Aapc Cases Cpma Review 29 Correctly Answered Questions Latest Update

What are the recommended number of charts to audit per provider and the minimum frequency of the audit? {Ans: C. 10 records per provider each year}An infectious disease provider has been notified by the MAC (Medicare Administrative Contractor) in his region that the data indicates he is billing level 99214 more frequent than other providers in the same specialty and geographic region. The provider requests you audit a sample of his claims that were coded as 99214 to determine if he is coding appropriately. What supporting references will you need to conduct the audit? {Ans: C. 1995 and 1997 CMS Documentation Guidelines}You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? {Ans: Patient identification, assignment of benefits, patient's medical history, immunizations, physical examination, lab report, clinical impression, and physician orders.}Which of the following scenarios qualifies for the use of modifier 25? {Ans: Patient presents for a scheduled lesion removal from her right upper arm. She informs her dermatologist that she is starting