Exam (elaborations)
AAPC CPC Chapter 1 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE 2025/2026
AAPC CPC Chapter 1 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|A+ GRADE 2025/2026
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AAPC CPC Chapter 1A - ANS-Evaluation and management (E/M) offerings are frequently furnished and documented
in a wellknown format. One such layout is SOAP notes. What does SOAP constitute?
A) Subjective, Objective, Assessment, Plan
B) Statement, Observation, Action, Prepare
C) Symptoms, Objective, Auscultation, Percussion
D) Subjective, Observation, Action, Plan
A - ANS-If an NCD does now not exist for a specific carrier/process finished on a Medicare
patient, who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The health practitioner providing the carrier
C) Current Procedural Terminology (CPT®) suggestions
D) Centers for Medicare & Medicaid Services (CMS)
A - ANS-The ____describes whether or not particular medical objects, offerings, remedy
methods or technology are considered medically necessary below Medicare:
A) National Coverage Determinations Manual
B) Internet Only Manual
C) Medicare Severity-Diagnosis Related Groups (MS-DRG)
D) Medicare Physician Fee Schedule
A - ANS-The Medicare program is made from several parts. Which element covers company
fees without the use of a personal insurer?:
A) Part B
B) Part A
C) Part C
D) Part D
A - ANS-What is the definition of clinical coding?:
A) Translating documentation into numerical/alphanumerical codes used to acquire
reimbursement.
B) Deciphering rationalization of benefits provided by means of an insurance service.
C) Translating documentation into software well suited notes.
D) Translating the offerings a provider plays into documentation.
A - ANS-Which of the subsequent picks is NOT a advantage of an energetic compliance plan?:
A) Eliminates risk of an audit.
B) Fewer billing mistakes.
C) Increases accuracy of issuer documentation.
D) Faster, greater accurate price of claims.
A - ANS-Which choice underneath is NOT a protected entity below HIPAA?:
A) Workers' Compensation
B) Medicaid
C) Medicare
, D) BCBS
A - ANS-Which provider is NOT a mid-stage company?
A) Anesthesiologist
B) All choices are mid-degree companies
C) Physician Assistant
D) Nurse Practitioner
A (Rationale: ABNs might not be identified by non-Medicare payers. Providers should evaluate
their contracts to determine which payers will be given an ABN for offerings now not covered.) -
ANS-Select the TRUE declaration concerning ABNs.
A) ABNs might not be diagnosed by using non-Medicare payers.
B) ABNs have to be signed for emergency or urgent care.
C) ABNs aren't required to encompass an estimate price for the carrier.
D) ABNs must be robotically signed by way of Medicare Beneficiaries in case Medicare would
not cover a service.
A (Rationale: It is the responsibility of a protected entity to expand and implement regulations,
exceptional acceptable to its precise occasions to meet HIPAA requirements. As a coverage
requirement, best the ones people whose job requires it can have access to protected health
facts.) - ANS-Under HIPAA, what would be a policy requirement for "minimum important"? "
A) Only individuals whose process calls for it could have get entry to to blanketed health facts.
B) Only the patient has get admission to to his or her own blanketed health records.
C) Only the treating provider has get right of entry to to blanketed fitness records.
D) Anyone inside the provider's workplace could have get right of entry to to included health
statistics.
A (Rationale: The OIG has offered compliance application steerage to shape the idea of a
voluntary compliance application for medical doctor workplaces. Although this was launched in
October 2000, it's miles nonetheless taken into consideration as lively compliance guidance
today.) - ANS-What report assists provider offices with the improvement of Compliance
Manuals?
A) OIG Compliance Plan Guidance
B) OIG Work Plan
C) OIG Suggested Rules and Regulations
D) OIG Internal Compliance Plan
B - ANS-A covered entity does NOT encompass:
A) Health plans
B) Patients
C) Healthcare vendors
D) Clearinghouses
B - ANS-According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____
manner in all expert dealings:
A) non-public and expert
B) legal and moral
C) legal and worthwhile
D) green and inexpensive
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