CPC Exam Questions with 100%
Correct Answers
AbstractorA-
AAnswer✓AhospitalAemployeeAwhoAconvertsAdocumentedAprocedursAandAdiangosesAintoAm
edicalAcodes
AbuseA-
AAnswer✓AcodingApracticesAthatAleadAtoAimproperAreimbursementAbyAerrorAbecauseAthey
AdoAnotAmeetAmedicalAnecessity,Aex.AchangingAdiagnosisAtoAbeAcoveredAbyAinsurance
AccreditationA-
AAnswer✓AanAexaminationAprocessAtheAhealthcareAfacilityAgoesAthroughAtoAevaluateAtheA
facilitiesApolicies,Aprocedures,AandAperformanceAtoAmeetAhigherAstandards.
AccreditedA-
AAnswer✓AHavingAsealAofAapprovalAafterAbeingAevaluatedAandAdemonstratingAqualityAsta
ndards
Act/ALaw/AStatuteA-
AAnswer✓ALegislationApassedAthroughACongressAandAsignedAbyAPresidentAorApassedAover
AhisAveto
ActualAChargeA-
AAnswer✓ATheAamountAtheAproviderAchargesAforAmedicalAservicesAorAsupplies.ANotAalway
sApaidAinAfull.
AdditionalABenefitsA-
AAnswer✓AHealthAcareAservicesAnotAcoveredAbyAMedicareAandAareAofferedAthroughAtheA
MedicareAAdvantageAOrganizationAforAnoAadditionalApremium.ATheAbenefitsAmustAequalAthe
AACRA(AdjustedACommunityARating)
AdjudicationA-AAnswer✓AHealthAInsuranceAClaimsAprocessAatAtheAinsuranceAcompany
AdjustedAAverageAPerACapitaACostA(AAPCC)A-
AAnswer✓AEstimateAofAhowAmuchAMedicareAwillAspendAinAaAyearAforAanAaverageAbenefi
ciary
, AdministrativeACodeASetsA-
AAnswer✓ANonAmedicalAcodeAsetsAthatAcharacterizeAaAgeneralAbusinessAsituationAratherA
thanAaAmedicalAcondition.
AdministrativeACostsA-
AAnswer✓AMedicare,AMedicaid,ACMSAreferAtoAthisAasAtheirAexpensesAtoAhaveAtheAprogra
m,AoperatingAexpenses,AprogramAmanagement,Aetc.
AdministrativeADataA-
AAnswer✓AHealthAinsuranceAinformationAstoredAinAautomatedAinformationAsystemAaboutA
enrollment,Aeligibility,Aclaims,Aetc.
AdministrativeALawAJudgeA(ALJ)A-
AAnswer✓AhearingAofficerAwhoApresidesAoverAappealAconflictsAbetweenAprovidersAorAbene
ficiaries,AandAMedicareAcontractorsA(MAC's)
AdministrativeASimplificationA-
AAnswer✓APartAofAHIPAAAauthorizingAHHSA(HealthAandAHumanAServices)AtoA1.AadoptAsta
ndardsAforAtransactionsA&AcodeAsets;A2.AadoptAstandardAidentifiersAforAhealthAplans;A3.Aad
optAstandardsAtoAprotectAsecurityA&AprivacyAofApersonallyAidentifiableAhealthAinformation.
AdministrativeASimplificationAActA-
AAnswer✓ASignedA12/17/01AallowsAHHSA(HealthA&AHumanAServices)AtoAexcludeAprovider
sAfromAMedicareAforAHIPAAAnon-
complianceAofAelectronicAclaimsAandAprohibitApaperAclaimsAexceptAinAcertainAsituations
AdmissionADateA-
AAnswer✓ATheAdateAtheApatientAwasAadmittedAforAinpatientAcare,Aoutpatient,AorAstartAof
Acare.ForAhospice,AenterAeffectiveAdateAofAelectionAofAhospiceAbenefits.
AdmittingADiagnosisA-
AAnswer✓ADiagnosisAcodeAindicatingApatient'sAdiagnosisAatAadmission
AdmittingAPhysicianA-
AAnswer✓ATheAdoctorAresponsibleAforAadmittingAaApatientAtoAtheAhospitalAorAotherAinpat
ientAhealthAfacility
Correct Answers
AbstractorA-
AAnswer✓AhospitalAemployeeAwhoAconvertsAdocumentedAprocedursAandAdiangosesAintoAm
edicalAcodes
AbuseA-
AAnswer✓AcodingApracticesAthatAleadAtoAimproperAreimbursementAbyAerrorAbecauseAthey
AdoAnotAmeetAmedicalAnecessity,Aex.AchangingAdiagnosisAtoAbeAcoveredAbyAinsurance
AccreditationA-
AAnswer✓AanAexaminationAprocessAtheAhealthcareAfacilityAgoesAthroughAtoAevaluateAtheA
facilitiesApolicies,Aprocedures,AandAperformanceAtoAmeetAhigherAstandards.
AccreditedA-
AAnswer✓AHavingAsealAofAapprovalAafterAbeingAevaluatedAandAdemonstratingAqualityAsta
ndards
Act/ALaw/AStatuteA-
AAnswer✓ALegislationApassedAthroughACongressAandAsignedAbyAPresidentAorApassedAover
AhisAveto
ActualAChargeA-
AAnswer✓ATheAamountAtheAproviderAchargesAforAmedicalAservicesAorAsupplies.ANotAalway
sApaidAinAfull.
AdditionalABenefitsA-
AAnswer✓AHealthAcareAservicesAnotAcoveredAbyAMedicareAandAareAofferedAthroughAtheA
MedicareAAdvantageAOrganizationAforAnoAadditionalApremium.ATheAbenefitsAmustAequalAthe
AACRA(AdjustedACommunityARating)
AdjudicationA-AAnswer✓AHealthAInsuranceAClaimsAprocessAatAtheAinsuranceAcompany
AdjustedAAverageAPerACapitaACostA(AAPCC)A-
AAnswer✓AEstimateAofAhowAmuchAMedicareAwillAspendAinAaAyearAforAanAaverageAbenefi
ciary
, AdministrativeACodeASetsA-
AAnswer✓ANonAmedicalAcodeAsetsAthatAcharacterizeAaAgeneralAbusinessAsituationAratherA
thanAaAmedicalAcondition.
AdministrativeACostsA-
AAnswer✓AMedicare,AMedicaid,ACMSAreferAtoAthisAasAtheirAexpensesAtoAhaveAtheAprogra
m,AoperatingAexpenses,AprogramAmanagement,Aetc.
AdministrativeADataA-
AAnswer✓AHealthAinsuranceAinformationAstoredAinAautomatedAinformationAsystemAaboutA
enrollment,Aeligibility,Aclaims,Aetc.
AdministrativeALawAJudgeA(ALJ)A-
AAnswer✓AhearingAofficerAwhoApresidesAoverAappealAconflictsAbetweenAprovidersAorAbene
ficiaries,AandAMedicareAcontractorsA(MAC's)
AdministrativeASimplificationA-
AAnswer✓APartAofAHIPAAAauthorizingAHHSA(HealthAandAHumanAServices)AtoA1.AadoptAsta
ndardsAforAtransactionsA&AcodeAsets;A2.AadoptAstandardAidentifiersAforAhealthAplans;A3.Aad
optAstandardsAtoAprotectAsecurityA&AprivacyAofApersonallyAidentifiableAhealthAinformation.
AdministrativeASimplificationAActA-
AAnswer✓ASignedA12/17/01AallowsAHHSA(HealthA&AHumanAServices)AtoAexcludeAprovider
sAfromAMedicareAforAHIPAAAnon-
complianceAofAelectronicAclaimsAandAprohibitApaperAclaimsAexceptAinAcertainAsituations
AdmissionADateA-
AAnswer✓ATheAdateAtheApatientAwasAadmittedAforAinpatientAcare,Aoutpatient,AorAstartAof
Acare.ForAhospice,AenterAeffectiveAdateAofAelectionAofAhospiceAbenefits.
AdmittingADiagnosisA-
AAnswer✓ADiagnosisAcodeAindicatingApatient'sAdiagnosisAatAadmission
AdmittingAPhysicianA-
AAnswer✓ATheAdoctorAresponsibleAforAadmittingAaApatientAtoAtheAhospitalAorAotherAinpat
ientAhealthAfacility
