CPC CERTIFICATION STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS
GRADED A+ 2025 -2026
When should an ABN be signed? - ANS-When a service is not expected to be covered by
Medicare.
What are NCD's interpreted at the MAC level considered? - ANS-LCD
What is medical billing? - ANS-Translating medical documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy? -
ANS-Part D
The amount on an ABN should be within how much of the cost to the patient? - ANS-
$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another
entity into a standard is considered what? - ANS-Clearinghouse.
What is PHI? - ANS-Personal Health Information.
Intentional billing of services not provided is considered? - ANS-Fraud.
What OIG document should a provider reveiw for potential problem areas that will
receive special scrutiny in the upcoming year? - ANS-OIG Work Plan. Each year in
October.
What is ABN? - ANS-Advance Beneficiary Notification
,What is AMA? - ANS-American Medical Association.
What is CPC? - ANS-Current Procedural Terminology. What was done into codes.
What is ICD-9-CM? - ANS-International Classification of Disease, 9th Clinical
Modification. Why was done in codes.
What is HIPAA? - ANS-Health Insurance Portability and Accountability Act of 1996. Law
passed by Congress to improve the portability and continuity of healthcare coverage.
What is OIG? - ANS-Office of Inspector General. Makes sure everyone is in compliance
What is CMS? - ANS-Centers for Medicare & Medicaid Services. Basic guidelines for
private prctice and rules.
a-,an- - ANS-Without, lack of, absent, deficient
Ab-,abs- - ANS-From, away
Ad- - ANS-Near, toward
-algia,-algesia - ANS-Pain
Ambi- - ANS-Both
Angio - ANS-Vessle (blood or lymph)
Ano - ANS-Anus
Ante- - ANS-Before
, Anti- - ANS-Against
Arterio - ANS-Artery
Arthro - ANS-Joint
Asthenia - ANS-Weakness.
Auto- - ANS-Self
Bi- - ANS-Two, twice
Brady- - ANS-Slow
Broncho - ANS-Bronchus
Cardio - ANS-Heart
-cele - ANS-Tumor, swelling, hernia, sac
-centesis - ANS-Puncture
Cephalo - ANS-Head
Chole - ANS-Gall
Cholecysto - ANS-Gall bladder
QUESTIONS AND CORRECT ANSWERS
GRADED A+ 2025 -2026
When should an ABN be signed? - ANS-When a service is not expected to be covered by
Medicare.
What are NCD's interpreted at the MAC level considered? - ANS-LCD
What is medical billing? - ANS-Translating medical documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy? -
ANS-Part D
The amount on an ABN should be within how much of the cost to the patient? - ANS-
$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another
entity into a standard is considered what? - ANS-Clearinghouse.
What is PHI? - ANS-Personal Health Information.
Intentional billing of services not provided is considered? - ANS-Fraud.
What OIG document should a provider reveiw for potential problem areas that will
receive special scrutiny in the upcoming year? - ANS-OIG Work Plan. Each year in
October.
What is ABN? - ANS-Advance Beneficiary Notification
,What is AMA? - ANS-American Medical Association.
What is CPC? - ANS-Current Procedural Terminology. What was done into codes.
What is ICD-9-CM? - ANS-International Classification of Disease, 9th Clinical
Modification. Why was done in codes.
What is HIPAA? - ANS-Health Insurance Portability and Accountability Act of 1996. Law
passed by Congress to improve the portability and continuity of healthcare coverage.
What is OIG? - ANS-Office of Inspector General. Makes sure everyone is in compliance
What is CMS? - ANS-Centers for Medicare & Medicaid Services. Basic guidelines for
private prctice and rules.
a-,an- - ANS-Without, lack of, absent, deficient
Ab-,abs- - ANS-From, away
Ad- - ANS-Near, toward
-algia,-algesia - ANS-Pain
Ambi- - ANS-Both
Angio - ANS-Vessle (blood or lymph)
Ano - ANS-Anus
Ante- - ANS-Before
, Anti- - ANS-Against
Arterio - ANS-Artery
Arthro - ANS-Joint
Asthenia - ANS-Weakness.
Auto- - ANS-Self
Bi- - ANS-Two, twice
Brady- - ANS-Slow
Broncho - ANS-Bronchus
Cardio - ANS-Heart
-cele - ANS-Tumor, swelling, hernia, sac
-centesis - ANS-Puncture
Cephalo - ANS-Head
Chole - ANS-Gall
Cholecysto - ANS-Gall bladder
