AAPC – Certified Professional
Coder (CPC) Certification Exam
(2025/2026) – Official Questions
& Verified Correct Answers |
Guaranteed Pass
"hold harmless clause" - 🧠 ANSWER ✔✔* 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: - 🧠 ANSWER ✔✔*
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 - 🧠 ANSWER ✔✔entity 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 - 🧠 ANSWER ✔✔only the minimum necessary protected health
information should be shared to satisfy a particular purpose.
A medically necessary service is the - 🧠 ANSWER ✔✔least 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? - 🧠 ANSWER ✔✔Leg
APC - 🧠 ANSWER ✔✔Ambulatory Payment Classification
ARRA - 🧠 ANSWER ✔✔American Recovery and Reinvestment Act (of
2009)
, ASC - 🧠 ANSWER ✔✔Ambulatory Surgical Centers
Abuse consists of - 🧠 ANSWER ✔✔payment 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 - 🧠 ANSWER
✔✔creating 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? - 🧠 ANSWER
✔✔Clearinghouse
As a part of Health Care Reform, the Affordable Care Act of 2010 amended
the definition of fraud to remove the __________ requirement - 🧠 ANSWER
✔✔intent
By statute, all work RVUs, must be examined no less often than - 🧠
ANSWER ✔✔every 5 years
CF - 🧠 ANSWER ✔✔Coversion Factor - fixed dollar amount used to
translate the RVUs into fees
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
Coder (CPC) Certification Exam
(2025/2026) – Official Questions
& Verified Correct Answers |
Guaranteed Pass
"hold harmless clause" - 🧠 ANSWER ✔✔* 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: - 🧠 ANSWER ✔✔*
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 - 🧠 ANSWER ✔✔entity 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 - 🧠 ANSWER ✔✔only the minimum necessary protected health
information should be shared to satisfy a particular purpose.
A medically necessary service is the - 🧠 ANSWER ✔✔least 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? - 🧠 ANSWER ✔✔Leg
APC - 🧠 ANSWER ✔✔Ambulatory Payment Classification
ARRA - 🧠 ANSWER ✔✔American Recovery and Reinvestment Act (of
2009)
, ASC - 🧠 ANSWER ✔✔Ambulatory Surgical Centers
Abuse consists of - 🧠 ANSWER ✔✔payment 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 - 🧠 ANSWER
✔✔creating 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? - 🧠 ANSWER
✔✔Clearinghouse
As a part of Health Care Reform, the Affordable Care Act of 2010 amended
the definition of fraud to remove the __________ requirement - 🧠 ANSWER
✔✔intent
By statute, all work RVUs, must be examined no less often than - 🧠
ANSWER ✔✔every 5 years
CF - 🧠 ANSWER ✔✔Coversion Factor - fixed dollar amount used to
translate the RVUs into fees
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
