CPC 2025 EXAM STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS 2025

CPC 2025 EXAM STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS 2025
ProperWcodeWassignmentWisWdeterminedWbothWbyW_____________WinWtheWmedicalWrecordWandWbyWtheWu
niqueWrulesWthatWgovernWeachWcodeWsetWinWthatWinstanceW-WCORRECTWANSWERW-
DocumentationW(content)



TheWroleWaWcoderWmayWtakeWonWtoWverifyWthatWtheWdocumentationWsupportsWtheWcodesWtheWphysicianWh
asWselectedW-WCORRECTWANSWERW-AnWauditor



IfWtheWmedicalWrecordWisWinaccurateWorWincomplete,WitWwillWnotWtranslateWproperlyWtoWtheWlanguageWofW
codes.WWhatWcanWaWcoderWdoWinWorderWforWtheWmedicalWrecordWtoWbeWcompleteWandWaccurateWsoWtheyW
canWbillWproperly?W-WCORRECTWANSWERW-QueryWtheWphysician



HowWoftenWareWcodesWandWinsuranceWpaymentWpoliciesWupdated?W-WCORRECTWANSWERW-
QuarterlyW(usually)



Non-PhysicianWProviderW(alsoWknownWasWmid-levelWprovidersWorWphysicianWextenders)W-
WCORRECTWANSWERW-NPP




PhysicianWassistantW-WCORRECTWANSWERW-PA



NurseWpractitionerW-WCORRECTWANSWERW-NP



TheWtwoWtypesWofWprimaryWinsurancesW-WCORRECTWANSWERW-CommercialWandWGovernment



PrivateWpayersWthatWmayWofferWbothWgroupWandWindividualWplansW-WCORRECTWANSWERW-
CommercialWCarriers



TheWmostWsignificantWgovernmentWinsurer;WaWfederalWhealthWinsuranceWprogramW-WCORRECTWANSWERW-
Medicare

, MedicareWprovidesWcoverageWforWwhatWkindWofWpeople?W-WCORRECTWANSWERW-
PeopleWoverW65,WblindWorWdisabledWindividuals,WandWpeopleWwithWpermanentWkidneyWfailureWorWend-
stageWrenalWdisease



end-stageWrenalWdiseaseW-WCORRECTWANSWERW-ESRD



HelpsWcoverWinpatientWhospitalWcare,WasWwellWasWcareWprovidedWinWskilledWnursingWfacilities,WhospiceWcar
e,WandWhomeWhealthcare,W-WCORRECTWANSWERW-MedicareWPartWA



CoversWmedicallyWnecessaryWphysicians'Wservices,WoutpatientWcare,WandWotherWmedicalWservicesW(includi
ngWsomeWpreventiveWservices)WnotWcoveredWunderWMedicareWPartWA.WItWcanWbeWanWoptionalWbenefit.W-
WCORRECTWANSWERW-MedicareWPartWB




AlsoWcalledWMedicareWAdvantage,WcombinesWtheWbenefitsWofWMedicareWPartWA,WPartWB,Wand-sometimes-
WPartWD.WTheWplansWareWmanagedWbyWprivateWinsurersWapprovedWbyWMedicare.W-WCORRECTWANSWERW-

MedicareWPartWC



AWprescriptionWdrugWprogramWavailableWtoWallWMedicareWbeneficiaries.W-WCORRECTWANSWERW-
MedicareWPartWD



AWhealthWinsuranceWassistanceWprogramWforWsomeWlow-
incomeWpeopleW(especiallyWchildrenWandWpregnantWwomen)WsponsoredWbyWfederalWandWstateWgovernme
nts.W-WCORRECTWANSWERW-Medicaid



Resource-BasedWRelativeWValueWScaleW-WCORRECTWANSWERW-RBRVS



MedicareWpaymentsWforWphysicianWservicesWareWstandardizedWusingW_____WandWareWdividedWintoWthreeW
components.W-WCORRECTWANSWERW-Resource-BasedWRelativeWValueWScaleW(RBRVS)



TheWthreeWcomponentsWusedWtoWdetermineWresourceWcostWforWphysicianWservices.W-
WCORRECTWANSWERW-

TheWphysicianWworkWcomponent,WpracticeWexpense,WandWprofessionalWliabilityWinsuranceW(PLI)