Aapc chapter 1 - Study guides, Class notes & Summaries

AAPC CPB - Chapter 14 Review (Answered 100% Correctly) __________ sets standards and directives to protect workers against transmission of infectious agents. a. HIPAA b. JCAHO c. NCHS d. OSHA d. OSHA For OSHA, which employees are included as healthcare workers? I. medical staff II. maintenance staff III . housekeeping IV. food service staff V. administrative staff a. I only b. I and V c. I, III, and V d. I-V d. I-V Which entity governs workers' compensation law?

AAPC Chapter 13 Practical Application Questions and 100% Correct Answers 2024/2025. Use CPB Chapter 13_Case to answer questions 1 & 2. What is incorrect on this claim? I. Birth date II. Date of service III. CPT code(s) IV. ICD-10-CM code V. HCPCS code A. II only B. I and V C. V only D. There are no errors on the claim. A. II only Response Feedback: The date of service was 8/29/20XX. The Box 24 A line 3 for HCPCS code J7609 shows 8/30/20XX. Correct the date of service on the line...

AAPC CPC - Chapter 1: Practical Application, Chapter 2 And 3 Review Exam 2024

AAPC CPB Chapter 1-5 Complete Questions With Answers 2024. Eight standard transactions were adopted for Electronic Data Interchange (EDI) under HIPAA. Which of the following is NOT included as a standard transaction? a. Payment and remittance advice b. Eligibility in a health plan c. Coordination of benefits d. Physician unique identifier number - correct answer d. Physician unique identifier number A physician received office space at a reduced rate for referring patients to the hosp...

AAPC - CPC Chapter 1: The Business of Medicine – Final Exam Q’s and A’s

Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice Expense (PE) X Conversion factor = Medicare payment d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment - ANS b. Total RVU X Conversion factor = Medicare payment The total RVU is composed of which of the ...

AAPC CPC CHAPTER 1 REVIEW TEST SUBMISSION 2024 PHYSICIAN CODING FOR CPC PREPARATION ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+/ AAPC CPC / CERTIFIED PROFESSIONAL CODER – MEDICAL CODING CHAPTER 1 REVIEW 2024/2025 (BRAND NEW!!)

AAPC CPB - Chapter 13 Review Test (Answered 100% Correct) On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing b. Invalid CPT code for DOS CPT codes 11400 and 12031 were reported on a claim. The insurance carrier denied 12031 as bundled with 114...

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 potential problem areas identified by the government indicating scrutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG I...

AAPC CPB Chapter 11-14 Which coverage under TRICARE is a Medicare wrap around plan? a. TRICARE for Life b. TRICARE Reserve Select c. TRICARE Prime d. CHAMPVA - correct answer a. TRICARE for Life A patient has Medicare and a Medigap policy. Box 13, signature on file, is checked off on the electronic claim submission. An EOMB is received with remittance notice MA19. What does the office need to do? a. Nothing. This means the claim has been crossed over to the Medigap plan. b. The bil...