CPC exam prep questions and answers 2026 update

CPC exam prep questions and answers 2026 update
1.
1. What part of Medicare covers prescription drug services: Part D
h, h, h, h, h, h, h, h, h,


2. What is medical coding?: Translating medical documentation into codes.
h, h, h, h, h, h, h, h,


3. Which is NOT a covered entity of HIPAA... Medicare, Worker's
h, h, h, h, h, h, h, h, h,


Comp, Dentists, Pharmacies: Workers compensation
h, h, h, h, h,


4. What is an NCD (National Coverage Determination) interpreted at the
h, h, h, h, h, h, h, h, h,


MAC level considered?: LCD (Local Coverage Determinations)
h, h, h, h, h, h, h,


5. When should an ABN (Advance Beneficiary Notification) be signed?:
h, h, h, h, h, h, h, h,


when a service is not expected to be covered under medicare
h, h, h, h, h, h, h, h, h, h, h,


6. The amount on an ABN should be within how much of the cost to
h, h, h, h, h, h, h, h, h, h, h, h, h,


a patient?: $100 or 25% of cost
h, h, h, h, h, h, h,


7. An entity that processes nonstandard health information they receive
h, h, h, h, h, h, h, h,


from another entity into a standard is considered what?: Clearinghouse
h, h, h, h, h, h, h, h, h, h,


8. A covered entity does not include:: patients
h, h, h, h, h, h,


9. What is PHI?: Protected Health Information
h, h, h, h, h,


10. Intentional billing of services not provided is considered: fraud
h, h, h, h, h, h, h, h,


11. What OIG document should a provider review for potential problem
h, h, h, h, h, h, h, h, h,


areas that will receive special scrutiny in the upcoming year?: OIG
h, h, h, h, h, h, h, h, h, h, h,


Work Plan
h, h,


12. 5 Body cavities: cranial, spinal, thoracic, abdominal, pelvic
h, h, h, h, h, h, h,


13. 5 types of membranes: mucous, serous, synovial, meninges, cutaneous
h, h, h, h, h, h, h, h,



14. 2 layers of the skin: epidermis and dermis
h, h, h, h, h, h, h,


15. 5 layers of epidermis: stratum corneum, stratum lucidum, stratum
h, h, h, h, h, h, h, h,


granulosum, stratum spinosum, stratum basale
h, h, h, h, h,


16. 2 layers of dermis: papillary and reticular
h, h, h, h, h, h,


17. Closed fracture: broken bone with no open wound
h, h, h, h, h, h, h,


18. compound fracture: bone breaks through the skin h, h, h, h, h, h,


19. comminuted fracture: fracture in which the bone is splintered or crushed h, h, h, h, h, h, h, h, h, h,


20. transverse fracture: occurs straight across the bone h, h, h, h, h, h,



21. greenstick fracture: bending and incomplete break of a bone; most often
h, h, h, h, h, h, h, h, h, h,


seen in children
h, h, h,


22. spiral fracture: a fracture in which the bone has been twisted apart
h, h, h, h, h, h, h, h, h, h, h,



23. Colles' fracture: fracture of the distal radius at the wrist
h, h, h, h, h, h, h, h, h,



, .

24. compression fracture: occurs when the bone is pressed h, h, h, h, h, h, h,


together (compressed) on itself (vertebrae)
h, h, h, h, h,


25. epiphyseal fracture: a break at the location of the growth plate, which h, h, h, h, h, h, h, h, h, h, h,


can affect growth of the bone h, h, h, h, h, h,


26. types of muscle: skeletal, cardiac, smooth h, h, h, h, h,


27. 3 layers of the heart: epicardium, myocardium, endocardium
h, h, h, h, h, h, h,


28. organs of the lymphatic system: lymph nodes, lymphatic vessels, h, h, h, h, h, h, h, h,


thymus gland, spleen, tonsils h, h, h, h,


29 Central Nervous System (CNS): brain and spinal cord
h, h, h, h, h, h, h, h,


30. Peripheral Nervous System (PNS): the sensory and motor neurons h, h, h, h, h, h, h, h,


that connect the CNS to the rest of the body
h, h, h, h, h, h, h, h, h, h,


31. Components of blood: plasma, red blood cells, white blood cells, platelets h, h, h, h, h, h, h, h, h, h,


32. a patient sustaining an injury to her great saphenous vein would
h, h, h, h, h, h, h, h, h, h,


have sustained an injury to which anatomical site?: leg
h, h, h, h, h, h, h, h, h,


33. What is a function of the pancreas?: Supplies digestive enzymes. h, h, h, h, h, h, h, h, h,


34. Sebaceous glands are part of which anatomic system?: Integumentary h, h, h, h, h, h, h, h,


35. What part of the eye refracts light?: Lens h, h, h, h, h, h, h,


36. The myocardium is the thickest around which chamber of the heart?:
h, h, h, h, h, h, h, h, h, h,


Left ventricle h, h,


37. The tunica vaginalis is part of which system?: male reproductive
h, h, h, h, h, h, h, h, h,


38. Complete the series: Incus, Stapes...: Malleus h, h, h, h, h,


39. Hemiplegia is a disorder caused by a defect i which anatomic h, h, h, h, h, h, h, h, h, h,


system?: h,


Nervous
40. What is the result of a ureteral blockage?: Urine will not be able to flow
h, h, h, h, h, h, h, h, h, h, h, h, h, h,


from the kidney to the bladder. h, h, h, h, h, h,


41. What is a term for a renal calculus?: Nephrolithiasis h, h, h, h, h, h, h, h,


42. What year was the AAPC founded?: 1988 h, h, h, h, h, h,


43. Super fascia is in the: hypodermis h, h, h, h, h,


44. Stratum Lucidum is found: In areas such as the palms and soles h, h, h, h, h, h, h, h, h, h, h,



(Thicker skin) h, h,


45. Arteries: carry blood away from the heart h, h, h, h, h, h,



46. veins: Blood vessels that carry blood back to the heart h, h, h, h, h, h, h, h, h,


47. Capillaries: Smallest blood vessels; site of oxygen and waste exchange h, h, h, h, h, h, h, h, h,


48. 3 layers of the eye: sclera, choroid, retina h, h, h, h, h, h, h,


49. anterior segment of eye: contains aqueous humor h, h, h, h, h, h,