AAPC CPC EXAM STUDY CORE QUESTIONS AND
ANSWERS SURE A+
✔✔B - ✔✔According to the AAPC Code of Ethics, which term is NOT listed as an
ethical principle of professional conduct?:
A) Integrity
B) Efficiency
C) Responsibility
D) Commitment
✔✔B - ✔✔According to AAPC's Code of Ethics, an AAPC member shall use only ____
and ____ means in all professional dealings:
A) private and professional
B) legal and ethical
C) legal and profitable
D) efficient and inexpensive
✔✔A - ✔✔What is the definition of medical coding?:
A) Translating documentation into numerical/alphanumerical codes used to obtain
reimbursement.
B) Deciphering explanation of benefits provided by an insurance carrier.
C) Translating documentation into software compatible notes.
D) Translating the services a provider performs into documentation.
✔✔A - ✔✔If an NCD does not exist for a particular service/procedure performed on a
Medicare patient, who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The physician providing the service
C) Current Procedural Terminology (CPT®) guidelines
D) Centers for Medicare & Medicaid Services (CMS)
✔✔D - ✔✔Many coding professionals go on to find work as:
A) Accountants
B) Medical Assistants
C) Financial Planners
D) Consultants
✔✔B - ✔✔LCDs only have jurisdiction in their ____:
A) Locality
B) Region
C) District
D) State
✔✔B - ✔✔A covered entity does NOT include:
A) Health plans
, B) Patients
C) Healthcare providers
D) Clearinghouses
✔✔D - ✔✔In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?:
A) 2010
B) 2000
C) 2007
D) 2009
✔✔D - ✔✔HIPAA stands for:
A) Health Insurance Portability and Accountant Advice
B) Health Information Privacy Access Act
C) Health Insurance Provider Assistance Action
D) Health Insurance Portability and Accountability Act
✔✔A - ✔✔Which option below is NOT a covered entity under HIPAA?:
A) Workers' Compensation
B) Medicaid
C) Medicare
D) BCBS
✔✔D - ✔✔AAPC credentialed coders have proven mastery of what information?:
A) Code sets
B) Evaluation and management principles
C) Documentation guidelines
D) All of the above
✔✔D - ✔✔What is PHI?:
A) Provider healthcare interchange
B) Private health insurance
C) Provider healthcare incident-to
D) Protected health information
✔✔A - ✔✔Which of the following choices is NOT a benefit of an active compliance
plan?:
A) Eliminates risk of an audit.
B) Fewer billing mistakes.
C) Increases accuracy of provider documentation.
D) Faster, more accurate payment of claims.
✔✔A - ✔✔The Medicare program is made up of several parts. Which part covers
provider fees without the use of a private insurer?:
A) Part B
ANSWERS SURE A+
✔✔B - ✔✔According to the AAPC Code of Ethics, which term is NOT listed as an
ethical principle of professional conduct?:
A) Integrity
B) Efficiency
C) Responsibility
D) Commitment
✔✔B - ✔✔According to AAPC's Code of Ethics, an AAPC member shall use only ____
and ____ means in all professional dealings:
A) private and professional
B) legal and ethical
C) legal and profitable
D) efficient and inexpensive
✔✔A - ✔✔What is the definition of medical coding?:
A) Translating documentation into numerical/alphanumerical codes used to obtain
reimbursement.
B) Deciphering explanation of benefits provided by an insurance carrier.
C) Translating documentation into software compatible notes.
D) Translating the services a provider performs into documentation.
✔✔A - ✔✔If an NCD does not exist for a particular service/procedure performed on a
Medicare patient, who determines coverage?:
A) Medicare Administrative Contractor (MAC)
B) The physician providing the service
C) Current Procedural Terminology (CPT®) guidelines
D) Centers for Medicare & Medicaid Services (CMS)
✔✔D - ✔✔Many coding professionals go on to find work as:
A) Accountants
B) Medical Assistants
C) Financial Planners
D) Consultants
✔✔B - ✔✔LCDs only have jurisdiction in their ____:
A) Locality
B) Region
C) District
D) State
✔✔B - ✔✔A covered entity does NOT include:
A) Health plans
, B) Patients
C) Healthcare providers
D) Clearinghouses
✔✔D - ✔✔In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?:
A) 2010
B) 2000
C) 2007
D) 2009
✔✔D - ✔✔HIPAA stands for:
A) Health Insurance Portability and Accountant Advice
B) Health Information Privacy Access Act
C) Health Insurance Provider Assistance Action
D) Health Insurance Portability and Accountability Act
✔✔A - ✔✔Which option below is NOT a covered entity under HIPAA?:
A) Workers' Compensation
B) Medicaid
C) Medicare
D) BCBS
✔✔D - ✔✔AAPC credentialed coders have proven mastery of what information?:
A) Code sets
B) Evaluation and management principles
C) Documentation guidelines
D) All of the above
✔✔D - ✔✔What is PHI?:
A) Provider healthcare interchange
B) Private health insurance
C) Provider healthcare incident-to
D) Protected health information
✔✔A - ✔✔Which of the following choices is NOT a benefit of an active compliance
plan?:
A) Eliminates risk of an audit.
B) Fewer billing mistakes.
C) Increases accuracy of provider documentation.
D) Faster, more accurate payment of claims.
✔✔A - ✔✔The Medicare program is made up of several parts. Which part covers
provider fees without the use of a private insurer?:
A) Part B
