AAPC CPC CERTIFICATION TEST
Questions and Answers
1. A Medicare patient is receiving chemotherapy at her oncologists office. While the patient
is receiving chemotherapy, the oncologist calls in a prescription for pain medication to a
pharmacy in the same building. The pharmacy delivers the medication to the patient in the
oncologists office for the patient to take home. What part of Medicare should be billed for
the pain medication by the pharmacy?
A. Part A
B. Part B
C. Part C
D. Part D
ANS Part D
2. What is medical coding?
ANS Translating medical documentation into codes.
3. Which one is NOT a covered entity of HIPPA?
A. Medicare
B. Workers Compensation
C. Dentists
D. Pharmacies
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, ANS B. Workers Compensation
4. Which one falls under a commercial payer?
A. Medicare
B. Medicaid
C. Blue Cross Blue Shield
D. All of the above are commercial payers
ANS C. Blue Cross Blue Shield
5. When should an ABN be signed?
ANS When a service is not expected to be covered by Medicare.
6. The amount on an ABN should be within how much of the cost to the patient? A.$250 of
cost
B. $100 or %25 of cost
C. $10 or %10 of cost
D. $100 of %10 of cost
ANS B. $100 or %25 of cost
7. An entity that processes nonstandard health information they receive from another entity
into a standard is considered what?
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Questions and Answers
1. A Medicare patient is receiving chemotherapy at her oncologists office. While the patient
is receiving chemotherapy, the oncologist calls in a prescription for pain medication to a
pharmacy in the same building. The pharmacy delivers the medication to the patient in the
oncologists office for the patient to take home. What part of Medicare should be billed for
the pain medication by the pharmacy?
A. Part A
B. Part B
C. Part C
D. Part D
ANS Part D
2. What is medical coding?
ANS Translating medical documentation into codes.
3. Which one is NOT a covered entity of HIPPA?
A. Medicare
B. Workers Compensation
C. Dentists
D. Pharmacies
1/
6
, ANS B. Workers Compensation
4. Which one falls under a commercial payer?
A. Medicare
B. Medicaid
C. Blue Cross Blue Shield
D. All of the above are commercial payers
ANS C. Blue Cross Blue Shield
5. When should an ABN be signed?
ANS When a service is not expected to be covered by Medicare.
6. The amount on an ABN should be within how much of the cost to the patient? A.$250 of
cost
B. $100 or %25 of cost
C. $10 or %10 of cost
D. $100 of %10 of cost
ANS B. $100 or %25 of cost
7. An entity that processes nonstandard health information they receive from another entity
into a standard is considered what?
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6
