AAPC CPC FINAL EXAMS 2026
CERTIFICATION TEST PAPER
QUESTIONS ANSWERS GRADED A+
◉ Definition of medical coding.
Answer: Translating medical documentation into codes
◉ NOT a covered entity of HIPAA.
Answer: Work Comp
◉ Interpretation of NCD at MAC level.
Answer: LCD (Local Coverage Determinations)
◉ When to sign an ABN.
Answer: When a service is not expected to be covered under Medicare
◉ Limit on ABN amount to patient.
Answer: $100 or 25% of the cost
◉ Entity processing nonstandard health information into standard.
Answer: Clearinghouse
◉ Excluded from covered entity.
Answer: Patients
,◉ Definition of PHI.
Answer: Protected Health Information
◉ Intentional billing of services not provided.
Answer: Fraud
◉ Review for potential problem areas in the upcoming year.
Answer: OIG Work Plan
◉ Body cavities.
Answer: Cranial, spinal, thoracic, abdominal, pelvic
◉ Types of membranes.
Answer: Mucous, serous, synovial, meninges, cutaneous
◉ Layers of the skin.
Answer: Epidermis and dermis
◉ Layers of epidermis.
Answer: Stratum corneum, lucidum, granulosum, spinosum, basale
◉ Layers of dermis.
, Answer: Papillary and reticular
◉ Closed Fracture.
Answer: No open wound
◉ Compound Fracture.
Answer: Bone breaks through skin
◉ Comminuted Fracture.
Answer: Bone splintered or crushed
◉ Transverse Fracture.
Answer: Straight across bone
◉ Greenstick Fracture.
Answer: Bending and incomplete break of a bone; common in children
◉ Spiral Fracture.
Answer: Bone twisted apart; spiral pattern
◉ Colles' Fracture.
Answer: Fracture of the distal radius at the wrist; named after Abraham
Colles
CERTIFICATION TEST PAPER
QUESTIONS ANSWERS GRADED A+
◉ Definition of medical coding.
Answer: Translating medical documentation into codes
◉ NOT a covered entity of HIPAA.
Answer: Work Comp
◉ Interpretation of NCD at MAC level.
Answer: LCD (Local Coverage Determinations)
◉ When to sign an ABN.
Answer: When a service is not expected to be covered under Medicare
◉ Limit on ABN amount to patient.
Answer: $100 or 25% of the cost
◉ Entity processing nonstandard health information into standard.
Answer: Clearinghouse
◉ Excluded from covered entity.
Answer: Patients
,◉ Definition of PHI.
Answer: Protected Health Information
◉ Intentional billing of services not provided.
Answer: Fraud
◉ Review for potential problem areas in the upcoming year.
Answer: OIG Work Plan
◉ Body cavities.
Answer: Cranial, spinal, thoracic, abdominal, pelvic
◉ Types of membranes.
Answer: Mucous, serous, synovial, meninges, cutaneous
◉ Layers of the skin.
Answer: Epidermis and dermis
◉ Layers of epidermis.
Answer: Stratum corneum, lucidum, granulosum, spinosum, basale
◉ Layers of dermis.
, Answer: Papillary and reticular
◉ Closed Fracture.
Answer: No open wound
◉ Compound Fracture.
Answer: Bone breaks through skin
◉ Comminuted Fracture.
Answer: Bone splintered or crushed
◉ Transverse Fracture.
Answer: Straight across bone
◉ Greenstick Fracture.
Answer: Bending and incomplete break of a bone; common in children
◉ Spiral Fracture.
Answer: Bone twisted apart; spiral pattern
◉ Colles' Fracture.
Answer: Fracture of the distal radius at the wrist; named after Abraham
Colles
