AAPC CPC FINAL EXAM QUESTIONS & ANSWERS
UPDATED 2025
What part of Medicare covers prescription drug services?
Part D
What is medical coding?
Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA?
Work Comp
3 multiple choice options
What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
LCD (Local Coverage Determinations)
When should a ABN (Advance Beneficiary Notification) be signed?
When a service is not expected to be covered under medicare
The amount on an ABN should be within how much of the cost to a patient?
$100 or 25% of the cost
, An entity that processes nonstandard health information they receive from another entity into a
standard is considered what?
Clearinghouse
A covered entity does not include?
patients
What is PHI?
Protected Health Information
Intentional billing of services not provided is considered?
Fraud
What OIG document should a provider review for potential problem areas that will receive special
scrutiny in the upcoming year?
OIG Work Plan
We have an expert-written solution to this problem!
5 body cavities are...
cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes...
mucous, serous, synovial, meninges, cutaneous
UPDATED 2025
What part of Medicare covers prescription drug services?
Part D
What is medical coding?
Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA?
Work Comp
3 multiple choice options
What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
LCD (Local Coverage Determinations)
When should a ABN (Advance Beneficiary Notification) be signed?
When a service is not expected to be covered under medicare
The amount on an ABN should be within how much of the cost to a patient?
$100 or 25% of the cost
, An entity that processes nonstandard health information they receive from another entity into a
standard is considered what?
Clearinghouse
A covered entity does not include?
patients
What is PHI?
Protected Health Information
Intentional billing of services not provided is considered?
Fraud
What OIG document should a provider review for potential problem areas that will receive special
scrutiny in the upcoming year?
OIG Work Plan
We have an expert-written solution to this problem!
5 body cavities are...
cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes...
mucous, serous, synovial, meninges, cutaneous
