CPC Certified Professional Coder | AAPC
Certification Practice Exam| 2026/2027
| Practice Exam Questions and Correct
Answers | Already Graded A+ |
Guaranteed Pass | Brand New!!!!
"hold harmless clause" - CORRECTANSWER* found in some non-Medicare health plan contracts
* prohibits billing to patient for anything beyond deductibles and co-pays.
A compliance plan may offer several benefits, including: - CORRECTANSWER* more accurate
payment of claims
* fewer billing mistakes
* improved documentation and more accurate coding
* less chance of violating self-referral and anti-kickback status
A healthcare clearing house is a - CORRECTANSWERentity that processes nonstandard health
information they receive from another entity into a standard format
,A key provision in HIPAA is the Minimum Necessary requirement. this means -
CORRECTANSWERonly the minimum necessary protected health information should be shared
to satisfy a particular purpose.
A medically necessary service is the - CORRECTANSWERleast radical service/procedure that
allows for effective treatment of the patients' complaint or condition
A patient sustaining an injury to her great saphenous vein would have sustained injury to which
of anatomical site? - CORRECTANSWERLeg
APC - CORRECTANSWERAmbulatory Payment Classification
ARRA - CORRECTANSWERAmerican Recovery and Reinvestment Act (of 2009)
ASC - CORRECTANSWERAmbulatory Surgical Centers
Abuse consists of - CORRECTANSWERpayment for items or services that are billed by providers
in error that should not be paid for by Medicare.
An ABN protects the provider's financial interest by - CORRECTANSWERcreating a paper trail
that CMS requires before a provider can bill the patient for payment if Medicare denies
coverage for the stated service or procedure.
An entity that processes nonstandard health information they receive from another entity into a
standard format is considered what? - CORRECTANSWERClearinghouse
As a part of Health Care Reform, the Affordable Care Act of 2010 amended the definition of
fraud to remove the __________ requirement - CORRECTANSWERintent
, By statute, all work RVUs, must be examined no less often than - CORRECTANSWERevery 5
years
CF - CORRECTANSWERCoversion Factor - fixed dollar amount used to translate the RVUs into
fees
CMS - CORRECTANSWERCenters for Medicare and Medicaid
CMS developed polices regarding medical necessity are based on regulations found in title XVIII,
$1862(a) of the - CORRECTANSWERSocial Security Act
CMS will accept the ____________ for either a "potentially non=covered" service or for a
statutorily excluded service - CORRECTANSWERCMS-R-131
CMS-R-131 - CORRECTANSWERABN form
or
Advance Beneficiary Notice which explains to the patient why Medicare may deny the particular
service or procedure.
CPT - CORRECTANSWERCurrent Procedural Terminology
CY 2013 Conversion Factor - CORRECTANSWER$25.0008
Commercial (non-Medicare) may develop their own medical policies which do not follow
Medicare guidelines and are specified in - CORRECTANSWERprivate contracts between the
payer and practice or provider
Certification Practice Exam| 2026/2027
| Practice Exam Questions and Correct
Answers | Already Graded A+ |
Guaranteed Pass | Brand New!!!!
"hold harmless clause" - CORRECTANSWER* found in some non-Medicare health plan contracts
* prohibits billing to patient for anything beyond deductibles and co-pays.
A compliance plan may offer several benefits, including: - CORRECTANSWER* more accurate
payment of claims
* fewer billing mistakes
* improved documentation and more accurate coding
* less chance of violating self-referral and anti-kickback status
A healthcare clearing house is a - CORRECTANSWERentity that processes nonstandard health
information they receive from another entity into a standard format
,A key provision in HIPAA is the Minimum Necessary requirement. this means -
CORRECTANSWERonly the minimum necessary protected health information should be shared
to satisfy a particular purpose.
A medically necessary service is the - CORRECTANSWERleast radical service/procedure that
allows for effective treatment of the patients' complaint or condition
A patient sustaining an injury to her great saphenous vein would have sustained injury to which
of anatomical site? - CORRECTANSWERLeg
APC - CORRECTANSWERAmbulatory Payment Classification
ARRA - CORRECTANSWERAmerican Recovery and Reinvestment Act (of 2009)
ASC - CORRECTANSWERAmbulatory Surgical Centers
Abuse consists of - CORRECTANSWERpayment for items or services that are billed by providers
in error that should not be paid for by Medicare.
An ABN protects the provider's financial interest by - CORRECTANSWERcreating a paper trail
that CMS requires before a provider can bill the patient for payment if Medicare denies
coverage for the stated service or procedure.
An entity that processes nonstandard health information they receive from another entity into a
standard format is considered what? - CORRECTANSWERClearinghouse
As a part of Health Care Reform, the Affordable Care Act of 2010 amended the definition of
fraud to remove the __________ requirement - CORRECTANSWERintent
, By statute, all work RVUs, must be examined no less often than - CORRECTANSWERevery 5
years
CF - CORRECTANSWERCoversion Factor - fixed dollar amount used to translate the RVUs into
fees
CMS - CORRECTANSWERCenters for Medicare and Medicaid
CMS developed polices regarding medical necessity are based on regulations found in title XVIII,
$1862(a) of the - CORRECTANSWERSocial Security Act
CMS will accept the ____________ for either a "potentially non=covered" service or for a
statutorily excluded service - CORRECTANSWERCMS-R-131
CMS-R-131 - CORRECTANSWERABN form
or
Advance Beneficiary Notice which explains to the patient why Medicare may deny the particular
service or procedure.
CPT - CORRECTANSWERCurrent Procedural Terminology
CY 2013 Conversion Factor - CORRECTANSWER$25.0008
Commercial (non-Medicare) may develop their own medical policies which do not follow
Medicare guidelines and are specified in - CORRECTANSWERprivate contracts between the
payer and practice or provider
