|AAPC - CPC FINAL EXAM| LATEST|COMPLETE FREQUENTLY MOST TESTED
QUESTIONS WITH VERIFIED ANSWERS/ALREADY GREADED A+ |GET IT 100%
ACCURATE!!
Question 1
Who is responsible for the administration of Local Coverage Determinations (LCDs)?
A) State Law makers
B) National Coverage Determinations (NCDs)
C) Each regional Medicare Administrative Contractor (MAC)
D) Local Medical Review Policies (LMRPs)
E) The Office of Inspector General (OIG)
Correct Answer: C) Each regional MAC
Rationale: LCDs are decisions made by a MAC whether to cover a particular item or
service in a MAC's region (territory) in accordance with section 1862(a)(1)(A) of the Social
Security Act.
Question 2
What does the acronym ABN stand for in medical billing?
A) Advanced Benefits Notification
B) Advisory Beneficial Notice
C) Admitting Beneficiary Notice
D) Advance Beneficiary Notice
E) Authorized Billing Notification
Correct Answer: D) Advance Beneficiary Notice
Rationale: An ABN is a notice given to beneficiaries in the original Medicare program to let
them know that Medicare will probably not pay for a specific service or item.
Question 3
Which type of health insurance is specifically designed to provide coverage for low-income
families and individuals?
A) Commercial HMO
B) Medicaid
C) Medicare
D) Commercial PPO
E) TRICARE
Correct Answer: B) Medicaid
Rationale: Medicaid is a joint federal and state program that helps with medical costs for
some people with limited income and resources.
Question 4
Which of the following types of information is NOT typically maintained as part of a clinical
medical record?
A) Treatment outcomes
B) Financial and billing records
C) Medical or surgical interventions
, 2
D) Physician observations
E) Physical examination findings
Correct Answer: B) Financial records
Rationale: A medical record is a clinical document focusing on patient care, interventions,
and outcomes. Financial/billing records are administrative and kept separate from the
clinical chart.
Question 5
According to the Office of Inspector General (OIG), by what means should internal monitoring
and auditing be performed within a healthcare compliance program?
A) Focused audits only on problematic employees
B) Baseline audits at the time of hire only
C) Periodic audits
D) Audits performed only on denied claims
E) Annual audits performed by the FBI
Correct Answer: C) Periodic audits.
Rationale: The OIG recommends periodic audits as a core component of an effective
compliance plan to identify and correct potential billing or coding inaccuracies on an
ongoing basis.
Question 6
Urine is transported from the kidneys to the urinary bladder by which of the following
structures?
A) Ureter
B) Urethra
C) Kidney pelvis
D) Urinary vein
E) Renal artery
Correct Answer: A) Ureter
Rationale: The ureters are the tubes that carry urine from the kidneys to the bladder. The
urethra is the tube that carries urine from the bladder to the outside of the body.
Question 7
Which of the following systems is NOT responsible for the circulation of fluids throughout the
human body?
A) Venous system
B) Endocrine system
C) Arterial system
D) Lymphatic system
E) Cardiovascular system
Correct Answer: B) Endocrine system
, 3
Rationale: The venous, arterial, and lymphatic systems are all "conduits" for fluid
transport. The endocrine system is a series of glands that produce hormones, which are
then carried through the blood by the circulatory system.
Question 8
What is the primary physiological function of the alveoli in the lungs?
A) Oxygen and Carbon Dioxide exchange
B) Destruction of inhaled nicotine
C) Absorption of fluid in the pleural space
D) Providing a rigid airway to prevent collapse
E) Filtering out large dust particles
Correct Answer: A) Oxygen exchange
Rationale: Alveoli are the tiny air sacs in the lungs where the exchange of oxygen and
carbon dioxide takes place between the lungs and the blood.
Question 9
In the medical specialty of pathology, "Cytopathology" refers specifically to the study of:
A) Whole tissues
B) Individual cells
C) Blood flow
D) Large organs
E) Bone density
Correct Answer: B) Cells
Rationale: Cytopathology is the branch of pathology that studies and diagnoses diseases at
the cellular level, as opposed to histopathology, which looks at whole tissues.
Question 10
The clinical term "heteropsia" (or anisometropia) is defined as:
A) Blindness in half of the visual field
B) Persistent double vision
C) Unequal vision in the two eyes
D) Blindness in both eyes
E) Total color blindness
Correct Answer: C) Unequal vision in the two eyes
Rationale: Heteropsia or anisometropia describes a condition where the two eyes have
significantly different refractive power or visual acuity.
Question 11
According to the ICD-10-CM guidelines, who is referred to by the term "provider"?
A) The insurance company
B) The hospital facility
QUESTIONS WITH VERIFIED ANSWERS/ALREADY GREADED A+ |GET IT 100%
ACCURATE!!
Question 1
Who is responsible for the administration of Local Coverage Determinations (LCDs)?
A) State Law makers
B) National Coverage Determinations (NCDs)
C) Each regional Medicare Administrative Contractor (MAC)
D) Local Medical Review Policies (LMRPs)
E) The Office of Inspector General (OIG)
Correct Answer: C) Each regional MAC
Rationale: LCDs are decisions made by a MAC whether to cover a particular item or
service in a MAC's region (territory) in accordance with section 1862(a)(1)(A) of the Social
Security Act.
Question 2
What does the acronym ABN stand for in medical billing?
A) Advanced Benefits Notification
B) Advisory Beneficial Notice
C) Admitting Beneficiary Notice
D) Advance Beneficiary Notice
E) Authorized Billing Notification
Correct Answer: D) Advance Beneficiary Notice
Rationale: An ABN is a notice given to beneficiaries in the original Medicare program to let
them know that Medicare will probably not pay for a specific service or item.
Question 3
Which type of health insurance is specifically designed to provide coverage for low-income
families and individuals?
A) Commercial HMO
B) Medicaid
C) Medicare
D) Commercial PPO
E) TRICARE
Correct Answer: B) Medicaid
Rationale: Medicaid is a joint federal and state program that helps with medical costs for
some people with limited income and resources.
Question 4
Which of the following types of information is NOT typically maintained as part of a clinical
medical record?
A) Treatment outcomes
B) Financial and billing records
C) Medical or surgical interventions
, 2
D) Physician observations
E) Physical examination findings
Correct Answer: B) Financial records
Rationale: A medical record is a clinical document focusing on patient care, interventions,
and outcomes. Financial/billing records are administrative and kept separate from the
clinical chart.
Question 5
According to the Office of Inspector General (OIG), by what means should internal monitoring
and auditing be performed within a healthcare compliance program?
A) Focused audits only on problematic employees
B) Baseline audits at the time of hire only
C) Periodic audits
D) Audits performed only on denied claims
E) Annual audits performed by the FBI
Correct Answer: C) Periodic audits.
Rationale: The OIG recommends periodic audits as a core component of an effective
compliance plan to identify and correct potential billing or coding inaccuracies on an
ongoing basis.
Question 6
Urine is transported from the kidneys to the urinary bladder by which of the following
structures?
A) Ureter
B) Urethra
C) Kidney pelvis
D) Urinary vein
E) Renal artery
Correct Answer: A) Ureter
Rationale: The ureters are the tubes that carry urine from the kidneys to the bladder. The
urethra is the tube that carries urine from the bladder to the outside of the body.
Question 7
Which of the following systems is NOT responsible for the circulation of fluids throughout the
human body?
A) Venous system
B) Endocrine system
C) Arterial system
D) Lymphatic system
E) Cardiovascular system
Correct Answer: B) Endocrine system
, 3
Rationale: The venous, arterial, and lymphatic systems are all "conduits" for fluid
transport. The endocrine system is a series of glands that produce hormones, which are
then carried through the blood by the circulatory system.
Question 8
What is the primary physiological function of the alveoli in the lungs?
A) Oxygen and Carbon Dioxide exchange
B) Destruction of inhaled nicotine
C) Absorption of fluid in the pleural space
D) Providing a rigid airway to prevent collapse
E) Filtering out large dust particles
Correct Answer: A) Oxygen exchange
Rationale: Alveoli are the tiny air sacs in the lungs where the exchange of oxygen and
carbon dioxide takes place between the lungs and the blood.
Question 9
In the medical specialty of pathology, "Cytopathology" refers specifically to the study of:
A) Whole tissues
B) Individual cells
C) Blood flow
D) Large organs
E) Bone density
Correct Answer: B) Cells
Rationale: Cytopathology is the branch of pathology that studies and diagnoses diseases at
the cellular level, as opposed to histopathology, which looks at whole tissues.
Question 10
The clinical term "heteropsia" (or anisometropia) is defined as:
A) Blindness in half of the visual field
B) Persistent double vision
C) Unequal vision in the two eyes
D) Blindness in both eyes
E) Total color blindness
Correct Answer: C) Unequal vision in the two eyes
Rationale: Heteropsia or anisometropia describes a condition where the two eyes have
significantly different refractive power or visual acuity.
Question 11
According to the ICD-10-CM guidelines, who is referred to by the term "provider"?
A) The insurance company
B) The hospital facility
