AAPC CPC CERTIFICATION EXAM PAPER CODING Questions
with Correct Answers (Grade A+)
Question 1: What type of profession, other than coding, might skilled coders enter?:
A. Physicians, insurance carriers, nurses
B. Front desk personnel, HR dept
C. Consultants, educators, medical auditors
D. None of the above.
Answer: C
Question 2: What is the difference between outpatient and inpatient coding?:
A. Outpatient coders use ICD-10-CM and ICD-10-PCS.
B. Outpatient coders only focuse on hospital services and Inpatient coders focuse on physician services.
C. Inpatient coders have more interaction than Outpatient coders.
D. Inpatient coders use ICD-10-CM and ICD-10-PCS.
Answer: D
Question 3: What is a mid-level provider?
A. Non-licensed PAs
B. Physician withholder
C. Mid-level providers include physician assistants (PA) and nurse practitioners (NP).
D. NPs with Bachelor's Degree.
Answer: C
Question 4: What are the different parts of Medicare?
A. Part A, B, D
B. Part A, B, C, D
C. Part E, F, G, H
D. Part A and B.
Answer: B
Question 5: Evaluation and management (E/M) services are often provided and documented in a
standard format. One such format is SOAP notes. What does SOAP represent?
A. Subjective, Objective, Assessment, Plan
B. Statement, Observation, Action, Prepare
C. Symptoms, Objective, Auscultation, Percussion
D. Subjective, Observation, Action, Plan.
Answer: A
Page 1
, Question 6: What are five tips for coding operative (op) reports?
A. Look for key words, Ignore unfamiliar words, Skip the body, Ignore pathology reports, Only code
procedures from the header
B. Diagnosis code reporting, Start with the procedures listed, Look for key words, Highlight unfamiliar
words, Read the body
C. Highlight familiar words, Look for key words, Read the body, Only code what you have highlighted, Code
procedure only
D. Read the headers only, Look for key words, Highlight familiar words, Ignore pathology report, Code
diagnosis only.
Answer: B
Question 7: What is medical necessity?:
A. Services to a Medicare beneficiary that are billed for unreasonable and unnecessary treatment.
B. The most radical service/procedure that allows for effective treatment of the patient's complaint or
condition.
C. Something insurance plans do not care about.
D. Relates to whether a procedure or service is considered appropriate in a given circumstance.
Answer: D
Question 8: What is not a common reason Medicare may deny a procedure or service?:
A. Patient's condition
B. Frequently proposed
C. Covered service
D. Experimental.
Answer: C
Question 9: Under the Privacy Rule, the minimum necessary standard does NOT apply to what type of
disclosures?:
A. Uses or disclosures to drug companies.
B. Disclosures to or requests by family members.
C. Disclosures to the individual who is the subject of the information.
D. Uses or disclosures to insurance companies.
Answer: C
Question 10: Which is not one of the seven key components of an internal compliance plan?:
A. Develop open lines of communication.
B. Conduct training but not perform education on practice standards and procedures.
C. Enforce disciplinary standards through well-publicized guidelines.
D. Conduct internal monitoring and auditing through the performance of periodic audits.
Answer: B
Page 2
with Correct Answers (Grade A+)
Question 1: What type of profession, other than coding, might skilled coders enter?:
A. Physicians, insurance carriers, nurses
B. Front desk personnel, HR dept
C. Consultants, educators, medical auditors
D. None of the above.
Answer: C
Question 2: What is the difference between outpatient and inpatient coding?:
A. Outpatient coders use ICD-10-CM and ICD-10-PCS.
B. Outpatient coders only focuse on hospital services and Inpatient coders focuse on physician services.
C. Inpatient coders have more interaction than Outpatient coders.
D. Inpatient coders use ICD-10-CM and ICD-10-PCS.
Answer: D
Question 3: What is a mid-level provider?
A. Non-licensed PAs
B. Physician withholder
C. Mid-level providers include physician assistants (PA) and nurse practitioners (NP).
D. NPs with Bachelor's Degree.
Answer: C
Question 4: What are the different parts of Medicare?
A. Part A, B, D
B. Part A, B, C, D
C. Part E, F, G, H
D. Part A and B.
Answer: B
Question 5: Evaluation and management (E/M) services are often provided and documented in a
standard format. One such format is SOAP notes. What does SOAP represent?
A. Subjective, Objective, Assessment, Plan
B. Statement, Observation, Action, Prepare
C. Symptoms, Objective, Auscultation, Percussion
D. Subjective, Observation, Action, Plan.
Answer: A
Page 1
, Question 6: What are five tips for coding operative (op) reports?
A. Look for key words, Ignore unfamiliar words, Skip the body, Ignore pathology reports, Only code
procedures from the header
B. Diagnosis code reporting, Start with the procedures listed, Look for key words, Highlight unfamiliar
words, Read the body
C. Highlight familiar words, Look for key words, Read the body, Only code what you have highlighted, Code
procedure only
D. Read the headers only, Look for key words, Highlight familiar words, Ignore pathology report, Code
diagnosis only.
Answer: B
Question 7: What is medical necessity?:
A. Services to a Medicare beneficiary that are billed for unreasonable and unnecessary treatment.
B. The most radical service/procedure that allows for effective treatment of the patient's complaint or
condition.
C. Something insurance plans do not care about.
D. Relates to whether a procedure or service is considered appropriate in a given circumstance.
Answer: D
Question 8: What is not a common reason Medicare may deny a procedure or service?:
A. Patient's condition
B. Frequently proposed
C. Covered service
D. Experimental.
Answer: C
Question 9: Under the Privacy Rule, the minimum necessary standard does NOT apply to what type of
disclosures?:
A. Uses or disclosures to drug companies.
B. Disclosures to or requests by family members.
C. Disclosures to the individual who is the subject of the information.
D. Uses or disclosures to insurance companies.
Answer: C
Question 10: Which is not one of the seven key components of an internal compliance plan?:
A. Develop open lines of communication.
B. Conduct training but not perform education on practice standards and procedures.
C. Enforce disciplinary standards through well-publicized guidelines.
D. Conduct internal monitoring and auditing through the performance of periodic audits.
Answer: B
Page 2
