CERTIFIED CODING SPECIALIST II PRACTICE
EXAM 2026 PREMIUM QUESTIONS AND
ACCURATE ANSWERS ONE HUNDRED
PERCENT CORRECT
◉ Informed Consent
Answer: Providers explain medical or diagnostic procedures,
surgical interventions, and the benefits and risks involved, giving
patients an opportunity to ask questions before medical
intervention is provided.
◉ Implied Consent
Answer: A patient presents for treatment, such as extending an arm
to allow a venipuncture to be performed.
◉ Clearinghouse
Answer: Agency that converts claims into standardized electronic
format, looks for errors, and formats them according to HIPAA and
insurance standards.
◉ Individually Identifiable
Answer: Documents that identify the person or provide enough
information so that the person can be identified.
,◉ De-identified Information
Answer: Information that does not identify an individual because
unique and personal characteristics have been removed.
◉ Consent
Answer: A patient's permission evidenced by signature.
◉ Authorizations
Answer: Permission granted by the patient or the patient's
representative to release information for reasons other than
treatment, payment, or health care operations.
◉ Reimbursement
Answer: Payment for services rendered from a third-party payer.
◉ Auditing
Answer: Review of claims for accuracy and completeness.
◉ Fraud
Answer: Making false statements of representations of material facts
to obtain some benefit or payment for which no entitlement would
otherwise exist.
, ◉ Upcoding
Answer: Assigning a diagnosis or procedure code at a higher level
than the documentation supports, such as coding bronchitis as
pneumonia.
◉ Unbundling
Answer: Using multiple codes that describe different components of
a treatment instead of using a single code that describes all steps of
the procedure.
◉ Abuse
Answer: Practices that directly or indirectly result in unnecessary
costs to the Medicare program.
◉ Business Associate (BA)
Answer: Individuals, groups, or organizations who are not members
of a covered entity's workforce that perform functions or activities
on behalf of or for a covered entity.
◉ What is the main job of the Office of the Inspector General (OIG)?
Answer: The OIG protects Medicare and other HHS programs from
fraud and abuse by conducting audits, investigations , and
inspections.
EXAM 2026 PREMIUM QUESTIONS AND
ACCURATE ANSWERS ONE HUNDRED
PERCENT CORRECT
◉ Informed Consent
Answer: Providers explain medical or diagnostic procedures,
surgical interventions, and the benefits and risks involved, giving
patients an opportunity to ask questions before medical
intervention is provided.
◉ Implied Consent
Answer: A patient presents for treatment, such as extending an arm
to allow a venipuncture to be performed.
◉ Clearinghouse
Answer: Agency that converts claims into standardized electronic
format, looks for errors, and formats them according to HIPAA and
insurance standards.
◉ Individually Identifiable
Answer: Documents that identify the person or provide enough
information so that the person can be identified.
,◉ De-identified Information
Answer: Information that does not identify an individual because
unique and personal characteristics have been removed.
◉ Consent
Answer: A patient's permission evidenced by signature.
◉ Authorizations
Answer: Permission granted by the patient or the patient's
representative to release information for reasons other than
treatment, payment, or health care operations.
◉ Reimbursement
Answer: Payment for services rendered from a third-party payer.
◉ Auditing
Answer: Review of claims for accuracy and completeness.
◉ Fraud
Answer: Making false statements of representations of material facts
to obtain some benefit or payment for which no entitlement would
otherwise exist.
, ◉ Upcoding
Answer: Assigning a diagnosis or procedure code at a higher level
than the documentation supports, such as coding bronchitis as
pneumonia.
◉ Unbundling
Answer: Using multiple codes that describe different components of
a treatment instead of using a single code that describes all steps of
the procedure.
◉ Abuse
Answer: Practices that directly or indirectly result in unnecessary
costs to the Medicare program.
◉ Business Associate (BA)
Answer: Individuals, groups, or organizations who are not members
of a covered entity's workforce that perform functions or activities
on behalf of or for a covered entity.
◉ What is the main job of the Office of the Inspector General (OIG)?
Answer: The OIG protects Medicare and other HHS programs from
fraud and abuse by conducting audits, investigations , and
inspections.
