AAPC CIC Certification Actual Exam Review AAPC Certified
Inpatient Coder (CIC)® Exam Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025-2026
AAPC CIC Certification Exam
Certified Inpatient Coder (CIC)
AAPC CIC Certification Core + Medical Coding Training
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. Why is selecting the appropriate discharge status is
necessary?
a. The discharge disposition alerts the payer where the
patient went after discharge.
b. The discharge disposition will affect how the claim is
paid.
c. The discharge disposition has no effect on the inpatient
stay.
d. The discharge disposition will aid in coordination of
care.: b. The discharge disposition will affect how
the claim is paid.
Payment is altered for the transferring hospital and is
based on a per diem rate methodology for type 1
transfers. For type 2 transfers the full PPS payment is
made to the transferring hospital.
,2. Which type of inpatient facility uses case-mix groups
(CMGs) rather than DRGs to group cases that are similar
according to their functional motor and cognitive scores
and age?
a. Skilled Nursing Facility
b. Inpatient Rehabilitation Facility
c. Acute Inpatient Facility
d. Long-term Acute Care Facility: b. Inpatient
Rehabilitation Facility
Inpatient Rehabilitation Facility cases are grouped in
Rehabilitation Impairment Categories, which are then
further grouped into case-mix groups (CMGs)
according to their functional motor, cognitive scores
and age.
3. Under the Outpatient Prospective Payment System, HCPCS
Level II code J9034, Injection, bendeka, 1 mg, is assigned
the status indicator "K", indicat- ing that it is a non pass-
through drug and biological. Therefore, how is the drug
and biological payment made?
a. Paid under a separate APC payment
b. Paid as a percentage of charges using a hospital-
specific or statewide cost-to-charge ratio
c. Not eligible for reimbursement
d. Zero, as the payment is packaged into another service
provided.: a. Paid under a separate APC payment
The OPPS status indicator "K" is assigned to non pass-
through drugs and biologi- cals that are paid as a
separate APC payment.
,4. The local coverage determination attached discusses
coverage for col- orectal cancer screening. Based on the
LCD, which of the following are true?
I. A patient with an average risk of colon cancer is covered
for a screening colonoscopy every five years.
II. A patient with a high risk of colon cancer is covered for a
screening colonoscopy every two years.
III. A high-risk patient is who meets one or more of these
qualifications: patient who has a sibling or parent who had
colorectal cancer, a personal history of adenomatous
polyps, or a personal history of colon cancer.
IV. Medicare covers one screening Fecal Occult Blood test
once a year for patients aged 50 years or older.
a. I, II, III, and IV are correct.
b. II and III are correct.
c. II, III and IV are correct.
d. I and IV are correct.: c. II, III and IV are correct.
According to the LCD, a patient with average risk for
colon cancer is covered for a screening colonoscopy
every ten years (not every five years), and a patient
with a high risk of colon cancer is covered for a
screening colonoscopy every two years. Medicare
covers one screening Fecal Occult Blood test once a
year for patients aged 50 years or more. One screening
FOBT test can consist of two stool samples from
different areas of the stool.
Medicare defines high risk of developing colorectal
cancer as someone who has one
, or more of the following risk factors:
• A close relative (sibling, parent, or child) who has
had colorectal cancer or an adenomatous polyp;
• A family history of familial adenomatous polyposis;
• A family history of hereditary nonpolyposis
colorectal cancer;
• A personal history of adenomatous polyps;
• A personal history of colorectal cancer; or
• A personal history of inflammatory bowel disease,
including Crohn's Disease, and ulcerative colitis
5. Providers must supply a liability notice if services
delivered to a Medicare beneficiary are to be reduced or
terminated following delivery of covered care or thought
not to be covered. For Inpatient (Bill Type: 11x, 18x, 21x,
41x) what is the liability notice is referred to as?
a. ABN
b. HHABNs
c. HINN
d. NEMB: c. HINN
Notices of non-coverage are given to eligible inpatients
receiving or previously eligible for non-hospice
services covered under Medicare Part A (types of bill
(TOB) 11x, 18x, 21x, and 41x); but, the services at issue
no longer meet coverage guidelines, such as for
exceeding the number of covered days in a spell of
illness. In hospitals, these notices are known as
Hospital Issued Notice of Non-coverage (HINNs) or
hospital notices of non-coverage, in Skilled Nursing
Facilities (SNFs), they may be known as Sarrassat
notices.
Inpatient Coder (CIC)® Exam Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025-2026
AAPC CIC Certification Exam
Certified Inpatient Coder (CIC)
AAPC CIC Certification Core + Medical Coding Training
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. Why is selecting the appropriate discharge status is
necessary?
a. The discharge disposition alerts the payer where the
patient went after discharge.
b. The discharge disposition will affect how the claim is
paid.
c. The discharge disposition has no effect on the inpatient
stay.
d. The discharge disposition will aid in coordination of
care.: b. The discharge disposition will affect how
the claim is paid.
Payment is altered for the transferring hospital and is
based on a per diem rate methodology for type 1
transfers. For type 2 transfers the full PPS payment is
made to the transferring hospital.
,2. Which type of inpatient facility uses case-mix groups
(CMGs) rather than DRGs to group cases that are similar
according to their functional motor and cognitive scores
and age?
a. Skilled Nursing Facility
b. Inpatient Rehabilitation Facility
c. Acute Inpatient Facility
d. Long-term Acute Care Facility: b. Inpatient
Rehabilitation Facility
Inpatient Rehabilitation Facility cases are grouped in
Rehabilitation Impairment Categories, which are then
further grouped into case-mix groups (CMGs)
according to their functional motor, cognitive scores
and age.
3. Under the Outpatient Prospective Payment System, HCPCS
Level II code J9034, Injection, bendeka, 1 mg, is assigned
the status indicator "K", indicat- ing that it is a non pass-
through drug and biological. Therefore, how is the drug
and biological payment made?
a. Paid under a separate APC payment
b. Paid as a percentage of charges using a hospital-
specific or statewide cost-to-charge ratio
c. Not eligible for reimbursement
d. Zero, as the payment is packaged into another service
provided.: a. Paid under a separate APC payment
The OPPS status indicator "K" is assigned to non pass-
through drugs and biologi- cals that are paid as a
separate APC payment.
,4. The local coverage determination attached discusses
coverage for col- orectal cancer screening. Based on the
LCD, which of the following are true?
I. A patient with an average risk of colon cancer is covered
for a screening colonoscopy every five years.
II. A patient with a high risk of colon cancer is covered for a
screening colonoscopy every two years.
III. A high-risk patient is who meets one or more of these
qualifications: patient who has a sibling or parent who had
colorectal cancer, a personal history of adenomatous
polyps, or a personal history of colon cancer.
IV. Medicare covers one screening Fecal Occult Blood test
once a year for patients aged 50 years or older.
a. I, II, III, and IV are correct.
b. II and III are correct.
c. II, III and IV are correct.
d. I and IV are correct.: c. II, III and IV are correct.
According to the LCD, a patient with average risk for
colon cancer is covered for a screening colonoscopy
every ten years (not every five years), and a patient
with a high risk of colon cancer is covered for a
screening colonoscopy every two years. Medicare
covers one screening Fecal Occult Blood test once a
year for patients aged 50 years or more. One screening
FOBT test can consist of two stool samples from
different areas of the stool.
Medicare defines high risk of developing colorectal
cancer as someone who has one
, or more of the following risk factors:
• A close relative (sibling, parent, or child) who has
had colorectal cancer or an adenomatous polyp;
• A family history of familial adenomatous polyposis;
• A family history of hereditary nonpolyposis
colorectal cancer;
• A personal history of adenomatous polyps;
• A personal history of colorectal cancer; or
• A personal history of inflammatory bowel disease,
including Crohn's Disease, and ulcerative colitis
5. Providers must supply a liability notice if services
delivered to a Medicare beneficiary are to be reduced or
terminated following delivery of covered care or thought
not to be covered. For Inpatient (Bill Type: 11x, 18x, 21x,
41x) what is the liability notice is referred to as?
a. ABN
b. HHABNs
c. HINN
d. NEMB: c. HINN
Notices of non-coverage are given to eligible inpatients
receiving or previously eligible for non-hospice
services covered under Medicare Part A (types of bill
(TOB) 11x, 18x, 21x, and 41x); but, the services at issue
no longer meet coverage guidelines, such as for
exceeding the number of covered days in a spell of
illness. In hospitals, these notices are known as
Hospital Issued Notice of Non-coverage (HINNs) or
hospital notices of non-coverage, in Skilled Nursing
Facilities (SNFs), they may be known as Sarrassat
notices.
