AAPC CPC STUDY GUIDE 2025
QUESTIONS WITH 100% CORRECT
ANSWERS
The fee schedule designed to provide national uniform payment of Medicare benefits
after adjustment to reflect the differences in practice costs across geographic areas is
called the ______________ - Answer- RBRVS (Resource Based Relative Value Scale)
The dermis also contains vessels which carry - Answer- Blood and lymph, nerves and
nerve endings, glands, hair follicles
The larynx is your - Answer- voice box, also helps provide an open airway and to act as
a switching mechanism to route, air and food through the proper channels via the
epiglottis
The trachea is the - Answer- mediastinal region and splits into two bronchi (at the
carina) which enter the lungs
The lungs are divided into lobes - Answer- three lobes in the right lung and two lobes in
the left lung
The dermis lies on the subcutaneous (beneath the skin) tissue. Subcutaneous tissue is
known as the - Answer- Hypodermis, but it is not considered to be a layer of the skin.
Mostly composed of fat or adipose tissue
Hair has two separate structures - Answer- follicle and shaft
Resource based relative value scale costs are divided into three components - Answer-
Physicians work, practice expense, professional liability insurance
Physicians work accounts for half of a procedures/services total relative value
measured by - Answer- The time it takes to perform service, technical skill, and physical
effort, required mental effort and judgment, stress due to potential risk to the patient
Coding is: - Answer- The process of translating this written or dictated medical record
into a series of numeric and alpha numeric codes
, Proper code assignment is determined both by - Answer- the content (documentation)
in the medical record and by the unique rules that govern each code set in that
particular instance
Outpatient coders will focus on learning which manuals - Answer- CPT, HCPCS Level
II, and ICD-10-CM
Hospital inpatient coders focus on which manuals - Answer- ICD-10-CM & ICD-10-PCS
Risk adjustment coding focuses on which manual - Answer- ICD-10-CM code set
Two primary types of insurers - Answer- commercial and government
Commercial carriers are private pairs that may offer group and individual plans, plans
very but may include coverage for - Answer- Hospitalization, basic, and major medical
coverage
Medicare is - Answer- The most significant government ensure, a federal health
insurance program
Medicare is administered by the center for Medicare and Medicaid services (CMS)- &
provides coverage for who - Answer- People over the age of 65, blind or disabled,
individuals, and people with permanent kidney failure or end stage renal disease
(ESRD).
Medicare part A covers - Answer- Inpatient hospital, skilled nursing facilities, hospice,
and home healthcare
Medicare part B covers - Answer- Medically, necessary, physicians services, outpatient
care, and other medical services (including some preventative services) not covered
under Medicare part a
Medicare part B is optional which pt.s pay a - Answer- premium, & generally requires a
yearly deductible and coinsurance
Medicare Part C (Medicare Advantage Plans) - Answer- Combines Medicare part A part
B and sometimes part D. Managed by private insures approved by Medicare.
Medicare part C plans may charge - Answer- Different copayments, coinsurance, or
deductibles for services
Medicare part D is a - Answer- Prescription drug program available to all Medicare
beneficiaries. Private companies approved by Medicare provide coverage.
Medicaid is - Answer- Health insurance assistance for low income people, (especially
children and pregnant women)
QUESTIONS WITH 100% CORRECT
ANSWERS
The fee schedule designed to provide national uniform payment of Medicare benefits
after adjustment to reflect the differences in practice costs across geographic areas is
called the ______________ - Answer- RBRVS (Resource Based Relative Value Scale)
The dermis also contains vessels which carry - Answer- Blood and lymph, nerves and
nerve endings, glands, hair follicles
The larynx is your - Answer- voice box, also helps provide an open airway and to act as
a switching mechanism to route, air and food through the proper channels via the
epiglottis
The trachea is the - Answer- mediastinal region and splits into two bronchi (at the
carina) which enter the lungs
The lungs are divided into lobes - Answer- three lobes in the right lung and two lobes in
the left lung
The dermis lies on the subcutaneous (beneath the skin) tissue. Subcutaneous tissue is
known as the - Answer- Hypodermis, but it is not considered to be a layer of the skin.
Mostly composed of fat or adipose tissue
Hair has two separate structures - Answer- follicle and shaft
Resource based relative value scale costs are divided into three components - Answer-
Physicians work, practice expense, professional liability insurance
Physicians work accounts for half of a procedures/services total relative value
measured by - Answer- The time it takes to perform service, technical skill, and physical
effort, required mental effort and judgment, stress due to potential risk to the patient
Coding is: - Answer- The process of translating this written or dictated medical record
into a series of numeric and alpha numeric codes
, Proper code assignment is determined both by - Answer- the content (documentation)
in the medical record and by the unique rules that govern each code set in that
particular instance
Outpatient coders will focus on learning which manuals - Answer- CPT, HCPCS Level
II, and ICD-10-CM
Hospital inpatient coders focus on which manuals - Answer- ICD-10-CM & ICD-10-PCS
Risk adjustment coding focuses on which manual - Answer- ICD-10-CM code set
Two primary types of insurers - Answer- commercial and government
Commercial carriers are private pairs that may offer group and individual plans, plans
very but may include coverage for - Answer- Hospitalization, basic, and major medical
coverage
Medicare is - Answer- The most significant government ensure, a federal health
insurance program
Medicare is administered by the center for Medicare and Medicaid services (CMS)- &
provides coverage for who - Answer- People over the age of 65, blind or disabled,
individuals, and people with permanent kidney failure or end stage renal disease
(ESRD).
Medicare part A covers - Answer- Inpatient hospital, skilled nursing facilities, hospice,
and home healthcare
Medicare part B covers - Answer- Medically, necessary, physicians services, outpatient
care, and other medical services (including some preventative services) not covered
under Medicare part a
Medicare part B is optional which pt.s pay a - Answer- premium, & generally requires a
yearly deductible and coinsurance
Medicare Part C (Medicare Advantage Plans) - Answer- Combines Medicare part A part
B and sometimes part D. Managed by private insures approved by Medicare.
Medicare part C plans may charge - Answer- Different copayments, coinsurance, or
deductibles for services
Medicare part D is a - Answer- Prescription drug program available to all Medicare
beneficiaries. Private companies approved by Medicare provide coverage.
Medicaid is - Answer- Health insurance assistance for low income people, (especially
children and pregnant women)
