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AAPC CPC Chapter 1 Exam Questions and Answers 100% Solved | Rated A+ $12.19
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AAPC CPC Chapter 1 Exam Questions and Answers 100% Solved | Rated A+
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AAPC CPC Chapter 1 Exam Questions and Answers 100% Solved | Rated A+ 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 s...

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  • December 13, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • AAPC CPC
  • AAPC CPC

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AAPC CPC Chapter 1 Exam Questions

and Answers 100% Solved | Rated A+


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.) - ✔✔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

D (Rationale: An Advanced Beneficiary Notice (ABN) is used when a

Medicare beneficiary requests or agrees to receive a procedure or service

that Medicare may not cover. This form notifies the patient of potential out

of pocket costs for the patient.) - ✔✔What form is provided to a patient to




1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

,indicate a service may not be covered by Medicare and the patient may be

responsible for the charges?:

A) LCD

B) CMS-1500

C) UB-04

D) ABN

A (Rationale: It is the responsibility of a covered entity to develop and

implement policies, best suited to its particular circumstances to meet

HIPAA requirements. As a policy requirement, only those individuals whose

job requires it may have access to protected health information.) -

✔✔Under HIPAA, what would be a policy requirement for "minimum

necessary"? "

A) Only individuals whose job requires it may have access to protected

health information.

B) Only the patient has access to his or her own protected health

information.

C) Only the treating provider has access to protected health information.

D) Anyone within the provider's office can have access to protected health

information.


2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

, B (Rationale: Medical necessity is using the least radical

services/procedure that allows for effective treatment of the patient's

complaint or condition.) - ✔✔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.

C (Rationale: According to the LCD, Chronic venous insufficiency is a

systemic condition that may result in the need for routine foot care.) -

✔✔According to the example LCD from Novitas Solutions, which of the

following conditions is considered a systemic condition that may result in

the need for routine foot care? :

A) arthritis

B) chronic venous insufficiency

C) hypertension

D) muscle weakness
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

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