AAPC AAPC Certifications AAPC-CPB Questions & Answers

• Question 11:

  ad

  A. fat

  B. pertaining to

  C. toward

  Correct Answer: C

• Question 12:

  DOD

  A. Diagnosis related groups

  B. Disproportionate share hospital (adjustment)

  C. Department of Defense

  D. Diagnostic and statistical manual

  Correct Answer: C

• Question 13:

  DMERC

  A. Department of Defense

  B. Diagnosis related groups

  C. Durable Medical Equipment regional carriers

  D. Disproportionate share hospital (adjustment)

  Correct Answer: C

• Question 14:

  What does HMO stand for?

  A. Hospital Monitoring Organization

  B. Health Management Organization

  C. Hospital Management Organization

  D. Health Maintenance Organization

  Correct Answer: D

• Question 15:

  What does it mean by intra and intro?

  A. without

  B. within, into

  Correct Answer: B

• Question 16:

  What is All Patient DiagnosisRelated Group (APDRG)?

  A. DRG system adapted for use by third-party payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross BlueShield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.

  B. Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for severity of illness (SOI) (extent of physiological decompensation or organ system loss of function) and risk of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four

  areas: (1) minor, (2) moderate, (3) major, (4) extreme.

  Correct Answer: A

• Question 17:

  Case manager submits written confirmation, authorizing treatment, to provider.

  A. TRUE

  B. FALSE

  Correct Answer: A

• Question 18:

  Adjudication

  A. Payment correction resulting in additional payment(s) to the provider.

  B. Document that acknowledges patient responsibility for payment if Medicare denies the claim

  C. Judicial dispute resolution process in which an appeals board makes a final determination.

  D. Also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.

  Correct Answer: C

• Question 19:

  Which of the following suffixes refers to out?

  A. en

  B. end, endo

  C. infra

  D. ex

  Correct Answer: D

• Question 20:

  What does it mean by inter?

  A. inside

  B. outside

  C. between

  Correct Answer: C