AAPC CPC EXAM STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS 2025
What is medical coding? - CORRECT ANSWER -
The process of translating this written or dictated medical record into a series of numeric and alphanum
eric codes.
What are the two primary types of insurance? - CORRECT ANSWER -Commercial and government
What is medicare part A? - CORRECT ANSWER -
Covers inpatient hospital care, as well as care provided in skilled nursing facilities, hospice care, and ho
me health care
What is medicare part B? - CORRECT ANSWER -
Covered Medically necessary doctors' services, outpatient care, other medical services (including some
preventive service not covered under Medicare Part A
What is medicare part C? - CORRECT ANSWER -
Combines the benefits of Medicare Part A, Part B, and sometimes Part D.
What is medicare part D - CORRECT ANSWER -
Prescription drug coverage program available to all Medicare beneficiaries. Private companies approved
by Medicare provide the coverage.
What is Resource based relative value scale (RBRVS) based off of? - CORRECT ANSWER -
Physician work, practice expense, and professional liability insurance.
What does medical necessity mean? - CORRECT ANSWER -
Whether a procedure or service is considered appropriate in a given circumstance?
What is the "reasonable estimate" according to medicare? - CORRECT ANSWER -$100 or 25%
What is the HIPAA Privacy Rule? - CORRECT ANSWER -
provides federal protections for protected health information when held by covered enitites.
, what are covered entities under HIPAA - CORRECT ANSWER -
health care providers (doctors), Health plans (Insurance companies, & Healthcare Clearinghouse
What is HITECH? - CORRECT ANSWER -
Health Information Technology for Economic and Clinical Health Act
When should a ABN be signed? - CORRECT ANSWER -
When a service is not expected to be covered by Medicare?
What OIG document should a provider review for potential problem areas that will receive special scruti
ny in the upcoming year? - CORRECT ANSWER -OIG Work Plan
What are root words? - CORRECT ANSWER -The base of the word.
blephar/oc-cCORRECTcANSWERc-eyelid
bucc/oc-cCORRECTcANSWERc-cheek
cholecyst/oc-cCORRECTcANSWERc-gallbladder
Colp/oc-cCORRECTcANSWERc-vagina
cyst/oc-cCORRECTcANSWERc-fluidcsaccorcpouch,curinarycbladder
derm/oc-cCORRECTcANSWERc-skin
encephal/oc-cCORRECTcANSWERc-brain
Enter/oc-cCORRECTcANSWERc-intestine
WITH CORRECT ANSWERS 2025
What is medical coding? - CORRECT ANSWER -
The process of translating this written or dictated medical record into a series of numeric and alphanum
eric codes.
What are the two primary types of insurance? - CORRECT ANSWER -Commercial and government
What is medicare part A? - CORRECT ANSWER -
Covers inpatient hospital care, as well as care provided in skilled nursing facilities, hospice care, and ho
me health care
What is medicare part B? - CORRECT ANSWER -
Covered Medically necessary doctors' services, outpatient care, other medical services (including some
preventive service not covered under Medicare Part A
What is medicare part C? - CORRECT ANSWER -
Combines the benefits of Medicare Part A, Part B, and sometimes Part D.
What is medicare part D - CORRECT ANSWER -
Prescription drug coverage program available to all Medicare beneficiaries. Private companies approved
by Medicare provide the coverage.
What is Resource based relative value scale (RBRVS) based off of? - CORRECT ANSWER -
Physician work, practice expense, and professional liability insurance.
What does medical necessity mean? - CORRECT ANSWER -
Whether a procedure or service is considered appropriate in a given circumstance?
What is the "reasonable estimate" according to medicare? - CORRECT ANSWER -$100 or 25%
What is the HIPAA Privacy Rule? - CORRECT ANSWER -
provides federal protections for protected health information when held by covered enitites.
, what are covered entities under HIPAA - CORRECT ANSWER -
health care providers (doctors), Health plans (Insurance companies, & Healthcare Clearinghouse
What is HITECH? - CORRECT ANSWER -
Health Information Technology for Economic and Clinical Health Act
When should a ABN be signed? - CORRECT ANSWER -
When a service is not expected to be covered by Medicare?
What OIG document should a provider review for potential problem areas that will receive special scruti
ny in the upcoming year? - CORRECT ANSWER -OIG Work Plan
What are root words? - CORRECT ANSWER -The base of the word.
blephar/oc-cCORRECTcANSWERc-eyelid
bucc/oc-cCORRECTcANSWERc-cheek
cholecyst/oc-cCORRECTcANSWERc-gallbladder
Colp/oc-cCORRECTcANSWERc-vagina
cyst/oc-cCORRECTcANSWERc-fluidcsaccorcpouch,curinarycbladder
derm/oc-cCORRECTcANSWERc-skin
encephal/oc-cCORRECTcANSWERc-brain
Enter/oc-cCORRECTcANSWERc-intestine
