AAPC CPC Exam Questions and Answers

What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? - ANSWER Physician Assistant (PA) The ____ describes whether specific ...

What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? - ANSWER Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare - ANSWER National Coverage Determinations LCD's only have jurisdiction in their ____ area. - ANSWER Regional ABN stands for - ANSWER Advance Beneficiary Notice HIPPA was made into law in what year? - ANSWER 1996 What will the scope is a compliance program depend on? - ANSWER Size and resources of the physician's practice According to the OIG, internal monitoring and auditing should be performed by what means? - ANSWER Periodic audits AAPC has what to determine current year's coder salaries? - ANSWER Salary survey The ASPC offers over 440 local chapters across the country and in the Bahamas for the purpose of - ANSWER Networking An abdominal aortic aneurysm is significant because - ANSWER It is a weakness in a large artery and rupture could be deadly What distinguishes a "sentinel" node from the lymph nodes? - ANSWER A sentinel node is the first lymph node in a group of nodes to be reached by metastasizing cancer cells The mediastinum contains all of the following except - ANSWER Lungs The term "pneumomediastinum" describes what condition? - ANSWER The presence of air in the mediastinum The structure of the male anatomy carrying sperm out of the epididymis is called: - ANSWER Vas deferens The term "episiotomy" best describes a procedure of what type? - ANSWER An incision made in the perineum to enlarge the passage for the fetus during delivery Which gland is located on the superior surface of the kidney? - ANSWER Adrenal gland What is the function of the thyroid gland? - ANSWER It secretes hormones regulating body metabolism and blood calcium Which of the following is true about the tympanic membrane? - ANSWER It separates the external ear from the middle ear Bone marrow harvesting is a procedure to obtain bone marrow from a donor. Bone marrow collected from a close relative is: - ANSWER Allogenic Removal of waste products from the blood is: - ANSWER Hemodialysis A condition where the thyroid is overactive is called: - ANSWER Thyrotoxicosis Who are the parties responsible for overseeing changes and modifications to ICD - 9? - ANSWER NCHS and CMS What is the meaning of "provider "in the ICD - nine guidelines refer to? - ANSWER The physician Category code 387, otosclerosis, includes what other disorder? - ANSWER Otospongiosis What is an example of an injury that would be considered a superficial injury? - ANSWER Blister When a patient has a condition that is both acute and chronic in their separate entries for both, how is it reported? - ANSWER Code both sequencing the cute first When the type of diabetes mellitus is not documented in the medical note, what is used as a default type? - ANSWER Type II What type of fracture is considered Traumatic? - ANSWER Compound fracture Under what circumstances would an external cause code be reported? - ANSWER Causes of injury, poisoning, and other adverse affects What does the abbreviation CKD stand for? - ANSWER Chronic kidney disease Per CPT guidelines, what should professional coder seek out first when preparing to code an operative report/physician note? - ANSWER Procedure or service What are services provided in the home by an agency considered? - ANSWER Nonfacility A covered entity may obtain consent of the individual to use or disclose protected health information to carry out all but what of the following? - ANSWER For public use Healthcare providers are responsible for developing ____ and policies and procedures regarding privacy in their practices. - ANSWER Notices of privacy practices Which provider is not a mid-level provider? - ANSWER Anesthesiologist According to AAPC's code of ethics, a member shall use only ____ and ____ means in all professional dealings. - ANSWER Legal and ethical The minimum necessary rule applies to - ANSWER Covered entities taking responsible steps The mediastinum contains all of the following except: - ANSWER Lungs Which chamber of the heart is considered the one working the hardest? - ANSWER Left ventricle An ectopic pregnancy is a complication in which a fertilized ovum is implanted in any tissue other than the ____. - ANSWER You uterine wall The term for pain in the ear is: - ANSWER Otalgia Pronation is turning the hand have the palm face: - ANSWER Downward What does ICD - 9 - CM stand for? - ANSWER International classification of diseases - 9th revision - clinical modification What are two sense organs included in chapter 6: diseases of nervous system and sense organs? - ANSWER Eyes and ears How are new additions and revisions indicated in CPT code but each year? - ANSWER Green print If a CPT code and HCPCS Level II code exist for the same service, which should you report? - ANSWER It depends on the payer How often is HCPCS level two permanent national codes updated? - ANSWER Annually What term best describes a mass of hyperplastic scar tissue? - ANSWER Keloid Repair of a coronary vessel is called: - ANSWER Angioplasty What is the term that describes the removal of a portion or all of the stomach? - ANSWER Gastrectomy What are the reproductive glands that produce male hormones? - ANSWER Testes I surgeon performed a cataract surgery with an interocular lens implant on the right eye of a Medicare patient. What modifiers would be reported? - ANSWER RT What are the services in the reproductive medicine procedure section of the pathology and laboratory chapter of the CPT report? - ANSWER Services related to in vitro fertilization The collection of sweat by Iontophoresis can be found in what section the path ologies chapter of CPT? - ANSWER Other procedures A virus is identified by observing growth patterns on a culture media. What is the type of identification called? - ANSWER Presumptive Which elements of the HPI are met in the statement? Patient complains of headache and blurry vision for the past three days. - ANSWER Location, quality and duration 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? - ANSWER Part C How many components should be included in an effective compliance plan? - ANSWER 7 Medicare part D is what type of insurance? - ANSWER Prescription drug coverage available to all Medicare beneficiaries Which option below is not a covered entity under HIPPA? - ANSWER Worker's Compensation Muscle is attached to the bone by what method? - ANSWER Tendons, aponeurosis a