CPC CERTIFICATION EXAM STUDY GUIDE QUESTIONS WITH FULLY SOLVED ANSWERS 2025

CPC CERTIFICATION EXAM STUDY GUIDE QUESTIONS WITH
FULLY SOLVED ANSWERS.


1) What is Part A? -- Answer ✔✔ Medicares's Hospital Insurance; covers hospital/facility
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care.
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2) What is Part B? -- Answer ✔✔ Medicare's Supplemental Medical Insurance; covers
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physician services and durable medical equipment that are not paid for under Part A.
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3) What is Part C? -- Answer ✔✔ Medicare's Advantage is a set of health care options
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from which beneficiaries choose health care providers.
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4) What is Part D? -- Answer ✔✔ Medicare's prescription drug program.
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5) What is WHO? -- Answer ✔✔ World Health Organization. A group that deals with
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health care issues on a global basis.
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6) Volume 1 of ICD-9-CM contains what? -- Answer ✔✔ Tabular List: Diagnosis codes
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organized in order by code. _ _ _ _




7) Volume 2 of ICD-9-CM contains what? -- Answer ✔✔ Index to Diseases: Diagnosis
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codes organized in an alphabetic index.
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8) Volume 3 of ICD-9-VM contains what? -- Answer ✔✔ Alphabetic Index and Tabular
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Index of Procedures: Procedures performed in the inpatient setting.
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9) V codes -- Answer ✔✔ Codes used to describe circumstances or condition that
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could influence patient care.
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, 10) When should an ABN be signed? -- Answer ✔✔ When a service is not expected to
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be covered by Medicare.
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11) What are NCD's interpreted at the MAC level considered? -- Answer ✔✔ LCD
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12) What is medical billing? -- Answer ✔✔ Translating medical documentation into codes.
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13) What part of Medicare should be billed for the pain medication by the pharmacy? --
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Answer ✔✔ Part D _ _ _




14) The amount on an ABN should be within how much of the cost to the patient? --
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Answer ✔✔ $100 or 25% of cost. _ _ _ _ _ _




15) An entity that processes nonstandard health information they receive from another
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entity into a standard is considered what? -- Answer ✔✔ Clearinghouse.
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16) What is PHI? -- Answer ✔✔ Personal Health Information.
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17) Intentional billing of services not provided is considered? -- Answer ✔✔ Fraud.
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18) What OIG document should a provider review for potential problem areas that will
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receive special scrutiny in the upcoming year? -- Answer ✔✔ OIG Work Plan. Each
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year in October.
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19) What is ABN? -- Answer ✔✔ Advance Beneficiary Notification
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20) What is AMA? -- Answer ✔✔ American Medical Association.
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21) What is CPC? -- Answer ✔✔ Current Procedural Terminology. What was done into
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codes.

22) What is ICD-9-CM? -- Answer ✔✔ International Classification of Disease, 9th
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Clinical Modification. Why was done in codes.
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