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AAPC CPC Exam Study Guide Latest Update
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AAPC CPC Exam Study Guide Latest Update...
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AAPC CPC Exam Study Guide Latest UpdateWhat is medical coding? - ANSWER The process of translating this written or dictated
medical record into a series of numeric and alphanumeric codes.
What are the two major types of insurance? - ANSWER Commercial and government
What is medicare part A? - ANSWER Covers inpatient hospital care, as well as care
provided in skilled nursing facilities, hospice care, and home health care
What is medicare part B? - ANSWER Covered Medically necessary doctors' services,
outpatient care, other medical services including some preventive service not covered
under Medicare Part A
What is medicare part C? - ANSWER Combines the benefits of Medicare Part A, Part B
and sometimes Part D.
What is medicare part D - ANSWER Prescription drug coverage program available to all
Medicare beneficiaries. Private companies approved by Medicare provide the coverage.
What does Resource based relative value scale RBRVS) based off of? - ANSWER
Physician work, practice expense, and professional liability insurance.
What is medical necessity? - ANSWER Whether a procedure or service is considered
appropriate in given circumstance?
What is the "reasonable estimate" according to medicare? - ANSWER $100 or 25%
What is the HIPAA Privacy Rule? - ANSWER provides federal protections for protected
, health information when held by covered entities.
what are HIPAA covered entities? - ANSWER health care providers (doctors), Health
plans Insurance companies, & Healthcare Clearinghouse
What is HITECH? - ANSWER Health Information Technology for Economic and Clinical
Health Act
When should a ABN be signed? - ANSWER When a service is not expected to be covered
by Medicare?
What OIG document should a provider review for potential problem areas that will
receive special scrutiny in the upcoming year? - ANSWER OIG Work Plan
What are root words? - ANSWER The base of the word.
blephar/o - ANSWER eyelid
bucc/o - ANSWER cheek
cholecyst/o - ANSWER gallbladder
Colp/o - ANSWER vagina
cyst/o - ANSWER fluid sac or pouch, urinary bladder
derm/o - ANSWER skin
encephal/o - ANSWER brain
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