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2024 AAPC FINAL EXAM QUESTIONS AND ANSWERS, Exams of Nursing

A comprehensive study guide or practice exam for the 2024 aapc (american academy of professional coders) final exam. It covers a wide range of topics related to medical coding, billing, and compliance, including hipaa regulations, medicare policies, advance beneficiary notices (abns), and various medical terminology and anatomy concepts. Detailed questions and answers on these subjects, making it a valuable resource for individuals preparing for the aapc final exam or seeking to enhance their knowledge in the field of medical coding and healthcare administration. The depth and breadth of the content suggest this document could be useful for university students pursuing degrees in health information management, medical coding, or healthcare administration, as well as professionals already working in the industry who need to stay up-to-date on the latest regulations and best practices.

Typology: Exams

2024/2025

Available from 10/18/2024

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2024 AAPC FINAL EXAM QUESTIONS AND ANSWERRS

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What form is provided to a patient to indicate a service may not be covered by medicare and the patient may be responsible for the charges? - Answer>> ABN Under HIPAA what would be a policy requirement for "minimum necessary"? - Answer>> Only individuals whos job requires it may have access to protected health information What document is referenced to when looking for potential problem areas indentified by the government indicating scrutiny of the service?

  • Answer>> OIG work plan Select the true statement regarding ABNs - Answer>> A. ABNs may not be recognized by non medicare payers Which act was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA) and affected privacy and security? - Answer>> HITECH When presenting a cost estimate of an ABN for potentially non covered service, the cost estimate should be written what range of the actual cost? - Answer>> $100 or 25% According to the example LCD from novitas solutions, which of the following conditions is considered a

systematic condition that may result in the need for routine foot care?

  • Answer>> Chronic Venous Insufficiency Who would NOT be considered a covered enity under HIPAA - Answer>> Patients What document assists provider offices with the development of compliance manuals? - Answer>> OIG complaince program guidance Which statement describes a medically necessary service? - Answer>> Using the least radical service/ procedures that allow for effective treatment of the patient's complaints or condition What type of profession, other than coding, might skilled coders enter?
  • Answer>> Consultants, educators, medical auditors What is the difference between outpatient and inpatient coding? - Answer>> Inpatient coders use ICD-10-CM and ICD-10-PCS What is a mid level provider? - Answer>> mid-level providers include physician assistants (PA) and nurse practitioners (NP) What one is the difference parts of medicare? - Answer>> Part A,B,C,D

Evaluation and Management (E/M) services are often provided and documented in a standard format. One such as SOAP notes. What does SOAP represent? - Answer>> Subjective, Objective, Assessment, Plan What are five tips for coding operative (OP) reports - Answer>> diagnosis code reporting, Start with the procedures listed, Look for key words, highlight unfamiliar words, read the body What is medical necessity? - Answer>> Relates to whether a procedure or service is considered appropriate in a given circumstance. What is NOT a common reason medicare may deny a procedure or service? - Answer>> covered service Under the Privacy rulem the minimum necessary standard does not apply to what type of disclosures? - Answer>> Disclosures to the individual who is the subject of the information Which is NOT one of the seven key components of internal complaince plan? - Answer>> Conduct training but not perform education on practice standards and procedures ABN stands for? - Answer>> Advance Beneficiary Notice

What does the abbreviation MAC stand for? - Answer>> Medicare Administration Contractor The OIG recommends that provider practices enforce disciplinary actions through well publicized compliance guidelines to ensure actions that are? - Answer>> Consistent and appropriate EHR stands for? - Answer>> electronic health record Which of the following is a benefit of electronic transactions? - Answer>> Timely submission of claims What year was HITECH enacted as part of the American Recovery and Reinforcment Act - Answer>> 2009 When are providers responsible for obtaining on ABN for a service NOT considered medically necessary? - Answer>> Prior to providing a service or item to a beneficiary In what year did HIPAA became law? - Answer>> 1996 Local coverage determination are administered by whom?

  • Answer>> Each Regional MAC

Which of the following choices is NOT a benefit of an active complaince plan? - Answer>> Eliminates risk of an audlit LCDs only have jurisdiction in their? - Answer>> Region The OIG releases a? outlining its priorities for the fiscal year ahead and beyond - Answer>> Work Plan The AAPC offers 500 local chapters across the country for the purpose of? - Answer>> Continuing education and networking The medicare program is made up of several parts. Which part covers provider fees without the use of a private insurer - Answer>> Part B What type of provider goes through approximately 26 1/2 months of education after completion of a bachelors degree and is licensed to practice medicine with the oversight of a physician? - Answer>> Physician assistant (PA) A covered enity may obtain consent from an individual to use or disclose protected health information to carry out all of the following except for what? - Answer>> Research What is PHI - Answer>> Protected Health Information

When coding an operative report, what action would NOT be recommended? - Answer>> Coding from the header without reading the body of the report What does CMS-HCC stand for? - Answer>> Centers for Medicare and Medicaid Services - Hierarchal Condition Category What type of health insurance provides coverage for low- income families? - Answer>> Medicaid What will the scope of a complaince program depend on?

  • Answer>> The size and recources of the providers practice HIPAA stands for? - Answer>> Health Insurance Portability and Accountability Act Which coding manuals do outpatient coders focus on learning? - Answer>> CPT, HCPCS Level II, and ICD- 10-CM Which option below is NOT covered enity under HIPAA - Answer>> Worker's compensation Where is gas exchanged and moved from the respiratory system onto the circulatory system? - Answer>> Alveoli and capillaries

A cystourethroscopy is examination of what structures? - Answer>> bladder and urethra What type of cell is housed by the lymphatic system to help the body's defense system? - Answer>> Phagocytes Which layer is the middle layer of the eyeball - Answer>> choroid The heart circulates blood through the lungs and is sent back into the left atrium of the heart via which vessel? - Answer>> left and right pulmonary veins What is the medical term for a congenital defect in which the urethra opens on the dorsum of the penis? - Answer>> epispadias What is a thoractomy? - Answer>> incision into the chest wall Based on words parts, what is the definition of a glossectomy? - Answer>> Surgical removal of the tongue What is the root meaning joint? - Answer>> Arthr/o what type of membrane is found lining the interior walls of the digestive system? - Answer>> mucous membrane

Diagnosis: Calcification left basal ganglia. Where are the basal ganglia located? - Answer>> cerebral cortex Diagnosis: Vesicoureteral reflux. What is this a reflux of? - Answer>> Urine Back flow from bladder into ureteres Documentation: The posterior vaginal fornex and outer cerrical os were prepped with a cleansing solution. In this statement what does "os" stand for? - Answer>> Ostium (opening) hysterosalpingogram report: "right cornval contor abnormalities ". where is the cornu (plural cornua) found automatically for this case? - Answer>> where the fallopian tubes connect to the fundus surgical procedure: myringotomy what anatomic location is being operated on? - Answer>> ear documentation: there was no cleft of the uvula or submuscal palate by visual and papable exam. what is being examined? - Answer>> oral cavity

documentation: recession of the left inferior rectus muscle, 5mm what anatomic location is being operated on? - Answer>> eye Diagnosis: Kyphosis. What anatomic location does this diagnosis refer to? - Answer>> Thoracic Spine Documentation: supra peteller recess showed no evidence of loose bodies or joint pathology what anatomic location does this refer to? - Answer>> kneww (above the petella) Colles fracture what anatomic location does this refer to? - Answer>> wrist which of the following are auditary ossicles? - Answer>> stapes and incus what is the function of the cowpers glands - Answer>> Helps lubricate the urethra What is a myocardial infarction? - Answer>> look for oxygen to the heart tissue, resulting in tissue death An ectotherm is is a complication in which the feetilized ovum is implanted in any tissue other than the? - Answer>> uterne wall

the mediastinum contains all of the following except - Answer>> lungs which resporitory structure is comprised of cartilage and ligaments? - Answer>> trachea what is the function of thyroid gland? - Answer>> It secretes hormones regulating body metabolism and blood calcium Muscle is attached to bone by what method? - Answer>> Tendons, aponeurosis and directly to bone which of the following is NOT true of the thoracic diaphragm? - Answer>> It is a frequent site of a Spigelian (lateral ventral) hernia What is affected by myasthenia gravis? - Answer>> neuromuscular junction What is endometriosis? - Answer>> When the endometrium grows outside of the uterus which of the following conditions results from injury to the head? the symptoms include headache, dizziness, and vomiting - Answer>> concussion adrenomedaly is defined as - Answer>> enlargment of the adrenal glands

a medical treatment used to remove the waste products in the blood is? - Answer>> hemodialysis A form of milk produced the first few days after giving birth is: - Answer>> colostrum the word describing the presense of blood in the plural cavity is? - Answer>> hemothorax Cytopathology is the study of: - Answer>> cells Pronation is turning the hand to have the palm face: - Answer>> downward the term for shaking or involuntary movement is? - Answer>> tremor Restriction of blood supply, commonly due to factors in the blood vessel, that can result in damage or dysfunction of tissue is known as: - Answer>> ischemia Destruction of lesions of the vulva can be done with "cryosurgery". This method uses: - Answer>> extreme cold A meningioma is defined as: - Answer>> tumor of the meninges Impetigo is best described as: - Answer>> bacterial skin infection

the operative overlapping of tissue to repair a defect in the diaphragm is called? - Answer>> imbrication Thank you for your purchase! Need academic assistance? Look no further! 📚 From assignments to exams, essays to study guides, I've got you covered. Specializing in top-notch writing services, including essay writing, report drafting, and citation assistance. Whether you need help with assignments, online classes, exams, or academic writing tasks, I'm here to support you every step of the way. I also offer test banks, study guides, and exams for any subject at a favorable price. Access study materials from Stuvia, Docsity, Docmerit, and Course Hero. Feel free to DM me for more information. If you're satisfied with my service, I'd greatly appreciate a positive review! Your feedback helps me improve and assist more students like you. For compliments and complaints, please DM me. Additionally, I'm open to discussing any document or topic you need help with. Let's achieve academic success together! 📚✨ □ Email: [email protected] □ Discord Server: Your Assignment Handler □ Payhip: □ WhatsApp: Click here to chat https://payhip.com/ Starcores