AAPC CPC 2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Coding is: -
correct answer ✅The process of translating this written or dictated
medical record into a series of numeric and alpha numeric codes
Proper code assignment is determined both by -
correct answer ✅the content (documentation) in the medical
record and by the unique rules that govern each code set in that
particular instance
Outpatient coders will focus on learning which manuals -
correct answer ✅CPT, HCPCS Level II, and ICD-10-CM
Hospital inpatient coders focus on which manuals -
correct answer ✅ICD-10-CM & ICD-10-PCS
Risk adjustment coding focuses on which manual -
correct answer ✅ICD-10-CM code set
Two primary types of insurers -
correct answer ✅commercial and government
,AAPC CPC 2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Commercial carriers are private pairs that may offer group and
individual plans, plans very but may include coverage for -
correct answer ✅Hospitalization, basic, and major medical
coverage
Medicare is -
correct answer ✅The most significant government ensure, a
federal health insurance program
Medicare is administered by the center for Medicare and Medicaid
services (CMS)- & provides coverage for who -
correct answer ✅People over the age of 65, blind or disabled,
individuals, and people with permanent kidney failure or end stage
renal disease (ESRD).
Medicare part A covers -
correct answer ✅Inpatient hospital, skilled nursing facilities,
hospice, and home healthcare
,AAPC CPC 2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Medicare part B covers -
correct answer ✅Medically, necessary, physicians services,
outpatient care, and other medical services (including some
preventative services) not covered under Medicare part a
Medicare part B is optional which pt.s pay a -
correct answer ✅premium, & generally requires a yearly
deductible and coinsurance
Medicare Part C (Medicare Advantage Plans) -
correct answer ✅Combines Medicare part A part B and sometimes
part D. Managed by private insures approved by Medicare.
Medicare part C plans may charge -
correct answer ✅Different copayments, coinsurance, or
deductibles for services
Medicare part D is a -
correct answer ✅Prescription drug program available to all
Medicare beneficiaries. Private companies approved by Medicare
provide coverage.
, AAPC CPC 2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Medicaid is -
correct answer ✅Health insurance assistance for low income
people, (especially children and pregnant women)
Medicaid is administered on a -
correct answer ✅State-by-state basis, but state programs must
here to certain federal guidelines
The fee schedule designed to provide national uniform payment of
Medicare benefits after adjustment to reflect the differences in
practice costs across geographic areas is called the
______________ -
correct answer ✅RBRVS (Resource Based Relative Value Scale)
Resource based relative value scale costs are divided into three
components -
correct answer ✅Physicians work, practice expense, professional
liability insurance
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Coding is: -
correct answer ✅The process of translating this written or dictated
medical record into a series of numeric and alpha numeric codes
Proper code assignment is determined both by -
correct answer ✅the content (documentation) in the medical
record and by the unique rules that govern each code set in that
particular instance
Outpatient coders will focus on learning which manuals -
correct answer ✅CPT, HCPCS Level II, and ICD-10-CM
Hospital inpatient coders focus on which manuals -
correct answer ✅ICD-10-CM & ICD-10-PCS
Risk adjustment coding focuses on which manual -
correct answer ✅ICD-10-CM code set
Two primary types of insurers -
correct answer ✅commercial and government
,AAPC CPC 2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Commercial carriers are private pairs that may offer group and
individual plans, plans very but may include coverage for -
correct answer ✅Hospitalization, basic, and major medical
coverage
Medicare is -
correct answer ✅The most significant government ensure, a
federal health insurance program
Medicare is administered by the center for Medicare and Medicaid
services (CMS)- & provides coverage for who -
correct answer ✅People over the age of 65, blind or disabled,
individuals, and people with permanent kidney failure or end stage
renal disease (ESRD).
Medicare part A covers -
correct answer ✅Inpatient hospital, skilled nursing facilities,
hospice, and home healthcare
,AAPC CPC 2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Medicare part B covers -
correct answer ✅Medically, necessary, physicians services,
outpatient care, and other medical services (including some
preventative services) not covered under Medicare part a
Medicare part B is optional which pt.s pay a -
correct answer ✅premium, & generally requires a yearly
deductible and coinsurance
Medicare Part C (Medicare Advantage Plans) -
correct answer ✅Combines Medicare part A part B and sometimes
part D. Managed by private insures approved by Medicare.
Medicare part C plans may charge -
correct answer ✅Different copayments, coinsurance, or
deductibles for services
Medicare part D is a -
correct answer ✅Prescription drug program available to all
Medicare beneficiaries. Private companies approved by Medicare
provide coverage.
, AAPC CPC 2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Medicaid is -
correct answer ✅Health insurance assistance for low income
people, (especially children and pregnant women)
Medicaid is administered on a -
correct answer ✅State-by-state basis, but state programs must
here to certain federal guidelines
The fee schedule designed to provide national uniform payment of
Medicare benefits after adjustment to reflect the differences in
practice costs across geographic areas is called the
______________ -
correct answer ✅RBRVS (Resource Based Relative Value Scale)
Resource based relative value scale costs are divided into three
components -
correct answer ✅Physicians work, practice expense, professional
liability insurance
