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AAPC chapter 1 exam, Questions and answers, 100% Accurate. VERIFIED.
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AAPC chapter 1 exam, Questions and answers, 100% Accurate. VERIFIED. Many coding professionals go on to find work as: - -Consultant A medical record contains information on all but what areas? - -Financial records Technicians who specialize in coding are called: - -Coding specialists ...

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  • August 8, 2023
  • 5
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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AAPC chapter 1 exam, Questions and
answers, 100% Accurate. VERIFIED.

Many coding professionals go on to find work as: - ✔✔-Consultant



A medical record contains information on all but what areas? - ✔✔-Financial records



Technicians who specialize in coding are called: - ✔✔-Coding specialists



EHR stands for: - ✔✔-Electronic health record



What type of provider goes through approximately 26.5 months of education and is licensed to practice
medicine with the oversight of a physician? - ✔✔-Physician Assistant (PA)



The Medicare program is made up of several parts. Which part is most significant to coders working in
physician offices and covers physician fees without the use of a private insurer? - ✔✔-Part B



The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare
and Medicaid Services' - hierarchal condition categories (CMS-HCC)? - ✔✔-Part C



What does CMS-HCC stand for? - ✔✔-Centers for Medicare and Medicaid Services - Hierarchal Condition
Category



When coding an operative report, what action would NOT be recommended? - ✔✔-Coding from the
header without reading the body of the report



Outpatient coders focus on learning which coding manuals? - ✔✔-CPT, HCPCS Level II, and ICD-9-CM
Volumes 1 and 2

, If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient, who
determines coverage? - ✔✔-Medicare Administrative Contractor (MAC)



The __ describes whether specific medical items, services, treatment procedures, or technologies are
considered medically necessary under Medicare. - ✔✔-National Coverage Determinations Manual



National Coverage Determinations serve what purpose? - ✔✔-To spell out CMS policies on when
Medicare will pay for items or services



MAC stands for what? - ✔✔-Medicare Administrative Contractor



Local Coverage Determinations are administered by __? - ✔✔-Each regional MAC



LCD's only have jurisdiction in their __ area. - ✔✔-Regional



ABN stands for - ✔✔-Advance Beneficiary Notice



When are providers responsible for obtaining an ABN for a service not considered medically necessary? -
✔✔-Prior to providing a service or item to a beneficiary



HIPAA stands for - ✔✔-Health Insurance Portability and Accountability Act



HIPAA was made into law in what year? - ✔✔-1996



A covered entity does NOT include - ✔✔-Patient



What is the definition of coding? - ✔✔-Translating documentation into numerical/alphanumerical codes
used to obtain reimbursement



Who is responsible for enforcing he HIPAA security rule? - ✔✔-OCR

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