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AAPC OFFICIAL CPC CERTIFICATION STUDY
GUIDE 2026-COMPREHENSIVE ASSESSMENT
EXAM WITH PERFECT SOLUTIONS
Which of the following has a refraction function in the eye?
macula
retina
lens
iris - correct-answer -lens
Which of the following is a function of the pancreas?
* supplies digestive enzymes
manufactures melatonin
* stimulates growth
* secretes vasopressin - correct-answer -supplies digestive enzymes
Which of the following is a renal calculus?
* Pyelectasia
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* Hydroureter
* Nephrolithiasis
* Pyonephrosis - correct-answer -Nephrolithiasis
Who is responsible for interpreting national policies into regional polices, called
LCDs? - correct-answer -each MAC
(Medicare Administrative Contractor)
Whose responsibility is it to develop and implement policies, best suited to its
particular circumstances, to meet HIPAA requirements. - correct-answer -the
entity covered by HIPAA
Work RVUs reflect - correct-answer -The relative levels of time and intensity
associated with furnishing a Medicare PFS service and account for ~50% of the
total payment associated with a service.
compliance plan - correct-answer -a written set of instructions outlining the
process for coding and submitting accurate claims, and what to do if mistakes are
found.
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fraud - correct-answer -to purposely bill for srevices that were never given or to
bill for a service that has a higher reimbursement than the service provided.
AMA - correct-answer -American Medical Association
"hold harmless clause" - correct-answer -* found in some non-Medicare health
plan contracts
* prohibits billing to patient for anything beyond deductibles and co-pays.
A compliance plan may offer several benefits, including: - correct-answer -* more
accurate payment of claims
* fewer billing mistakes
* improved documentation and more accurate coding
* less chance of violating self-referral and anti-kickback status
A healthcare clearing house is a - correct-answer -entity that processes
nonstandard health information they receive from another entity into a standard
format
AAPC OFFICIAL CPC CERTIFICATION STUDY
GUIDE 2026-COMPREHENSIVE ASSESSMENT
EXAM WITH PERFECT SOLUTIONS
Which of the following has a refraction function in the eye?
macula
retina
lens
iris - correct-answer -lens
Which of the following is a function of the pancreas?
* supplies digestive enzymes
manufactures melatonin
* stimulates growth
* secretes vasopressin - correct-answer -supplies digestive enzymes
Which of the following is a renal calculus?
* Pyelectasia
,2|Page
* Hydroureter
* Nephrolithiasis
* Pyonephrosis - correct-answer -Nephrolithiasis
Who is responsible for interpreting national policies into regional polices, called
LCDs? - correct-answer -each MAC
(Medicare Administrative Contractor)
Whose responsibility is it to develop and implement policies, best suited to its
particular circumstances, to meet HIPAA requirements. - correct-answer -the
entity covered by HIPAA
Work RVUs reflect - correct-answer -The relative levels of time and intensity
associated with furnishing a Medicare PFS service and account for ~50% of the
total payment associated with a service.
compliance plan - correct-answer -a written set of instructions outlining the
process for coding and submitting accurate claims, and what to do if mistakes are
found.
, 3|Page
fraud - correct-answer -to purposely bill for srevices that were never given or to
bill for a service that has a higher reimbursement than the service provided.
AMA - correct-answer -American Medical Association
"hold harmless clause" - correct-answer -* found in some non-Medicare health
plan contracts
* prohibits billing to patient for anything beyond deductibles and co-pays.
A compliance plan may offer several benefits, including: - correct-answer -* more
accurate payment of claims
* fewer billing mistakes
* improved documentation and more accurate coding
* less chance of violating self-referral and anti-kickback status
A healthcare clearing house is a - correct-answer -entity that processes
nonstandard health information they receive from another entity into a standard
format
