AAPC CASES CPMA Review 2023-2024 /Questions And Answers (A+), Exams of Public Health

Download AAPC CASES CPMA Review 2023-2024 /Questions And Answers (A+) and more Exams Public Health in PDF only on Docsity! AAPC CASES CPMA Review 2023-2024 /Questions And Answers (A+) Quiz :You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? - Answer :Patient identification, assignment of benefits, patient's medical history, immunizations, physical examination, lab report, clinical impression, and physician orders. Quiz :As an auditor, who of the following would NOT be expected to submit operative notes? - Answer :Surgical assistants Quiz :A provider knows that an evaluation and management service they provide on the same date as a major procedure will be bundled, so he submits the claim for the E/M with a different date of service. This is an example of: - Answer :Fraud Quiz :In preparation for a high volume of patients coming in for chemotherapy, the nurse documents the chemotherapy treatments in advance. The purpose is to speed up the treatment process so patients do not have to wait long. Would this cause concern in an audit? - Answer :Yes, chart entry should not be made in advance of the treatment. Quiz :Patients can request copies of disclosure of PHI under HIPAA: - Answer :For a six (6) year period of time Quiz :SOAP and CHEDDAR are two formats of medical record documentation. Which section of each format would you find the patient's history? - Answer :S in SOAP and C in CHEDDAR Quiz :When must ABNs be signed? - Answer :Far enough in advance that the beneficiary or representative has time to consider the options and make an informed choice Quiz :What is the appropriate way to dispose of PHI that is no longer needed? - Answer :Discard it in a locked shredding receptacle Quiz :Which of the following would NOT be expected to fall under the responsibility or oversight of an organization's compliance committee? - Answer :C. Recommending a specific merit increase in pay for employee's adherence to the code of conduct Quiz :A family physician requests a post payment audit on claims from a particular commercial payer from which he is receiving denials. Whenever the provider performs a minor procedure with an E/M service, the minor surgery is reimbursed but the E/M service is denied. You review 10 charts and all cases are documented and coded correctly. What could be the reason for the denial? - Answer :The payer contract may bundle the E/M service when performed on the same day as the minor surgery Quiz :Which type of case is not prosecuted under the federal false claims act? - Answer :A. Physician tax issues Quiz :What are the recommended number of charts to audit per provider and the minimum frequency of the audit? - Answer :C. 10 records per provider each year Quiz :How is RAT-STATS used by an auditor? - Answer :B. Software used in performing statistical random samples and evaluating results Quiz :Dr. Jones performed a femoral-femoral bypass graft in the morning on June 1, 20xx. Later that day, the graft clotted and the entire procedure was repeated. Dr. Jones was not available so Dr. Martin, who is with a different group, repeated the procedure in the evening. The auditor reviewed the documentation for Dr. Martin. The following was reported by Dr. Martin: Date of Service 06/01/20xx Procedure 35556-76 What procedure should Dr. Martin report? - Answer :D. 35558-77 Quiz :What is the minimum signature requirements of the author of an entry in the medical record? - Answer :B. The first initial, last name and credentials Quiz :Based on Joint Commission accreditation guidance for personal data, what two elements must be evident in the medical record: - Answer :C. Personal biographical data and consent for treatment or authorization for treatment form Quiz :60225 Column 1 64530 Column 2 20090401 * 0 Modifier 0=not allowed 1=allowed 9=not applicable - Answer :C. Modifier 59 is not appropriate when billing 60225 and 64530 regardless of the documentation provided.