AAPC Chapter 1 Practical Application
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Questions and Answers

Which of the following professions might skilled coders consider transitioning into?

  • Clinical researchers
  • Consultants, educators, medical auditors (correct)
  • Medical illustrators
  • Hospital administrators
  • What coding systems are used specifically by inpatient coders?

  • CPT and ICD-9
  • CPT and DRG
  • HCPCS and ICD-11
  • ICD-10-CM and ICD-10-PCS (correct)
  • Which of the following best defines a mid-level provider?

  • Only physicians who have completed residency
  • Registered nurses with a bachelor's degree
  • Healthcare technicians with limited patient interaction
  • Healthcare workers with advanced training, like PA and NP (correct)
  • Which of the following statements about inpatient and outpatient coding is correct?

    <p>Inpatient coding allows for longer patient stay coding.</p> Signup and view all the answers

    Which parts constitute Medicare?

    <p>Part A, Part B, Part C, Part D</p> Signup and view all the answers

    What is a common role for a medical auditor?

    <p>Performing coding accuracy reviews</p> Signup and view all the answers

    What does the 'A' in SOAP notes stand for?

    <p>Assessment</p> Signup and view all the answers

    What is an essential first step when coding operative reports?

    <p>Identify and report the primary diagnosis code</p> Signup and view all the answers

    Medical necessity primarily determines what aspect of healthcare services?

    <p>The appropriateness of a service in a given circumstance</p> Signup and view all the answers

    In the SOAP note format, which section would typically address patient symptoms and complaints?

    <p>Subjective</p> Signup and view all the answers

    Which reason is likely to lead to Medicare denying a procedure or service?

    <p>Insufficient documentation</p> Signup and view all the answers

    What type of disclosures does the minimum necessary standard NOT apply to under the Privacy Rule?

    <p>Treatment purposes</p> Signup and view all the answers

    Which of the following is a valid disclosure exempt from the minimum necessary standard?

    <p>Disclosures to health care providers for treatment</p> Signup and view all the answers

    Which statement regarding internal compliance plans is incorrect?

    <p>Conduct training but not perform education on practice standards and procedures.</p> Signup and view all the answers

    What key aspect is essential for an internal compliance plan?

    <p>Clear communication of codes of conduct</p> Signup and view all the answers

    Study Notes

    User Test Results

    • Ha Hahn, completed Chapter 1 Practical Application for the 2023 Physician Coding for CPC Preparation course
    • Completed on January 8th, 2023
    • Score: 90 out of 100 points
    • Time elapsed 7 minutes

    Inpatient and Outpatient Coding

    • Inpatient coders use ICD-10-CM and ICD-10-PCS

    Mid-Level Providers

    • Include physician assistants (PA) and nurse practitioners (NP)

    Medicare

    • Consists of Parts A, B, C, and D

    SOAP Notes

    • Acronym for Subjective, Objective, Assessment, and Plan
    • Format often used for documenting E/M services

    Tips for Coding Operative Reports

    • Start with the procedures listed in report
    • Look for key words
    • Highlight unfamiliar words
    • Read the body of the report

    Medical Necessity

    • Refers to whether a procedure or service is considered appropriate in a given circumstance

    Common Reasons for Medicare Denial

    • Covered services are NOT a common reason for denial

    The Minimum Necessary Standard under HIPAA

    • Does NOT apply to disclosures to drug companies
    • Does apply to disclosures for treatment purposes
    • Does apply to disclosures to the subject of the information
    • Does apply to disclosures with a valid individual authorization
    • Does apply to disclosures required for compliance with the HIPAA Administrative Simplification Rules
    • Does apply to disclosures to the U.S. Department of Health & Human Services for enforcement purposes
    • Does apply to disclosures required by other laws

    Key Components of an Internal Compliance Plan

    • Do not include only conducting training without education on practice standards and procedures

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    Description

    Test your knowledge on Chapter 1 of the Physician Coding for CPC Preparation course. This quiz covers inpatient and outpatient coding, SOAP notes, medical necessity, and Medicare components. Achieve a better understanding of coding practices with practical questions and tips.

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