AAPC CPC Exam Chapter 1 Questions And
Correct Answers
What does MAC stands for? - ANSWER Medicare Administrative Contractor
Which coding manuals do the outpatient coders focus their learning? - ANSWER CPT®,
HCPCS Level II and ICD-10-CM
What year was the AAPC founded? - ANSWER 1988
What type provider requires about 26 1⁄2 months of education and is licensed to
practice medicine under the supervision of a physician? - ANSWER Physician Assistant
(PA)
What year did HIPAA become law? - ANSWER 1996
What type of information is NOT maintained in a medical record? - ANSWER Financial
Records
Minimum Necessary rule follows sound current practice in providing that protected
health information should NOT be used or disclosed when it is not necessary to
accomplish a particular purpose or to carry out a function. What does this mean? -
ANSWER Providers should develop safeguards to prevent unauthorized access to
protected health information.
For a particular service/procedure being performed on a Medicare patient, if there is no
NCD, who determines coverage? - ANSWER Medicare Administrative Contractor (MAC)
The coding professionals are known as:q - ANSWER Coding specialists
, What year was HITECH enacted part of the American Recovery and Reinvestment Act? -
ANSWER 2009
LCD's only have jurisdiction in their ____. - ANSWER Region
How many elements does a good compliance plan have? - ANSWER 7
Many coding professionals go on to become: - ANSWER Consultants
The Medicare program has multiple components. Which component is impacted by the
Centers for Medicare & Medicaid Services - Hierarchical Condition Categories
(CMS-HCC)? - ANSWER Part C
According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____
means in all professional dealings. - ANSWER Legal and Ethical
What is the value of a remittance advice? - ANSWER It states what will be paid and why
any changes to charges were made.
AAPC credentialed coders have proven mastery of what information? - ANSWER All
code sets, evaluation & management principles, and documentation guidelines
Evaluation and management services are frequently given in a standardized form like
the SOAP notes. What does SOAP stand for? - ANSWER Subjective, Objective,
Assessment, Plan
HITECH offers a ____ day timeframe within which any violation not due to willful neglect
may be rectified without penalty. - ANSWER 30
What is the form utilized for forwarding a provider's charge to the insurance carrier? -
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