AAPC Final Exam Questions & Answers 2024/2025: Medical Coding Guide, Exams of Nursing

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2024\

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? - Correct Answers ✅✅ABN Under HIPAA what would be a policy requirement for "minimum necessary"? - Correct Answers ✅✅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? - Correct Answers ✅✅OIG work plan Select the true statement regarding ABNs - Correct Answers ✅✅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? - Correct Answers ✅✅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? - Correct Answers ✅✅$100 or 25%

2024\

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? - Correct Answers ✅✅Chronic Venous Insufficiency Who would NOT be considered a covered enity under HIPAA - Correct Answers ✅✅Patients What document assists provider offices with the development of compliance manuals? - Correct Answers ✅✅OIG complaince program guidance Which statement describes a medically necessary service? - Correct Answers ✅✅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?

• Correct Answers ✅✅Consultants, educators, medical auditors What is the difference between outpatient and inpatient coding? - Correct Answers ✅✅Inpatient coders use ICD-10-CM and ICD-10-PCS What is a mid level provider? - Correct Answers ✅✅mid-level providers include physician assistants (PA) and nurse practitioners (NP)

2024\

Which is NOT one of the seven key components of internal complaince plan? - Correct Answers ✅✅Conduct training but not perform education on practice standards and procedures ABN stands for? - Correct Answers ✅✅Advance Beneficiary Notice What does the abbreviation MAC stand for? - Correct Answers ✅✅Medicare Administration Contractor The OIG recommends that provider practices enforce disciplinary actions through well publicized compliance guidelines to ensure actions that are? - Correct Answers ✅✅Consistent and appropriate EHR stands for? - Correct Answers ✅✅electronic health record Which of the following is a benefit of electronic transactions? - Correct Answers ✅✅Timely submission of claims What year was HITECH enacted as part of the American Recovery and Reinforcment Act - Correct Answers ✅✅ 2009

2024\

When are providers responsible for obtaining on ABN for a service NOT considered medically necessary? - Correct Answers ✅✅Prior to providing a service or item to a beneficiary In what year did HIPAA became law? - Correct Answers ✅✅ 1996 Local coverage determination are administered by whom? - Correct Answers ✅✅Each Regional MAC Which of the following choices is NOT a benefit of an active complaince plan? - Correct Answers ✅✅Eliminates risk of an audlit LCDs only have jurisdiction in their? - Correct Answers ✅✅Region The OIG releases a? outlining its priorities for the fiscal year ahead and beyond - Correct Answers ✅✅Work Plan The AAPC offers 500 local chapters across the country for the purpose of? - Correct Answers ✅✅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 - Correct Answers ✅✅Part B

2024\

What will the scope of a complaince program depend on? - Correct Answers ✅✅The size and recources of the providers practice HIPAA stands for? - Correct Answers ✅✅Health Insurance Portability and Accountability Act Which coding manuals do outpatient coders focus on learning? - Correct Answers ✅✅CPT, HCPCS Level II, and ICD-10-CM Which option below is NOT covered enity under HIPAA - Correct Answers ✅✅Worker's compensation Where is gas exchanged and moved from the respiratory system onto the circulatory system? - Correct Answers ✅✅Alveoli and capillaries A cystourethroscopy is examination of what structures? - Correct Answers ✅✅bladder and urethra What type of cell is housed by the lymphatic system to help the body's defense system? - Correct Answers ✅✅Phagocytes Which layer is the middle layer of the eyeball - Correct Answers ✅✅choroid

2024\

The heart circulates blood through the lungs and is sent back into the left atrium of the heart via which vessel? - Correct Answers ✅✅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? - Correct Answers ✅✅epispadias What is a thoractomy? - Correct Answers ✅✅incision into the chest wall Based on words parts, what is the definition of a glossectomy? - Correct Answers ✅✅Surgical removal of the tongue What is the root meaning joint? - Correct Answers ✅✅Arthr/o what type of membrane is found lining the interior walls of the digestive system? - Correct Answers ✅✅mucous membrane Diagnosis: Calcification left basal ganglia. Where are the basal ganglia located? - Correct Answers ✅✅cerebral cortex

2024\

what anatomic location is being operated on? - Correct Answers ✅✅eye Diagnosis: Kyphosis. What anatomic location does this diagnosis refer to? - Correct Answers ✅✅Thoracic Spine Documentation: supra peteller recess showed no evidence of loose bodies or joint pathology what anatomic location does this refer to? - Correct Answers ✅✅kneww (above the petella) Colles fracture what anatomic location does this refer to? - Correct Answers ✅✅wrist which of the following are auditary ossicles? - Correct Answers ✅✅stapes and incus what is the function of the cowpers glands - Correct Answers ✅✅Helps lubricate the urethra What is a myocardial infarction? - Correct Answers ✅✅look for oxygen to the heart tissue, resulting in tissue death

2024\

An ectotherm is is a complication in which the feetilized ovum is implanted in any tissue other than the? - Correct Answers ✅✅uterne wall the mediastinum contains all of the following except - Correct Answers ✅✅lungs which resporitory structure is comprised of cartilage and ligaments? - Correct Answers ✅✅trachea what is the function of thyroid gland? - Correct Answers ✅✅It secretes hormones regulating body metabolism and blood calcium Muscle is attached to bone by what method? - Correct Answers ✅✅Tendons, aponeurosis and directly to bone which of the following is NOT true of the thoracic diaphragm? - Correct Answers ✅✅It is a frequent site of a Spigelian (lateral ventral) hernia What is affected by myasthenia gravis? - Correct Answers ✅✅neuromuscular junction

2024\

the term for shaking or involuntary movement is? - Correct Answers ✅✅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: - Correct Answers ✅✅ischemia Destruction of lesions of the vulva can be done with "cryosurgery". This method uses: - Correct Answers ✅✅extreme cold A meningioma is defined as: - Correct Answers ✅✅tumor of the meninges Impetigo is best described as: - Correct Answers ✅✅bacterial skin infection the operative overlapping of tissue to repair a defect in the diaphragm is called? - Correct Answers ✅✅imbrication