1|Page
AAPC CPC EXAM PREP COMPLIANCE
AND REGULATORY 2026|ACTUAL EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
(A+)
Evaluation and management (E/M) services are often provided and documented
in a standard format. One such format is SOAP notes. What does SOAP represent?
A) Subjective, Objective, Assessment, Plan
B) Statement, Observation, Action, Prepare
C) Symptoms, Objective, Auscultation, Percussion
D) Subjective, Observation, Action, Plan - correct-answer -A
What are five tips for coding operative (op) reports?
A) Look for key words, Ignore unfamiliar words, Skip the body, Ignore pathology
reports, Only code procedures from the header
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B) Diagnosis code reporting, Start with the procedures listed, Look for key words,
Highlight unfamiliar words, Read the body
C) Highlight familiar words, Look for key words, Read the body, Only code what
you have highlighted, Code procedure only
D) Read the headers only, Look for key words, Highlight familiar words, Ignore
pathology report, Code diagnosis only - correct-answer -B
What is medical necessity?:
A) Services to a Medicare beneficiary that are billed for unreasonable and
unnecessary treatment.
B) The most radical service/procedure that allows for effective treatment of the
patient's complaint or condition.
C) Something insurance plans do not care about.
D) Relates to whether a procedure or service is considered appropriate in a given
circumstance. - correct-answer -D
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What is not a common reason Medicare may deny a procedure or service?:
A) Patient's condition
B) Frequently proposed
C) Covered service
D) Experimental - correct-answer -C
Under the Privacy Rule, the minimum necessary standard does NOT apply to what
type of disclosures?:
A) Uses or disclosures to drug companies.
B) Disclosures to or requests by family members.
C) Disclosures to the individual who is the subject of the information.
D) Uses or disclosures to insurance companies. - correct-answer -C
AAPC CPC EXAM PREP COMPLIANCE
AND REGULATORY 2026|ACTUAL EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
(A+)
Evaluation and management (E/M) services are often provided and documented
in a standard format. One such format is SOAP notes. What does SOAP represent?
A) Subjective, Objective, Assessment, Plan
B) Statement, Observation, Action, Prepare
C) Symptoms, Objective, Auscultation, Percussion
D) Subjective, Observation, Action, Plan - correct-answer -A
What are five tips for coding operative (op) reports?
A) Look for key words, Ignore unfamiliar words, Skip the body, Ignore pathology
reports, Only code procedures from the header
,2|Page
B) Diagnosis code reporting, Start with the procedures listed, Look for key words,
Highlight unfamiliar words, Read the body
C) Highlight familiar words, Look for key words, Read the body, Only code what
you have highlighted, Code procedure only
D) Read the headers only, Look for key words, Highlight familiar words, Ignore
pathology report, Code diagnosis only - correct-answer -B
What is medical necessity?:
A) Services to a Medicare beneficiary that are billed for unreasonable and
unnecessary treatment.
B) The most radical service/procedure that allows for effective treatment of the
patient's complaint or condition.
C) Something insurance plans do not care about.
D) Relates to whether a procedure or service is considered appropriate in a given
circumstance. - correct-answer -D
, 3|Page
What is not a common reason Medicare may deny a procedure or service?:
A) Patient's condition
B) Frequently proposed
C) Covered service
D) Experimental - correct-answer -C
Under the Privacy Rule, the minimum necessary standard does NOT apply to what
type of disclosures?:
A) Uses or disclosures to drug companies.
B) Disclosures to or requests by family members.
C) Disclosures to the individual who is the subject of the information.
D) Uses or disclosures to insurance companies. - correct-answer -C
