Download AAPC CPMA Practice Exam Study Question & Answers 2024 and more Exams Nursing in PDF only on Docsity! AAPC CPMA Practice Exam Study Question & Answers 2024 What elements must be in a medical record - Correct Answers ✅Patient ID, Assignment of Benefits, medical history, immunizations, physical exam, lab report, clinical impression, physician orders What is the minimum signature assignment of the author of entry in the medical record? - Correct Answers ✅First initial, Last Name and credentials Based on the JC accreditation guidelines for personal data, what 2 elements must be evident in the medical record? - Correct Answers ✅There must be a patient information sheet that contains biographical data, name, address, etc. along with authorization for treatment whether it is an office visit, diagnostic services or surgical procedure. What is the appropriate way to dispose of PHI that is no longer needed? - Correct Answers ✅Discard it in a locked shredding receptacle When must ABNs be signed? - Correct Answers ✅Far enough in advance that the beneficiary or representative has time to consider the options and make an informed decision. SOAP and CHEDDAR are two formats of medical record documentation. Which section of each format would you find the patient's history? - Correct Answers ✅S in SOAP and H in CHEDDAR AAPC CPMA Practice Exam Study Question & Answers 2024 Patients can request copies of disclosure of PHI under HIPAA: - Correct Answers ✅For a six (6) year period of time When can a RAC extrapolate the overpayment(s) on claims? - Correct Answers ✅If a RAC can demonstrate a high level of error, the RAC can then extrapolate the findings and request a refund. Example: Column 1 Code/Column 2 Code 45385/45380 CPT Code 45385 - Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique CPT Code 45380 - Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple Policy: More extensive procedure Modifier -59 is: - Correct Answers ✅Only appropriate if the two procedures are performed on separate lesions or at separate patient encounters. Is reporting 14000 with 11401 unbundling? - Correct Answers ✅Yes according to CPT guidelines the excision of a benign lesion or malignant lesion is not separately reportable. Commercial and Government carriers audit medical records. Select the statement that is TRUE regarding commercial and government carriers. - Correct Answers ✅Commercial carriers and Government carriers both use claims data to identify providers and services to audit. AAPC CPMA Practice Exam Study Question & Answers 2024 A provider receives denials from a private payer for E/M services performed on the same date as a minor procedure. You review documentation for 25 records and the payer contract which states the provider must follow CMS coding guidelines. You determine that 20 of the records have appropriate documentation to support both E/M and the procedure and were coded correctly when the claim was originally submitted. You submit an appeal for the 20 dates of service that are supported by documentation. To support you findings, you will include in the appeal a letter reporting your findings, claim forms, copies of documentation, EOB copies and - Correct Answers ✅NCCI policy manual for modifier 25 True or False: The admitting physician must append modifier AI Principal physician of record to the admission code for Medicare beneficiaries - Correct Answers ✅True - even if only one provider True or False: Anesthesia modifiers are only reported on aneshtesia codes. - Correct Answers ✅True True or False: Conscious sedation is considered anesthesia - Correct Answers ✅False When responding to a subpoena for medical records, which of the following documents would likely NOT be required to be copied and AAPC CPMA Practice Exam Study Question & Answers 2024 submitted: - Correct Answers ✅Signed authorization for release of information You are preparing to perform a surgical chart audit. Which of the following resources would you need in order to accurately conduct the audit? - Correct Answers ✅ICD-10-CM, CPT®, HCPCS Level II code books, NCCI edits, medical terminology book, global days, surgery audit tool, rules of insurance carriers Which statement is TRUE regarding appending modifier 78 to a claim for a service provided to a Medicare beneficiary? - Correct Answers ✅When modifier 78 is appended, only the intraoperative percentage is paid and no new global period begins. True or False: If hydration is main reason for infusion you would report 96360 first instead of the pushes. - Correct Answers ✅True True or False: When the same test is performed on different specimen(s) that uses the same CPT® code modifier 59 is appropriate to use - Correct Answers ✅True A ______ audit is the usual methodology when conducting a baseline audit. - Correct Answers ✅Random AAPC CPMA Practice Exam Study Question & Answers 2024 True or False: NCCI edits and MUE are controlling standards - Correct Answers ✅True The Summary of Audit findings should be: - Correct Answers ✅concise by providing most common findings, aggregate conclusions and key recommendations True or False: If a psychotherapy is notated like an E&M: history, exam, MDM including drug mgmt it is reported as an E&M - Correct Answers ✅True How is RATS-STATS used by an auditor? - Correct Answers ✅Software used in performing statistical random samples and evaluating results. Incident To cannot be performed in a facility setting. True or False? - Correct Answers ✅TRUE