AAPC AAPC Certifications AAPC-CPB Questions & Answers

• Question 201:

  EPSDT

  A. External Quality Review Organization

  B. Electronic Remittance Advice

  C. Employee Retirements income security Act of 1974

  D. Early and Periodic screening, diagnostic, and treatment

  Correct Answer: D

• Question 202:

  What does ANSI stand for?

  A. American National Standards Institute

  B. American National Services Institute

  C. American National Standards Information

  D. American National Services Information

  Correct Answer: A

• Question 203:

  Ambulatory Surgical Center (ASC) includes State Licensed Medicare-certified supplier (not provider) of surgical healthcare services that must accept assignment on Medicare Claims.

  A. TRUE

  B. FALSE

  Correct Answer: A

• Question 204:

  Allowable Charge

  A. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.

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

  C. See limiting charge; maximum fee a physician may charge.

  D. 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 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: C

• Question 205:

  What are actions inconsistent with accepted, sound medical business or fiscal practice?

  A. Abuse

  B. Violence

  C. Addiction

  D. Neglect

  Correct Answer: A

• Question 206:

  FPL

  A. Federal Register

  B. Flexible Spending Account

  C. General Equivalency Mapping

  D. Federal Poverty Level

  Correct Answer: D

• Question 207:

  What does it mean by itis?

  A. infection

  B. edema

  C. swelling

  D. inflammation

  Correct Answer: D

• Question 208:

  ilio

  A. in, into, not

  B. within, into

  C. between

  D. ilium (hip bone)

  Correct Answer: D

• Question 209:

  Which professional association was founded to improve the quality of medical records and current advances toward an electronic and global environment including the implementation of ICD10CM

  A. Joint venture between Blue Cross and Blue shield where the corporations shared one building and computer services but maintained separate corporate identities

  B. An association of independent Blue Cross Blue Shield plans

  C. American Academy of Professional Coders (AAPC)

  D. American Health Information Management Association (AHIMA)

  Correct Answer: D

• Question 210:

  Business liability insurance protects business assets and covers the cost of lawsuits resulting from bodily injury, and false advertising.

  A. TRUE

  B. FALSE

  Correct Answer: A