AAPC-CPB Online Practice Questions and Answers

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

DSM

A. (California) Employment Development Department

B. Electronic data interchange

C. Diagnostic and statistical manual

D. Electronic funds transfer

What is All Patient Refined DiagnosisRelated Group (ARPDRG)?

A. 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.

B. 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.

ABN stands for Advance Beneficiary Notice.

A. TRUE

B. FALSE

Case management services is a process by which an attending physician coordinates and supervises care provided to patient by other providers.

A. TRUE

B. FALSE

abdomin

A. extremities, top

B. toward

C. abdomen

BCBS stands for Blue Cross Blue Shield.

A. TRUE

B. FALSE

DMERC

A. Department of Defense

B. Diagnosis related groups

C. Durable Medical Equipment regional carriers

D. Disproportionate share hospital (adjustment)

Which part of the body do gaster and gastr refer to?

A. genitals

B. tongue

C. intestine

D. stomach

EDD

A. Electronic data interchange

B. Electronic funds transfer

C. (California) Employment Development Department

D. Employer group health plan