CPC exam prep questions and answers
2026\2027 A+ Grade
What part of Medicare covers prescription drug services
- correct answer Part D
What is medical coding?
- correct answer Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies
- correct answer Workers compensation
What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
- correct answer LCD (Local Coverage Determinations)
When should an ABN (Advance Beneficiary Notification) be signed?
- correct answer when a service is not expected to be covered under medicare
The amount on an ABN should be within how much of the cost to a patient?
- correct answer $100 or 25% of cost
An entity that processes nonstandard health information they receive from another entity into a
standard is considered what?
- correct answer Clearinghouse
A covered entity does not include:
- correct answer patients
What is PHI?
- correct answer Protected Health Information
,Intentional billing of services not provided is considered
- correct answer fraud
What OIG document should a provider review for potential problem areas that will receive special
scrutiny in the upcoming year?
- correct answer OIG Work Plan
5 Body cavities
- correct answer cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes
- correct answer mucous, serous, synovial, meninges, cutaneous
2 layers of the skin
- correct answer epidermis and dermis
5 layers of epidermis
- correct answer stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum
basale
2 layers of dermis
- correct answer papillary and reticular
Closed fracture
- correct answer broken bone with no open wound
compound fracture
- correct answer bone breaks through the skin
comminuted fracture
- correct answer fracture in which the bone is splintered or crushed
, transverse fracture
- correct answer occurs straight across the bone
greenstick fracture
- correct answer bending and incomplete break of a bone; most often seen in children
spiral fracture
- correct answer a fracture in which the bone has been twisted apart
Colles' fracture
- correct answer fracture of the distal radius at the wrist
compression fracture
- correct answer occurs when the bone is pressed together (compressed) on itself (vertebrae)
epiphyseal fracture
- correct answer a break at the location of the growth plate, which can affect growth of the bone
types of muscle
- correct answer skeletal, cardiac, smooth
3 layers of the heart
- correct answer epicardium, myocardium, endocardium
organs of the lymphatic system
- correct answer lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils
Central Nervous System (CNS)
- correct answer brain and spinal cord
Peripheral Nervous System (PNS)
- correct answer the sensory and motor neurons that connect the CNS to the rest of the body
2026\2027 A+ Grade
What part of Medicare covers prescription drug services
- correct answer Part D
What is medical coding?
- correct answer Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies
- correct answer Workers compensation
What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
- correct answer LCD (Local Coverage Determinations)
When should an ABN (Advance Beneficiary Notification) be signed?
- correct answer when a service is not expected to be covered under medicare
The amount on an ABN should be within how much of the cost to a patient?
- correct answer $100 or 25% of cost
An entity that processes nonstandard health information they receive from another entity into a
standard is considered what?
- correct answer Clearinghouse
A covered entity does not include:
- correct answer patients
What is PHI?
- correct answer Protected Health Information
,Intentional billing of services not provided is considered
- correct answer fraud
What OIG document should a provider review for potential problem areas that will receive special
scrutiny in the upcoming year?
- correct answer OIG Work Plan
5 Body cavities
- correct answer cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes
- correct answer mucous, serous, synovial, meninges, cutaneous
2 layers of the skin
- correct answer epidermis and dermis
5 layers of epidermis
- correct answer stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum
basale
2 layers of dermis
- correct answer papillary and reticular
Closed fracture
- correct answer broken bone with no open wound
compound fracture
- correct answer bone breaks through the skin
comminuted fracture
- correct answer fracture in which the bone is splintered or crushed
, transverse fracture
- correct answer occurs straight across the bone
greenstick fracture
- correct answer bending and incomplete break of a bone; most often seen in children
spiral fracture
- correct answer a fracture in which the bone has been twisted apart
Colles' fracture
- correct answer fracture of the distal radius at the wrist
compression fracture
- correct answer occurs when the bone is pressed together (compressed) on itself (vertebrae)
epiphyseal fracture
- correct answer a break at the location of the growth plate, which can affect growth of the bone
types of muscle
- correct answer skeletal, cardiac, smooth
3 layers of the heart
- correct answer epicardium, myocardium, endocardium
organs of the lymphatic system
- correct answer lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils
Central Nervous System (CNS)
- correct answer brain and spinal cord
Peripheral Nervous System (PNS)
- correct answer the sensory and motor neurons that connect the CNS to the rest of the body
