican The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding what? Neoplasms What is an example of an eponym? Paget's disease Who are the parties responsible for providing the ICD-10-CM guidelines? NCHS and CMS Rationale: ICD-10-CM guidelines introduction states, Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) provide the guid...

What is a root word? Main word that stands alone that holds meaning of medical term - can have more than one root What is a prefix? It's attached to beginning of word to modify or alter meaning - indicate location, time or number What is a suffix? It's attached to the end of a word to modify or alter meaning - medically they indicate the procedure, condition, disorder or disease. Blephar/o EYELID Bucc/o CHEEK Cholecyst/o GALLBLADDER Colp/o VAGINA

What is NOT a function of skin? Acts as a gland by synthesizing vitamin A Which layer is NOT considered part of the skin? Hypodermis What is true about the stratum germinativum? It lies on top of the dermis and has access to a rich supply of blood What is the best way to describe psoriasis? A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales What is affected by myasthenia gravis? Neuromuscular Junction What bones have tronchanters? femur (NOT the hum...

What is NOT a function of skin? Acts as a gland by synthesizing vitamin A Which layer is NOT considered part of the skin? Hypodermis What is true about the stratum germinativum? It lies on top of the dermis and has access to a rich supply of blood What is the best way to describe psoriasis? A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales What is affected by myasthenia gravis? Neuromuscular Junction What bones have tronchanters? femur (N...

What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG Investigation Plan C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal year ahead. Within the Work Plan, potential problem areas with claims submissions are listed and will be targeted with special scrutiny...

Medical coding process of translating a healthcare provider's documentation of a patient encounter into a series of numeric or alphanumeric codes Health information coders, medical record coders, coder/abstractors, coding specialists coders who specialize in coding inpatient hospital services MS-DRG Medical Severity-Diagnosis Related Groups MS-DRG are used to: determine the amount the hospital will be reimbursed if the patient is covered by Medicare or other insurance programs using...

When coding in operative report what action would NOT be recommended? Coding from the header with out reading the body of the report If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage? Medicare administrative contractor (MAC) MAC stands for what!? Medicare administrative contractor What is the definition of coding? Translating documentation into numerical/alphabetical codes used to obtain reimbursement. How many comp...

Which statement is TRUE for reporting external cause codes of morbidity (V00-Y99)? A. All external cause codes do not require a seventh character. B. Only report one external cause code to fully explain each cause. C. Report code Y92.9 if the place of occurrence is not stated. D. External cause codes should never be sequenced as a first-listed or primary code D. External cause codes should never be sequenced as a first-listed or primary code Multiple choice D is the correct answer. The...