11/18/25, 7:41
AM
AAPC CPC EXAM PREP COMPLIANCE AND REGULATORY
EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE 2025/2026
What document is C (Rationale: Twice a year, the OIG
referenced to when releases a Work Plan outlining its
looking for priorities for the fiscal year ahead. Within
potentialproblem the Work Plan, potential problem areas
areas with claims submissions are listed and will
identified by the be targeted with special scrutiny.)
government
indicatingscrutiny of
the services within
the coming year?:
A) OIG Compliance Plan
Guidance
B) OIG Security
Summary
C) OIG Work Plan
D) OIG Investigation
Plan
What form is provided D (Rationale: An Advanced Beneficiary
1/
30
,11/18/25, 7:41
AM
to a patient to Notice (ABN) is used when a Medicare
indicate a beneficiary requests or agrees to receive
servicemay not be a procedure or service that Medicare may
covered by not cover. This form notifies the
Medicare and the patient of potential out of pocket costs
patient may be for the
responsible for the patient.)
charges?:
A) LCD
B) CMS-1500
C) UB-04
D) ABN
Under HIPAA, A (Rationale: It is the responsibility of a covered
what would be a entity to develop and implement
policy requirement policies, best suited to its particular
for "minimum circumstances to meet HIPAA
necessary"? " requirements. As a policy requirement,
A) Only individuals only those individuals whose job requires
whose job requires it may have access to protected health
it may have information.)
access to
protected health
information.
B) Only the patient
has access to his or
2/
30
, 11/18/25, 7:41
AM
her own protected
health information.
C) Only the treating
provider has access
to protected health
information.
D) Anyone within the
provider's office can
have access to
protected health
information.
Which statement B (Rationale: Medical necessity is using
describes a the least radical services/procedure that
medically necessary allows for effective treatment of the
service? : patient's complaint or condition.)
A) Performing a
procedure/service
based on cost to
eliminate wasteful
services.
B) Using the least
radical
service/procedure
that allows for
effective treatment
of the patient's
3/
30
AM
AAPC CPC EXAM PREP COMPLIANCE AND REGULATORY
EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE 2025/2026
What document is C (Rationale: Twice a year, the OIG
referenced to when releases a Work Plan outlining its
looking for priorities for the fiscal year ahead. Within
potentialproblem the Work Plan, potential problem areas
areas with claims submissions are listed and will
identified by the be targeted with special scrutiny.)
government
indicatingscrutiny of
the services within
the coming year?:
A) OIG Compliance Plan
Guidance
B) OIG Security
Summary
C) OIG Work Plan
D) OIG Investigation
Plan
What form is provided D (Rationale: An Advanced Beneficiary
1/
30
,11/18/25, 7:41
AM
to a patient to Notice (ABN) is used when a Medicare
indicate a beneficiary requests or agrees to receive
servicemay not be a procedure or service that Medicare may
covered by not cover. This form notifies the
Medicare and the patient of potential out of pocket costs
patient may be for the
responsible for the patient.)
charges?:
A) LCD
B) CMS-1500
C) UB-04
D) ABN
Under HIPAA, A (Rationale: It is the responsibility of a covered
what would be a entity to develop and implement
policy requirement policies, best suited to its particular
for "minimum circumstances to meet HIPAA
necessary"? " requirements. As a policy requirement,
A) Only individuals only those individuals whose job requires
whose job requires it may have access to protected health
it may have information.)
access to
protected health
information.
B) Only the patient
has access to his or
2/
30
, 11/18/25, 7:41
AM
her own protected
health information.
C) Only the treating
provider has access
to protected health
information.
D) Anyone within the
provider's office can
have access to
protected health
information.
Which statement B (Rationale: Medical necessity is using
describes a the least radical services/procedure that
medically necessary allows for effective treatment of the
service? : patient's complaint or condition.)
A) Performing a
procedure/service
based on cost to
eliminate wasteful
services.
B) Using the least
radical
service/procedure
that allows for
effective treatment
of the patient's
3/
30
