Exam (elaborations)
AAPC CPC Chapter 1 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE 2025/2026
AAPC CPC Chapter 1 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE 2025/2026
[Show more]
Content preview
AAPC CPC Chapter 1A - ANS-Evaluation and management (E/M) offerings are frequently furnished and documented
in a wellknown format. One such layout is SOAP notes. What does SOAP constitute?
A) Subjective, Objective, Assessment, Plan
B) Statement, Observation, Action, Prepare
C) Symptoms, Objective, Auscultation, Percussion
D) Subjective, Observation, Action, Plan
A - ANS-If an NCD does now not exist for a specific carrier/process finished on a Medicare
patient, who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The health practitioner providing the carrier
C) Current Procedural Terminology (CPT®) suggestions
D) Centers for Medicare & Medicaid Services (CMS)
A - ANS-The ____describes whether or not particular medical objects, offerings, remedy
methods or technology are considered medically necessary below Medicare:
A) National Coverage Determinations Manual
B) Internet Only Manual
C) Medicare Severity-Diagnosis Related Groups (MS-DRG)
D) Medicare Physician Fee Schedule
A - ANS-The Medicare program is made from several parts. Which element covers company
fees without the use of a personal insurer?:
A) Part B
B) Part A
C) Part C
D) Part D
A - ANS-What is the definition of clinical coding?:
A) Translating documentation into numerical/alphanumerical codes used to acquire
reimbursement.
B) Deciphering rationalization of benefits provided by means of an insurance service.
C) Translating documentation into software well suited notes.
D) Translating the offerings a provider plays into documentation.
A - ANS-Which of the subsequent picks is NOT a advantage of an energetic compliance plan?:
A) Eliminates risk of an audit.
B) Fewer billing mistakes.
C) Increases accuracy of issuer documentation.
D) Faster, greater accurate price of claims.
A - ANS-Which choice underneath is NOT a protected entity below HIPAA?:
A) Workers' Compensation
B) Medicaid
C) Medicare
, D) BCBS
A - ANS-Which provider is NOT a mid-stage company?
A) Anesthesiologist
B) All choices are mid-degree companies
C) Physician Assistant
D) Nurse Practitioner
A (Rationale: ABNs might not be identified by non-Medicare payers. Providers should evaluate
their contracts to determine which payers will be given an ABN for offerings now not covered.) -
ANS-Select the TRUE declaration concerning ABNs.
A) ABNs might not be diagnosed by using non-Medicare payers.
B) ABNs have to be signed for emergency or urgent care.
C) ABNs aren't required to encompass an estimate price for the carrier.
D) ABNs must be robotically signed by way of Medicare Beneficiaries in case Medicare would
not cover a service.
A (Rationale: It is the responsibility of a protected entity to expand and implement regulations,
exceptional acceptable to its precise occasions to meet HIPAA requirements. As a coverage
requirement, best the ones people whose job requires it can have access to protected health
facts.) - ANS-Under HIPAA, what would be a policy requirement for "minimum important"? "
A) Only individuals whose process calls for it could have get entry to to blanketed health facts.
B) Only the patient has get admission to to his or her own blanketed health records.
C) Only the treating provider has get right of entry to to blanketed fitness records.
D) Anyone inside the provider's workplace could have get right of entry to to included health
statistics.
A (Rationale: The OIG has offered compliance application steerage to shape the idea of a
voluntary compliance application for medical doctor workplaces. Although this was launched in
October 2000, it's miles nonetheless taken into consideration as lively compliance guidance
today.) - ANS-What report assists provider offices with the improvement of Compliance
Manuals?
A) OIG Compliance Plan Guidance
B) OIG Work Plan
C) OIG Suggested Rules and Regulations
D) OIG Internal Compliance Plan
B - ANS-A covered entity does NOT encompass:
A) Health plans
B) Patients
C) Healthcare vendors
D) Clearinghouses
B - ANS-According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____
manner in all expert dealings:
A) non-public and expert
B) legal and moral
C) legal and worthwhile
D) green and inexpensive
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ashley96. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85169 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now