AAPC CPC BUNDLED exams prep Compliance and Regulatory with 100% correct answers

Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs correct answersc. Each regional MAC ABN stands for _____. a. Advanced Benefits Notification b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficia...

When coding in operative report what action would NOT be recommended? correct answersCoding 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? correct answersMedicare administ...

What anatomical or compartment contains all the thoracic viscera except the lungs? correct answersMediastinum Who is responsible for enforcing the HIPAA security rule correct answersOffice of Civil Rights (OCR) ABN correct answersAdvance Beneficiary Notice According to the OIG, internal mon...

What form is provided to a patient to indicate a service may not be covered by medicare and the patient may be responsible for the charges? correct answersABN Under HIPAA what would be a policy requirement for "minimum necessary"? correct answersOnly individuals whos job requires it may have ac...

Evaluation and management services are often provided in a standard format such as SOAP notes. What does the acronym SOAP stand for? a. Scope, Observation, Action, Plan b. Standard, Objective, Activity, Period c. Source, Opinion, Advice, Provider d. Subjective, Objective, Assessment, Plan co...

The minimum necessary rule is based on sound current practice that protected health information should NOT be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function. What does this mean? a. Staff members are allowed to access any medical record without ...

A 46-year-old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was sent for...

What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? correct answersPhysician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are consid...

Many coding professionals go on to find work as: correct answersConsultant A medical record contains information on all but what areas? correct answersFinancial records Technicians who specialize in coding are called: correct answersCoding specialists EHR stands for: correct answersElectron...

A covered entity does NOT include a. Healthcare providers b. Health plans c. Patients d. Clearinghouses correct answersc. Patients What does MAC stands for? a. Medicare Administrative Contractor b. Medicare Advisory Contractor c. Medicaid Administrative Contractor d. Medicaid Aler...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. ...

When coding an operative report what action would NOT be recommended? correct answersCoding from the header without 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? correct answersMedicare administr...

In ICD-10-CM what condition is reported as the default code when the provider documents urosepsis? correct answersThe 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? correct ans...

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 correct answersC (Rationale: Twice a ...