American Academy of Professional Coders
AAPC
Certified Outpatient Coder (COC)®
AAPC Certification Exam
AAPC COC Certification Core + Medical Coding Training
AAPC COC Certification Exam
Course Title and Number: AAPC COC Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
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AAPC COC Certification Exam A Review AAPC Certified
Outpatient Coder (COC)® Exam Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025- 2026
AAPC COC Certification Exam
Certified Outpatient Coder (COC)®
AAPC COC Certification Core + Medical Coding Training
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. Administrative Law Judge hearings for the Medicare
appeals process are usually held by telephone or
video conferencing. At the conclusion of the
hearing, how many days until the provider is
informed of a decision?
A. 60 days
B. 30 days
C. 120 days
D. 90 days: D. 90 days
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The ALJ will generally issue a decision within 90 days of
the receipt of the hearing request, according to the
CMS website.
2. Timely filing is a requirement of all claims for full
consideration of payment. What entity sets the
timely filing rules?
A. Individual states, certain contracted payers, and
government payers
B. Individual states and the government payers
C. Individual states, HMOs, government payers and
local counties
D. Individual states, government laws, and malpractice
law: A. Individual states, certain contracted payers,
and government payers
Timely filing is set by state statute, where provided,
and in the terms of the govern- ment payers for
Medicare and Medicaid. Each individual payer can also
set timely filing requirements in contracts with
providers.
3. In what circumstance would the condition code 21
be used?
A. The provider is requesting a denial notice from
Medicare to bill Medicaid or other insurers
B. The provider needs a denial in order to bill the
patient
C. Medicare is paying the entire bill
D. The provider insists on billing a denied service: A.
The provider is requesting a denial notice from
Medicare to bill Medicaid or other insurers
Condition code 21 is reported when the provider is
requesting a denial notice from Medicare to bill
Medicaid or other insurers.
4. What is the term for intentional downcoding of
procedures?
A. Fraud
B. Abuse
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C. Compliance
D. Misuse of encoder program: A. Fraud
Downcoding o upcoding intentionally are both
examples of fraud.
5. Patient was treated in the ER and underwent
surgery after suffering a torn ACL of the right knee
while playing basketball at home. The injury
occurred when the patient attempted to plant his
right foot while cutting to the left and twisted it in a
one-on-one game against his brother. Which set of
diagnosis codes is correct for this scenario?
A. S83.511A, W18.49XA, Y92.009, Y93.67
B. S83.419A, Y93.67, Y92.099
C. S83.511A, Y93.49, Y93.67, Y92.310
D. S83.819A, Y93.67, W18.30XA: A. S83.511A,
W18.49XA, Y92.009, Y93.67
Look in the ICD-10-CM Alphabetic Index for Tear, torn
(traumatic) referring you to see also Laceration. Look in
the Alphabetic Index for Laceration/ligament referring
you to see also Sprain/knee/cruciate ligament/anterior
guiding you to S83.511A. The external cause codes are
reported to establish the cause of the accident, the
place of occurrence, and the activity. Look in the ICD-
10-CM Index to External Causes of Injuries for
Stumbling/over/without fall/due to/specified NEC
leading you to W18.49.
This requires the 7th character A for the initial
encounter W18.49XA. Next, look in the Index to
External Causes for Place of occurrence/home referring
you to
Y92.009. Look in this same Index for Activity/basketball
leading you to Y93.67. Verify in the Tabular List. Look in
the ICD-10-CM Alphabetic Index for Tear, torn
(traumatic) referring you to see also Laceration. Look in
the Alphabetic Index for Laceration/lig- ament referring
you to see also Sprain/knee/cruciate ligament/anterior
guiding you
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
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AAPC
Certified Outpatient Coder (COC)®
AAPC Certification Exam
AAPC COC Certification Core + Medical Coding Training
AAPC COC Certification Exam
Course Title and Number: AAPC COC Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
📝
Are you Struggling with University Exams or Job Certification
Assessments?? 📌I Got You Covered 💯.!!!
✍I Specialize in Taking the Exam On your Behalf.
💻 Get Professional Exam Assistance with 100% Pass
Guaranteed.⏬ GET STARTED HERE CLICK LINK BELOW ⏬
https://yourassignmenthandlers.ck.page/92498b9b86
, I can Help BYPASS PROCTORED EXAM 📑
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!!
💬 Chat with us here: 📧
Click Here To <<ORDER NOW >> Follow Link
https://yourassignmenthandlers.kit.com/93b2309b47
!!!.ORDER NOW.!!! << TO GET INSTANT EXPERT HELP >> !!!.ORDER
NOW.!!!
AAPC COC Certification Exam A Review AAPC Certified
Outpatient Coder (COC)® Exam Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
2025- 2026
AAPC COC Certification Exam
Certified Outpatient Coder (COC)®
AAPC COC Certification Core + Medical Coding Training
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. Administrative Law Judge hearings for the Medicare
appeals process are usually held by telephone or
video conferencing. At the conclusion of the
hearing, how many days until the provider is
informed of a decision?
A. 60 days
B. 30 days
C. 120 days
D. 90 days: D. 90 days
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
💬 Chat with us here: 📧
, I can Help BYPASS PROCTORED EXAM 📑
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💬 Chat with us here: 📧
The ALJ will generally issue a decision within 90 days of
the receipt of the hearing request, according to the
CMS website.
2. Timely filing is a requirement of all claims for full
consideration of payment. What entity sets the
timely filing rules?
A. Individual states, certain contracted payers, and
government payers
B. Individual states and the government payers
C. Individual states, HMOs, government payers and
local counties
D. Individual states, government laws, and malpractice
law: A. Individual states, certain contracted payers,
and government payers
Timely filing is set by state statute, where provided,
and in the terms of the govern- ment payers for
Medicare and Medicaid. Each individual payer can also
set timely filing requirements in contracts with
providers.
3. In what circumstance would the condition code 21
be used?
A. The provider is requesting a denial notice from
Medicare to bill Medicaid or other insurers
B. The provider needs a denial in order to bill the
patient
C. Medicare is paying the entire bill
D. The provider insists on billing a denied service: A.
The provider is requesting a denial notice from
Medicare to bill Medicaid or other insurers
Condition code 21 is reported when the provider is
requesting a denial notice from Medicare to bill
Medicaid or other insurers.
4. What is the term for intentional downcoding of
procedures?
A. Fraud
B. Abuse
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
💬 Chat with us here: 📧
, I can Help BYPASS PROCTORED EXAM 📑
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💬 Chat with us here: 📧
C. Compliance
D. Misuse of encoder program: A. Fraud
Downcoding o upcoding intentionally are both
examples of fraud.
5. Patient was treated in the ER and underwent
surgery after suffering a torn ACL of the right knee
while playing basketball at home. The injury
occurred when the patient attempted to plant his
right foot while cutting to the left and twisted it in a
one-on-one game against his brother. Which set of
diagnosis codes is correct for this scenario?
A. S83.511A, W18.49XA, Y92.009, Y93.67
B. S83.419A, Y93.67, Y92.099
C. S83.511A, Y93.49, Y93.67, Y92.310
D. S83.819A, Y93.67, W18.30XA: A. S83.511A,
W18.49XA, Y92.009, Y93.67
Look in the ICD-10-CM Alphabetic Index for Tear, torn
(traumatic) referring you to see also Laceration. Look in
the Alphabetic Index for Laceration/ligament referring
you to see also Sprain/knee/cruciate ligament/anterior
guiding you to S83.511A. The external cause codes are
reported to establish the cause of the accident, the
place of occurrence, and the activity. Look in the ICD-
10-CM Index to External Causes of Injuries for
Stumbling/over/without fall/due to/specified NEC
leading you to W18.49.
This requires the 7th character A for the initial
encounter W18.49XA. Next, look in the Index to
External Causes for Place of occurrence/home referring
you to
Y92.009. Look in this same Index for Activity/basketball
leading you to Y93.67. Verify in the Tabular List. Look in
the ICD-10-CM Alphabetic Index for Tear, torn
(traumatic) referring you to see also Laceration. Look in
the Alphabetic Index for Laceration/lig- ament referring
you to see also Sprain/knee/cruciate ligament/anterior
guiding you
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
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