AAPC

AAPC CPB - Chapter 12 Review | Questions and Correct Solutions 2024 The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - Answer -c. copay. Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - Answer -c. Subscriber What information can be found on the Blue Cross/Blu...

AAPC - Chapter 20 Practical Applications | Questions and Correct Solutions 2024 CASE 1 10-Year-old established patient (The patient is established.) presents today for well child check (Patient presents for a preventive exam.) with mother with complaints of frequent urination during the day. The patient has two sisters and sees dad sporadically. Lives in a smoke free environment. One dog, one rabbit. Denies dysuria, abdominal pain, or rashes, all other systems are reviewed and negative. ...

AAPC - Chapter 16 Practical Applications | Questions and Correct Solutions 2024 CASE 1 CRNA performed anesthesia (Use Modifier QX to indicate CRNA services with medical direction by a physician.) Anesthesiologist medically directing two cases (Use modifier QK to indicate medical direction of two cases.) Anesthesia Time: 9:30 to 10:06 Physical Status 3 (Physical status 3 - use P3 modifier.) PREOPERATIVE DIAGNOSIS: Cyst on knee POSTOPERATIVE DIAGNOSIS: Baker's Cyst (Use post-operative d...

AAPC - Chapter 4 - Review Exam | Questions and Correct Solutions 2024 In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis? - Answer -The provider must be queried before an ICD-10-CM code can be applied. According to the ICD-10-CM guidelines, how is bilateral glaucoma of the same type and stage reported? - Answer -A bilateral code can be used to report the type of glaucoma and the stage of glaucoma. According to ICD-10-CM guidelines, what is the...

AAPC - Chapter 5 Review Exam | Questions and Correct Solutions 2024 The provider documents CKD stage 5 and ESRD. What ICD-10-CM code(s) is/are reported? - Answer - N18.6 What does the abbreviation CKD stand for? - Answer -Chronic Kidney Disease What would be considered an adverse effect? - Answer -Rash developing when taking penicillin. What does the 7th character A indicate in Chapter 19? - Answer -Initial encounter Which statement is TRUE for reporting burn codes? - Answer -The highest ...

AAPC - Chapter 1 Review Exam | Questions and Correct Solutions 2024 What type of health insurance provides coverage for low-income families? - Answer -Medicaid Rationale: Medicaid is a health insurance assistance program for some low-income people (especially children and pregnant women) sponsored by federal and state governments. The minimum necessary rule applies to - Answer -Covered entities taking reasonable steps to limit use or disclosure of PHI Rationale: The Privacy Rule generally...

AAPC - Chapter 3 Review Exam | Questions and Correct Solutions 2024 What is the meaning of provider in the ICD-10-CM guidelines? - Answer -The physican The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding what? - Answer -Neoplasms What is an example of an eponym? - Answer -Paget's disease Who are the parties responsible for providing the ICD-10-CM guidelines? - Answer -NCHS and CMS Rationale: ICD-10-CM guidelines introduction states, Centers for Med...

AAPC CPC Practice Exam F | Questions and Correct Solutions 2024 What is the patient's right when it involves making changes in the personal medical record? A. Patient must work through an attorney to revise any portion of the personal medical information. B. They should be able to obtain copies of the medical record and request corrections of errors and mistakes. C. It is a violation of federal health care law to revise a patient medical record. D. Revision of the patient medical record ...

AAPC CPC exam prep Compliance and Regulatory | Questions and Correct Solutions 2024 What document is referenced to when looking for potentialproblem areas identified by the government indicatingscrutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG Investigation Plan - Answer -C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal year ahead. Within the Work Plan, potenti...

AAPC CPC FINAL | 100 Questions and Correct Solutions 2024 When coding in operative report what action would NOT be recommended? - Answer -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? - Answer -Medicare administrative contractor (MAC) MAC stands for what!? - Answer -Medicare administrative contractor What is the definition of coding? - Answer -Translating d...