American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC)|Tests Bundle Set

What anatomical or compartment contains all the thoracic viscera except the lungs? CORRECT ANSWER-Mediastinum Who is responsible for enforcing the HIPAA security rule CORRECT ANSWER-Office of Civil Rights (OCR) ABN CORRECT ANSWER-Advance Beneficiary Notice According to the OIG, internal mon...

When coding in operative report what action would NOT be recommended? CORRECT 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? CORRECT ANSWER-Medicare administ...

"hold harmless clause" CORRECT ANSWER-* found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: CORRECT ANSWER-* more accurate payment of claims * fewer billing mistak...

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 ANSWER-Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are consid...

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

When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned a. Z21 b. R75 c. B20 d. Z11.4 CORRECT ANSWER-b. R75 What does MRSA stand for a. Methicillin Resistant Staphylococcus Aureus b. Methicillin Resistant Streptococcus Aureus c. Moderate Resistance...

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.) CORRECT ANSWER-What document is referenced to when looking for po...

What anatomical or compartment contains all the thoracic viscera except the lungs? CORRECT ANSWER-Mediastinum Who is responsible for enforcing the HIPAA security rule CORRECT ANSWER-Office of Civil Rights (OCR) ABN CORRECT ANSWER-Advance Beneficiary Notice According to the OIG, internal mon...

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 ...

The combining form meaning "joint" is: a. aden/o b.-itis c.-algia d. arthr/o CORRECT ANSWER-d. arthr/o A suffix meaning "inflammation" is a. -itis b. -osis c. -ac d.-al CORRECT ANSWER-a. -itis Tumor of a gland a. arthrosis b. arthroscope c. adenoma d. sarcoma CORRECT ANSWER-c. ...

Many coding professionals go on to find work as: CORRECT ANSWER-Consultant A medical record contains information on all but what areas? CORRECT ANSWER-Financial records Technicians who specialize in coding are called: CORRECT ANSWER-Coding specialists EHR stands for: CORRECT ANSWER-Electron...

medicare part A CORRECT ANSWER-The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home health care, and hospice care. Medicare Part B CORRECT ANSWER-the part of medicare that helps cover madically necessary physician services outpatient care and ot...

What does MAC stands for? CORRECT ANSWER-Medicare Administrative Contractor Which coding manuals do outpatient coders focus on learning? CORRECT ANSWER-CPT®, HCPCS Level II and ICD-10-CM In what year was the AAPC founded? CORRECT ANSWER-1988 What type of provider goes through approximately...

Finding main dx term--try reading dx right to left CORRECT ANSWER-EX: COPD (chronic obstructive pulmonary disease) can be found under "disease" as well as "obstruction" Ex2: URI (upper respiratory infection) can be found under "infection" Always code to the highest degree of specificity. C...