CDIP Key Terms Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
Abuse A range of improper behaviors or billing
practices
including, but not limited to: billing for non-
covered service, misusing codes on the
claim, or
inappropriately allocating costs on a cost
report.
Advanced Alternative Payment An Advanced APM is a track of the Quality
Models (Advanced APMs) Payment
Program that offers a 5 percent incentive
for
achieving threshold levels of payments or
patients
through Advanced APMs.
Affordable Care Act (ACA) A federal statute that was signed into law
on March
23, 2010, as part of the healthcare reform
agenda
of the Democratic 111th Congress and the
Obama
administration.
,Agency for Healthcare Research The branch of the US Public Service that
and supports
Quality (AHRQ) general health research and distributes
research
findings and treatment guidelines to
improve
healthcare services.
All Patient Diagnosis-Related A case-mix system developed by 3M that
Groups is an
(AP-DRGs) expansion of the basic DRGs to be more
representative of non-Medicare patients,
such as
pediatric patients.
All Patient Refined Diagnosis- A case-mix system that incorporates
Related Groups (APR-DRGs) methodology
of DRGs, AP-DRGs, and severity of illness
subclass.
Alternative Payment Model (APM) An Alternative Payment Model (APM) is a
payment
approach that gives added incentive
payments to
provide high-quality and cost-efficient care.
Ambulatory Payment Classification Hospital outpatient prospective payment
(APC) system
(OPPS) that is a resource-based
reimbursement
system.
, Ambulatory Payment Classification A number reflecting the expected resource
(APC) Relative Weight consumption of cases associated with
each APC,
relative to the average of all APCs.
Ambulatory Payment Classification Basic unit of the ambulatory payment
Group (APC group) classification
(APC) system where diagnoses and
procedures are
similar in terms of resources used.
American Academy of The professional membership organization
Professional for
Coders (AAPC) managers of health record services and
coding
services; provides accreditation, advocacy,
certification, and educational services.
American Health Information A professional association for health
Management Association (AHIMA) information
management professionals.
American Hospital Association The national trade organization that
(AHA) provides
education, conducts research, and
represents the
hospital industry's interests in national
legislative
matters.
Answers with Verified Solutions | Latest
Updated 2026
Abuse A range of improper behaviors or billing
practices
including, but not limited to: billing for non-
covered service, misusing codes on the
claim, or
inappropriately allocating costs on a cost
report.
Advanced Alternative Payment An Advanced APM is a track of the Quality
Models (Advanced APMs) Payment
Program that offers a 5 percent incentive
for
achieving threshold levels of payments or
patients
through Advanced APMs.
Affordable Care Act (ACA) A federal statute that was signed into law
on March
23, 2010, as part of the healthcare reform
agenda
of the Democratic 111th Congress and the
Obama
administration.
,Agency for Healthcare Research The branch of the US Public Service that
and supports
Quality (AHRQ) general health research and distributes
research
findings and treatment guidelines to
improve
healthcare services.
All Patient Diagnosis-Related A case-mix system developed by 3M that
Groups is an
(AP-DRGs) expansion of the basic DRGs to be more
representative of non-Medicare patients,
such as
pediatric patients.
All Patient Refined Diagnosis- A case-mix system that incorporates
Related Groups (APR-DRGs) methodology
of DRGs, AP-DRGs, and severity of illness
subclass.
Alternative Payment Model (APM) An Alternative Payment Model (APM) is a
payment
approach that gives added incentive
payments to
provide high-quality and cost-efficient care.
Ambulatory Payment Classification Hospital outpatient prospective payment
(APC) system
(OPPS) that is a resource-based
reimbursement
system.
, Ambulatory Payment Classification A number reflecting the expected resource
(APC) Relative Weight consumption of cases associated with
each APC,
relative to the average of all APCs.
Ambulatory Payment Classification Basic unit of the ambulatory payment
Group (APC group) classification
(APC) system where diagnoses and
procedures are
similar in terms of resources used.
American Academy of The professional membership organization
Professional for
Coders (AAPC) managers of health record services and
coding
services; provides accreditation, advocacy,
certification, and educational services.
American Health Information A professional association for health
Management Association (AHIMA) information
management professionals.
American Hospital Association The national trade organization that
(AHA) provides
education, conducts research, and
represents the
hospital industry's interests in national
legislative
matters.
