AAPC CPC Study Guide Chapter 1
Business of Med Already Passed
ABN ✔✔Advanced Beneficiary Notification
AMA ✔✔American Medical Association
APC ✔✔Ambulatory Payment Classification
ARRA ✔✔American Recovery and Reinvestm
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AAPC CPC Study Guide Chapter 1
Business of Med Already Passed
ABN ✔✔Advanced Beneficiary Notification
AMA ✔✔American Medical Association
APC ✔✔Ambulatory Payment Classification
ARRA ✔✔American Recovery and Reinvestment Act of 2009
ASC ✔✔Ambulatory Surgical Center
CF ✔✔Conversion Factor
CMS ✔✔Centers for Medicare and Medicaid Services
CPC ✔✔Certified Professional Coder
CPT ✔✔Current Procedural Terminology
DRG ✔✔Diagnostic Related Group
EHR ✔✔Electronic Health Record
E/M or E&M ✔✔Evaluation and Management
GPCI ✔✔Geographic Practice Cost Index
HCPCS ✔✔Healthcare Common Procedure Coding System
HHS ✔✔Department of Health and Human Services
HIPAA ✔✔Health Insurance Portability and Accountability Act of 1996
HITECH ✔✔Health Information Technology for Economic and Clinical Health Act
HMO ✔✔Health Maintence Organization
ICD-9-CM ✔✔International Classification of Disease, 9th Clinical Modification
LCD ✔✔Local Coverage Determinations
MAC ✔✔Medicare Administrative Contractor
MP ✔✔Malpractice
NCD ✔✔National Coverage Determination
OCR ✔✔Office of Civil Rights
OIG ✔✔Office of Inspector General
PE ✔✔Physician Expense
PFS ✔✔Physician Fee Schedule
PLI ✔✔Professional Liability Insurance
RUC ✔✔Relative Value Update Committee
RVU ✔✔Relative Value Unit
RBRVS ✔✔Resource Based Relative Value System
Medicare Part D ✔✔What part of Medicare should be billed for the pain medication?
Translating medical documentation into codes ✔✔What is medical coding?
What are NCD's interpreted at the MAC level considered? ✔✔LCD
When should an ABN be signed? ✔✔When a service is not expected to be covered by Medicare
The amount on an ABN should be within how much of the cost to the patient? ✔✔$100 OR 25%
of cost
An entity that process nonstandard health information that they receive from another entity into a
standardis considered what? ✔✔Clearinghouse
What is PHI ✔✔Personal health information
Intentional billing of service not provided is considered ___________. ✔✔Fraud
What OIG document should a provider review for potential problem areas that will receive
special scrutiny in the upcoming year? ✔✔OIG Work Plan
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