MEDICAL CODING TRAINING AAPC CPC
COMPREHENSIVE EXAM 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
●● 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
●● CMS
Answer: Centers for Medicare and Medicaid
●● CMS developed polices regarding medical necessity are based on
regulations found in title XVIII, $1862(a) of the
Answer: Social Security Act
COMPREHENSIVE EXAM 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
●● 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
●● CMS
Answer: Centers for Medicare and Medicaid
●● CMS developed polices regarding medical necessity are based on
regulations found in title XVIII, $1862(a) of the
Answer: Social Security Act
