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AAPC CPMA Practice Exam Study Questions And Answers
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AAPC CPMA Practice Exam Study Questions And Answers When must ABNs be signed? Far enough in advance that the beneficiary or representative has time to consider the options and make an informed decision. SOAP and CHEDDAR are two formats of medical record documentation. Which section of each f...

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  • October 19, 2024
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  • 2024/2025
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AAPC CPMA Practice Exam Study
Questions And Answers

When must ABNs be signed? Far enough in advance that the beneficiary or representative

has time to consider the options and make an informed decision.




SOAP and CHEDDAR are two formats of medical record documentation. Which section of each

format would you find the patient's history? S in SOAP and H in CHEDDAR




Patients can request copies of disclosure of PHI under HIPAA: For a six (6) year period of

time




When can a RAC extrapolate the overpayment(s) on claims? If a RAC can demonstrate a

high level of error, the RAC can then extrapolate the findings and request a refund.




Example: Column 1 Code/Column 2 Code 45385/45380 CPT Code 45385 - Colonoscopy,

flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by

snare technique CPT Code 45380 - Colonoscopy, flexible, proximal to splenic flexure; with

biopsy, single or multiple Policy: More extensive procedure Modifier -59 is: Only

appropriate if the two procedures are performed on separate lesions or at separate patient

encounters.

, AAPC CPMA Practice Exam Study
Questions And Answers

Is reporting 14000 with 11401 unbundling? Yes according to CPT guidelines the excision

of a benign lesion or malignant lesion is not separately reportable.




Commercial and Government carriers audit medical records. Select the statement that is TRUE

regarding commercial and government carriers. Commercial carriers and Government

carriers both use claims data to identify providers and services to audit.




A comprehensive audit is: sometimes referred to as a focused review, is an audit of a

specified number of medical records in which a previous audit has identified problems based on

procedure and/or diagnosis codes or other audit findings.




What are the recommended number of charts to audit per provider and the minimum frequency

of the audit according to the OIG Recommended Compliance Plan? 10 records per

provider each year




True or False: When a CRNA and a Anesthesiologist both have a part in the procedure and

belong to the same practice they can both bill on the same claim TRUE

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