CPC Exam Questions & Answers 2024/2025

CPC Exam Questions & Answers 2024/2025 Abstractor - ANSWERShospital employee who converts documented procedurs and diangoses into medical codes Abuse - ANSWERScoding practices that lead to improper reimbursement by error because they do not meet medical necessity, ex. changing diagnosis to be covered by insurance Accreditation - ANSWERSan examination process the healthcare facility goes through to evaluate the facilities policies, procedures, and performance to meet higher standards. Accredited - ANSWERSHaving seal of approval after being evaluated and demonstrating quality standards Act/ Law/ Statute - ANSWERSLegislation passed through Congress and signed by President or passed over his veto Actual Charge - ANSWERSThe amount the provider charges for medical services or supplies. Not always paid in full. Additional Benefits - ANSWERSHealth care services not covered by Medicare and are offered through the Medicare Advantage Organization for no additional premium. The benefits must equal the ACR (Adjusted Community Rating) Adjudication - ANSWERSHealth Insurance Claims process at the insurance company Adjusted Average Per Capita Cost (AAPCC) - ANSWERSEstimate of how much Medicare will spend in a year for an average beneficiary