Integrity Check
This federal law protects patient health information, sets standards for electronic healthcare transactions, and ensures privacy and security in the healthcare system.
What is HIPAA (Health Insurance Portability and Accountability Act of 1996)?
This AAPC resource provides members with a platform to discuss coding challenges, share knowledge, and seek guidance from peers and experts.
What is the AAPC online forum (or Knowledge Center/discussion board)
The AAPC credential that demonstrates knowledge in establishing accurate risk scores for patients, which promotes optimal patient care and ethical payer reimbursement for providers and health plans.
What is the Certified Risk Adjustment Coders (CRC) certification?
This publication is one of the largest journals for healthcare reimbursement, offering authoritative information on coding, billing, compliance, and revenue management for it's members.
What is AAPC the Magazine?
Who is Donnie Wheeler?
This type of information includes identifiers and health details that connect directly to a patient including treatment and payment for care.
What is protected health information (PHI)?
To keep a member’s credentials active, they must submit this number of continuing education within a two‑year period for one credential.
What is 36 CEUs?
The AAPC exam designed for advanced expertise in MS-DRG assignment, as well as payer and regulatory requirements for clinical documentation improvement in the inpatient setting.
What is the Certified Documentation Expert Inpatient (CDEI) certification exam?
This annual AAPC event brings together coding professionals nationwide for education, networking, and the latest industry updates, with regional versions also available.
What is HEALTHCON (or AAPC's National/Regional Conference)
AAPC local chapters must have these four specific officer positions filled to remain in good standing with the organization.
What are president, vice president, secretary, and treasurer (or secretary/treasurer)?
The formal set of principles for AAPC members to adhere to for ethical and professional conduct in coding and billing practices.
What is the AAPC Code of Ethics (or Standards of Ethical Coding)
This committee reviews submitted complaints based only on the evidence provided, dismisses unsupported allegations, and appoints a Legal Advisory Board member as Investigating Member if a prima facie violation is shown.
What is the AAPC Ethics Committee?
The AAPC certification ideal for transitioning from fee-for-service to value-based care while ensuring cost-effective patient outcomes in hospitals, physician practices, and payer organizations.
What is the Certified Value-Based Administrator (CVBA) certification?
Once recognized almost entirely for their coding certification, AAPC currently offers credentials in three other key areas of healthcare revenue cycle management.
What are auditing, compliance, and practice management?
To be eligible for these officer positions, members must hold current AAPC credentials.
What are President, Vice President, and Education Officer positions?
This coding violation occurs when a provider reports a higher-level service than what was documented, in order to increase reimbursement.
What is Upcoding?
This information outlines the benefits and responsibilities for AAPC members, including member services, fair review, participation in local chapters, and guidance from a National Advisory Board.
What is the AAPC Member Bill of Rights?
An AAPC specialty credential that demonstrates the ability to analyze and improve current processes spanning patient access, authorizations, coding, billing, operations, and back-end workflows.
What is the Revenue Cycle Management Specialist (RCMS) credential?
This authoritative resource gives AAPC members CEU education on the latest industry news with a paid subscription ($ 189.99/year).
What is Revenue Cycle Insider?
A local chapter must hold this minimum number of approved chapter educational events per year with chapter activities/business/CEUs that are provided at little to no cost.
What are 7 events?
(2 in person educational events, 2 virtual educational events, and 3 educational events of choice)
This federal law prohibits physicians from referring patients to a medical facility in which they or their immediate family have a financial interest.
What is the Stark Law (Physician Self-Referral Law)?
For AAPC members, at least two‑thirds of required CEUs must come from this core curriculum, while no more than one‑third may come from related professional self‑improvement topics.
What are Curriculum A and Curriculum B CEUs?
An AAPC specialty credential that includes knowledge of surgical documentation in areas of the heart, thoracic, and vascular procedures.
What is the CCVT (Certified Cardiovascular and Thoracic Surgery Coder) certification?
This AAPC subscription tool includes AI-powered Smart Search code lookup, NCCI edit checks, claim scrubbers, and fee schedules to reduce denials and improve accuracy for revenue.
What is Codify by AAPC?
AAPC local chapters must comply with these specific monthly financial obligations, including uploading bank statements and submitting this financial document.
What is Profit & Loss information (or P&L statement)