AAPC CPC REVIEW MODULE Questions with Correct Answers
(Grade A+)
Question 1: What is not a common reason Medicare may deny a procedure or service?:
A. Patient's condition
B. Frequently proposed
C. Covered service
D. Experimental
Answer: C
Question 2: Under the Privacy Rule, the minimum necessary standard does NOT apply to what type of
disclosures?:
A. Uses or disclosures to drug companies.
B. Disclosures to or requests by family members.
C. Disclosures to the individual who is the subject of the information.
D. Uses or disclosures to insurance companies.
Answer: C
Question 3: Which is not one of the seven key components of an internal compliance plan?:
A. Develop open lines of communication.
B. Conduct training but not perform education on practice standards and procedures.
C. Enforce disciplinary standards through well-publicized guidelines.
D. Conduct internal monitoring and auditing through the performance of periodic audits.
Answer: B
Question 4: The ____describes whether specific medical items, services, treatment procedures or
technologies are considered medically necessary under Medicare:
A. National Coverage Determinations Manual
B. Internet Only Manual
C. Medicare Severity-Diagnosis Related Groups (MS-DRG)
D. Medicare Physician Fee Schedule
Answer: A
Question 5: According to the AAPC Code of Ethics, which term is NOT listed as an ethical principle of
professional conduct?:
A. Integrity
B. Efficiency
C. Responsibility
D. Commitment
Answer: B
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, Question 6: According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____
means in all professional dealings:
A. private and professional
B. legal and ethical
C. legal and profitable
D. efficient and inexpensive
Answer: B
Question 7: What is the definition of medical coding?:
A. Translating documentation into numerical/alphanumerical codes used to obtain reimbursement.
B. Deciphering explanation of benefits provided by an insurance carrier.
C. Translating documentation into software compatible notes.
D. Translating the services a provider performs into documentation.
Answer: A
Question 8: If an NCD does not exist for a particular service/procedure performed on a Medicare
patient, who determines coverage?:
A. Medicare Administrative Contractor (MAC)
B. The physician providing the service
C. Current Procedural Terminology (CPT®) guidelines
D. Centers for Medicare & Medicaid Services (CMS)
Answer: A
Question 9: Many coding professionals go on to find work as:
A. Accountants
B. Medical Assistants
C. Financial Planners
D. Consultants
Answer: D
Question 10: LCDs only have jurisdiction in their ____:
A. Locality
B. Region
C. District
D. State
Answer: B
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(Grade A+)
Question 1: What is not a common reason Medicare may deny a procedure or service?:
A. Patient's condition
B. Frequently proposed
C. Covered service
D. Experimental
Answer: C
Question 2: Under the Privacy Rule, the minimum necessary standard does NOT apply to what type of
disclosures?:
A. Uses or disclosures to drug companies.
B. Disclosures to or requests by family members.
C. Disclosures to the individual who is the subject of the information.
D. Uses or disclosures to insurance companies.
Answer: C
Question 3: Which is not one of the seven key components of an internal compliance plan?:
A. Develop open lines of communication.
B. Conduct training but not perform education on practice standards and procedures.
C. Enforce disciplinary standards through well-publicized guidelines.
D. Conduct internal monitoring and auditing through the performance of periodic audits.
Answer: B
Question 4: The ____describes whether specific medical items, services, treatment procedures or
technologies are considered medically necessary under Medicare:
A. National Coverage Determinations Manual
B. Internet Only Manual
C. Medicare Severity-Diagnosis Related Groups (MS-DRG)
D. Medicare Physician Fee Schedule
Answer: A
Question 5: According to the AAPC Code of Ethics, which term is NOT listed as an ethical principle of
professional conduct?:
A. Integrity
B. Efficiency
C. Responsibility
D. Commitment
Answer: B
Page 1
, Question 6: According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____
means in all professional dealings:
A. private and professional
B. legal and ethical
C. legal and profitable
D. efficient and inexpensive
Answer: B
Question 7: What is the definition of medical coding?:
A. Translating documentation into numerical/alphanumerical codes used to obtain reimbursement.
B. Deciphering explanation of benefits provided by an insurance carrier.
C. Translating documentation into software compatible notes.
D. Translating the services a provider performs into documentation.
Answer: A
Question 8: If an NCD does not exist for a particular service/procedure performed on a Medicare
patient, who determines coverage?:
A. Medicare Administrative Contractor (MAC)
B. The physician providing the service
C. Current Procedural Terminology (CPT®) guidelines
D. Centers for Medicare & Medicaid Services (CMS)
Answer: A
Question 9: Many coding professionals go on to find work as:
A. Accountants
B. Medical Assistants
C. Financial Planners
D. Consultants
Answer: D
Question 10: LCDs only have jurisdiction in their ____:
A. Locality
B. Region
C. District
D. State
Answer: B
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