AAPC - Medical Coding Questions &
Answers
Many coding professionals go on to find work as: -
✔Consultant
A medical record contains information on all but what areas? -
✔Financial records
Technicians who specialize in coding are called: -
✔Coding specialists
EHR stands for: -
✔Electronic health record
What type of provider goes through approximately 26.5 months of education and is
licensed to practice medicine with the oversight of a physician? -
✔Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to
coders working in physician offices and covers physician fees without the use of a
private insurer? -
✔Part B
The Medicare program is made up of several parts. Which part is affected by the
Centers for Medicare and Medicaid Services' - hierarchal condition categories (CMS-
HCC)? -
✔Part C
What does CMS-HCC stand for? -
✔Centers for Medicare and Medicaid Services - Hierarchal Condition Category
When coding an operative report, what action would NOT be recommended? -
✔Coding from the header without reading the body of the report
Outpatient coders focus on learning which coding manuals? -
✔CPT, HCPCS Level II, and ICD-9-CM Volumes 1 and 2
If an NCD doesn't exist for a particular service/procedure performed on a Medicare
patient, who determines coverage? -
✔Medicare Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or
technologies are considered medically necessary under Medicare. -
✔National Coverage Determinations Manual
National Coverage Determinations serve what purpose? -
✔To spell out CMS policies on when Medicare will pay for items or services
MAC stands for what? -
✔Medicare Administrative Contractor
Local Coverage Determinations are administered by __? -
✔Each regional MAC
LCD's only have jurisdiction in their __ area. -
✔Regional
ABN stands for -
✔Advance Beneficiary Notice
When are providers responsible for obtaining an ABN for a service not considered
medically necessary? -
✔Prior to providing a service or item to a beneficiary
HIPAA stands for -
