AAPC CPC FINAL EXAM QUESTIONS
AND ANSWERS 2025
,1 | Page
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - correct answer- c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - correct
answer- a. CPT, HCPCS Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
,2 | Page
b. 2009
c. 2000
d. 2007 - correct answer- b. 2009
Voluntary compliance programs also provide benefits by not only helping
to prevent erroneous or , but also by showing
that the provider practice is making additional good faith efforts to submit
claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals - correct answer- c. Fraudulent claims
Which CMS product describes whether specific medical items, services,
treatment procedures or technologies are considered medically necessary
under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule - correct answer- b.
National Coverage Determinations Manual
, 3 | Page
Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease - correct answer- b. Concussion
In order, starting with the innermost layer, what are the four walls of the
digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa - correct answer- a. Mucosa,
submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
b. An inflammatory condition characterized by redness pustular and
vesicular lesions, crusts, and scales
AND ANSWERS 2025
,1 | Page
What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN - correct answer- c. CMS-1500
Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - correct
answer- a. CPT, HCPCS Level II and ICD-10-CM
In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
a. 2010
,2 | Page
b. 2009
c. 2000
d. 2007 - correct answer- b. 2009
Voluntary compliance programs also provide benefits by not only helping
to prevent erroneous or , but also by showing
that the provider practice is making additional good faith efforts to submit
claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals - correct answer- c. Fraudulent claims
Which CMS product describes whether specific medical items, services,
treatment procedures or technologies are considered medically necessary
under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule - correct answer- b.
National Coverage Determinations Manual
, 3 | Page
Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease - correct answer- b. Concussion
In order, starting with the innermost layer, what are the four walls of the
digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa - correct answer- a. Mucosa,
submucosa, muscle, serosa
Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
b. An inflammatory condition characterized by redness pustular and
vesicular lesions, crusts, and scales
