QUESTIONS WITH CORRECT
ANSWERS 2025/2026
ReinstatedAorArecycledAcodeA-
AcorrectAanswersTheAsymbolA"O"AinAtheACurrentAProceduralATerminologyAreferenceAisAusedAtoAi
ndicateAwhat?
Add-onAcodesA-
AcorrectAanswersInAtheAanesthesiaAsectionAofAtheACPTAmanual,AwhatAareAconsideredAqualifying
Acircumstances?
OperativeAReportA-
AcorrectAanswersWhatAisAconsideredAproperAsupportiveAdocumentationAforAreportingACPTAand
AICDAcodesAforAsurgicalAprocedures?
GuidelinesApriorAtoAeachAsectionA-
AcorrectAanswersWhereAcanAunlistedAcodesAbeAfoundAinAtheACPTAmanual.
17bA-AcorrectAanswersWhereAdoesAtheANPIAnumberAgoAonAtheACMS-1500Aform?
ElectronicADataAInterchangeA-
AcorrectAanswersTheAtransferAofAelectronicAinformationAinAaAstandardAform.
ExplanationAofABenefitsA(EOB)A-
AcorrectAanswersDescribesAtheAservicesArendered,ApaymentAcovered,AandAbenefitAlimitsAandAd
enials.
CrossoverAClaimA-
AcorrectAanswersClaimAsubmittedAbyApeopleAcoveredAbyAaAprimaryAandAsecondaryAinsuranceAp
lan.
AuthorizesAtheAreleaseAofAmedicalAinformation.A-AcorrectAanswersByAsigningAblockA12AofACMS-
1500Aform,AaApatientAisAdoingAwhat?
MedicareAPartAAA-AcorrectAanswersProvidesAhospitalizationAinsuranceAtoAeligibleAindividuals.
MedicareAPartABA-
AcorrectAanswersVoluntaryAsupplementalAmedicalAinsuranceAtoAhelpApayAforAphysicians'AandAo
therAmedicalAprofessionals'Aservices,AmedicalAservices,AandAmedical-
surgicalAsuppliesAnotAcoveredAbyAMedicareAPartAA.
MedicareAAdvantageA(MA)A-
AcorrectAanswersCombinedApackageAofAbenefitsAunderAMedicareAPartsAAAandABAthatAmayAoffer
AextraAcoverageAforAservicesAsuchAasAvision,Ahearing,Adental,AhealthAandAwellness,AorAprescripti
onAdrugAcoverage.
, MedicareAPartADA-AcorrectAanswersprescriptionAdrugAcoverageAbyAMedicare
MedigapA-
AcorrectAanswersAAprivateAhealthAinsuranceAthatApaysAforAmostAofAtheAchargesAnotAcoveredAbyA
MedicareAPartsAAAandAB.
PreAUTHORIZATIONA-
AcorrectAanswersApprovalAfromAtheAhealthAplanAforAanAinpatientAhospitalAstayAorAsurgery.
PreCERTIFICATIONA-
AcorrectAanswersAAreviewAthatAlooksAatAwhetherAtheAprocedureAcouldAbeAperformedAsafelyAbu
tAlessAexpensivelyAinAanAoutpatientAsetting.
PreDETERMINATIONA-AcorrectAanswersAAwrittenArequestAforAaAverificationAofAbenefits.
WhoAisAusuallyAtheAGatekeeper?A-AcorrectAanswersTheAprimaryAphysician.
FormularyA-AcorrectAanswersAAlistAofAprescriptionAdrugsAcoveredAbyAanAinsuranceAplan.
TierA1A-AcorrectAanswersProvidersAandAfacilitiesAinAaAPPO'sAnetwork.
TierA2A-
AcorrectAanswersProvidersAandAfacilitiesAwithinAaAbroader,AcontractedAnetworkAofAtheAinsuranc
eAcompany.
TierA3A-AcorrectAanswersProvidersAandAfacilitiesAoutAofAtheAnetwork.
TierA4A-AcorrectAanswersProvidersAandAfacilitiesAnotAonAtheAformulary.
PreferredAProviderA-AcorrectAanswersTierA2Aprovider
ChargeADescriptionAMasterA(CDM)A-
AcorrectAanswersInformation AaboutAhealthAcareAservicesAthatApatientsAhaveAreceivedAandAfina
ncialAtransactionsAthatAhaveAtakenAplace.
BalanceABillingA-
AcorrectAanswersBillingApatientsAforAchargesAinAexcessAofAtheAMedicareAfeeAschedule.
BatchA-AcorrectAanswersAAgroupAofAsubmittedAclaims.
VACodesA-
AcorrectAanswersCodesAusedAtoAclassifyAvisitsAwhenAcircumstancesAotherAthanAdiseaseAorAinjur
yAareAtheAreasonAforAtheAappointment.
EACodesA-
AcorrectAanswersCodesAusedAtoAclassifyAenvironmentalAevents,Acircumstances,AandAconditions
,AsuchAasAtheAcauseAofAinjury,Apoisoning,AandAotherAadverseAevents.
CategoryA1ACPTACodeA-
AcorrectAanswersCodeAthatAcoversAphysicians'AservicesAandAhospitalAoutpatientAcoding.