AAPC CPC CERTIFICATION PRACTICE
EXAM WITH QUESTION AND ANSWERS
[VERIFIED] | 2026/2027 | GUARANTEED
PASS | ALREADY GRADED A+ | BRAND
NEW!!!!!!!
Coding is: - CORRECTANSWERThe process of translating this written or dictated medical record
into a series of numeric and alpha numeric codes
Proper code assignment is determined both by - CORRECTANSWERthe content (documentation)
in the medical record and by the unique rules that govern each code set in that particular
instance
Outpatient coders will focus on learning which manuals - CORRECTANSWERCPT, HCPCS Level II,
and ICD-10-CM
Hospital inpatient coders focus on which manuals - CORRECTANSWERICD-10-CM & ICD-10-PCS
Risk adjustment coding focuses on which manual - CORRECTANSWERICD-10-CM code set
Two primary types of insurers - CORRECTANSWERcommercial and government
,Commercial carriers are private pairs that may offer group and individual plans, plans very but
may include coverage for - CORRECTANSWERHospitalization, basic, and major medical coverage
Medicare is - CORRECTANSWERThe most significant government ensure, a federal health
insurance program
Medicare is administered by the center for Medicare and Medicaid services (CMS)- & provides
coverage for who - CORRECTANSWERPeople over the age of 65, blind or disabled, individuals,
and people with permanent kidney failure or end stage renal disease (ESRD).
Medicare part A covers - CORRECTANSWERInpatient hospital, skilled nursing facilities, hospice,
and home healthcare
Medicare part B covers - CORRECTANSWERMedically, necessary, physicians services, outpatient
care, and other medical services (including some preventative services) not covered under
Medicare part a
Medicare part B is optional which pt.s pay a - CORRECTANSWERpremium, & generally requires a
yearly deductible and coinsurance
Medicare Part C (Medicare Advantage Plans) - CORRECTANSWERCombines Medicare part A part
B and sometimes part D. Managed by private insures approved by Medicare.
Medicare part C plans may charge - CORRECTANSWERDifferent copayments, coinsurance, or
deductibles for services
Medicare part D is a - CORRECTANSWERPrescription drug program available to all Medicare
beneficiaries. Private companies approved by Medicare provide coverage.
, Medicaid is - CORRECTANSWERHealth insurance assistance for low income people, (especially
children and pregnant women)
Medicaid is administered on a - CORRECTANSWERState-by-state basis, but state programs must
here to certain federal guidelines
The fee schedule designed to provide national uniform payment of Medicare benefits after
adjustment to reflect the differences in practice costs across geographic areas is called the
______________ - CORRECTANSWERRBRVS (Resource Based Relative Value Scale)
Resource based relative value scale costs are divided into three components -
CORRECTANSWERPhysicians work, practice expense, professional liability insurance
Physicians work accounts for half of a procedures/services total relative value measured by -
CORRECTANSWERThe time it takes to perform service, technical skill, and physical effort,
required mental effort and judgment, stress due to potential risk to the patient
Practice expenses account for 44% of the total relative value for each service, They are resource
based and defer by site of service because - CORRECTANSWERThe expensive providing a service
in hospital may be different than physicians office
The resource base professional liability insurance (PLI) account for - CORRECTANSWER4% of the
total rally relative value for each service
Physician fee schedule lists the component value for each CPT and HCPCS level II code which is
published when - CORRECTANSWERAnnually by CMS
Medical necessity means - CORRECTANSWERWhether procedure service is considered
appropriate in a given circumstance
EXAM WITH QUESTION AND ANSWERS
[VERIFIED] | 2026/2027 | GUARANTEED
PASS | ALREADY GRADED A+ | BRAND
NEW!!!!!!!
Coding is: - CORRECTANSWERThe process of translating this written or dictated medical record
into a series of numeric and alpha numeric codes
Proper code assignment is determined both by - CORRECTANSWERthe content (documentation)
in the medical record and by the unique rules that govern each code set in that particular
instance
Outpatient coders will focus on learning which manuals - CORRECTANSWERCPT, HCPCS Level II,
and ICD-10-CM
Hospital inpatient coders focus on which manuals - CORRECTANSWERICD-10-CM & ICD-10-PCS
Risk adjustment coding focuses on which manual - CORRECTANSWERICD-10-CM code set
Two primary types of insurers - CORRECTANSWERcommercial and government
,Commercial carriers are private pairs that may offer group and individual plans, plans very but
may include coverage for - CORRECTANSWERHospitalization, basic, and major medical coverage
Medicare is - CORRECTANSWERThe most significant government ensure, a federal health
insurance program
Medicare is administered by the center for Medicare and Medicaid services (CMS)- & provides
coverage for who - CORRECTANSWERPeople over the age of 65, blind or disabled, individuals,
and people with permanent kidney failure or end stage renal disease (ESRD).
Medicare part A covers - CORRECTANSWERInpatient hospital, skilled nursing facilities, hospice,
and home healthcare
Medicare part B covers - CORRECTANSWERMedically, necessary, physicians services, outpatient
care, and other medical services (including some preventative services) not covered under
Medicare part a
Medicare part B is optional which pt.s pay a - CORRECTANSWERpremium, & generally requires a
yearly deductible and coinsurance
Medicare Part C (Medicare Advantage Plans) - CORRECTANSWERCombines Medicare part A part
B and sometimes part D. Managed by private insures approved by Medicare.
Medicare part C plans may charge - CORRECTANSWERDifferent copayments, coinsurance, or
deductibles for services
Medicare part D is a - CORRECTANSWERPrescription drug program available to all Medicare
beneficiaries. Private companies approved by Medicare provide coverage.
, Medicaid is - CORRECTANSWERHealth insurance assistance for low income people, (especially
children and pregnant women)
Medicaid is administered on a - CORRECTANSWERState-by-state basis, but state programs must
here to certain federal guidelines
The fee schedule designed to provide national uniform payment of Medicare benefits after
adjustment to reflect the differences in practice costs across geographic areas is called the
______________ - CORRECTANSWERRBRVS (Resource Based Relative Value Scale)
Resource based relative value scale costs are divided into three components -
CORRECTANSWERPhysicians work, practice expense, professional liability insurance
Physicians work accounts for half of a procedures/services total relative value measured by -
CORRECTANSWERThe time it takes to perform service, technical skill, and physical effort,
required mental effort and judgment, stress due to potential risk to the patient
Practice expenses account for 44% of the total relative value for each service, They are resource
based and defer by site of service because - CORRECTANSWERThe expensive providing a service
in hospital may be different than physicians office
The resource base professional liability insurance (PLI) account for - CORRECTANSWER4% of the
total rally relative value for each service
Physician fee schedule lists the component value for each CPT and HCPCS level II code which is
published when - CORRECTANSWERAnnually by CMS
Medical necessity means - CORRECTANSWERWhether procedure service is considered
appropriate in a given circumstance
