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AAPC CPC exam prep Compliance and Regulatory 2026
updated
According to the example LCD from Novitas Solutions, which of the following conditions is
considered a systemic condition that may result in the need for routine foot care? :
A) arthritis
B) chronic venous insufficiency
C) hypertension
D) muscle weakness - - ANS✔️--B (Rationale: According to the LCD, Chronic venous
insufficiency is a systemic condition that may result in the need for routine foot care.)
When presenting a cost estimate on an ABN for a potentially noncovered service, the cost
estimate should be within what range of the actual cost?
A) $25 or 10 percent
B) $100 or 10 percent
C) $100 or 25 percent
D) An exact amount - - ANS✔️--C (Rationale: CMS instructions stipulate, "Notifiers must make
a good faith effort to insert a reasonable estimate...the estimate should be within $100 or 25
percent of the actual costs, whichever is greater.")
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Which act was enacted as part of the American Recovery and Reinvestment Act of 2009
(ARRA) and affected privacy and security? :
A) HIPAA
B) HITECH
C) SSA
D) PPACA - - ANS✔️--B
What document assists provider offices with the development of Compliance Manuals?
A) OIG Compliance Plan Guidance
B) OIG Work Plan
C) OIG Suggested Rules and Regulations
D) OIG Internal Compliance Plan - - ANS✔️--A (Rationale: The OIG has offered compliance
program guidance to form the basis of a voluntary compliance program for physician offices.
Although this was released in October 2000, it is still considered as active compliance guidance
today.)
Select the TRUE statement regarding ABNs.
A) ABNs may not be recognized by non-Medicare payers.
B) ABNs must be signed for emergency or urgent care.
C) ABNs are not required to include an estimate cost for the service.
D) ABNs should be routinely signed by Medicare Beneficiaries in case Medicare doesn't cover a
service. - - ANS✔️--A (Rationale: ABNs may not be recognized by non-Medicare payers.
AAPC CPC exam prep Compliance and Regulatory 2026
updated
According to the example LCD from Novitas Solutions, which of the following conditions is
considered a systemic condition that may result in the need for routine foot care? :
A) arthritis
B) chronic venous insufficiency
C) hypertension
D) muscle weakness - - ANS✔️--B (Rationale: According to the LCD, Chronic venous
insufficiency is a systemic condition that may result in the need for routine foot care.)
When presenting a cost estimate on an ABN for a potentially noncovered service, the cost
estimate should be within what range of the actual cost?
A) $25 or 10 percent
B) $100 or 10 percent
C) $100 or 25 percent
D) An exact amount - - ANS✔️--C (Rationale: CMS instructions stipulate, "Notifiers must make
a good faith effort to insert a reasonable estimate...the estimate should be within $100 or 25
percent of the actual costs, whichever is greater.")
, 2|Page
Which act was enacted as part of the American Recovery and Reinvestment Act of 2009
(ARRA) and affected privacy and security? :
A) HIPAA
B) HITECH
C) SSA
D) PPACA - - ANS✔️--B
What document assists provider offices with the development of Compliance Manuals?
A) OIG Compliance Plan Guidance
B) OIG Work Plan
C) OIG Suggested Rules and Regulations
D) OIG Internal Compliance Plan - - ANS✔️--A (Rationale: The OIG has offered compliance
program guidance to form the basis of a voluntary compliance program for physician offices.
Although this was released in October 2000, it is still considered as active compliance guidance
today.)
Select the TRUE statement regarding ABNs.
A) ABNs may not be recognized by non-Medicare payers.
B) ABNs must be signed for emergency or urgent care.
C) ABNs are not required to include an estimate cost for the service.
D) ABNs should be routinely signed by Medicare Beneficiaries in case Medicare doesn't cover a
service. - - ANS✔️--A (Rationale: ABNs may not be recognized by non-Medicare payers.
