AAPC CPC EXAM STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS 2025
WhatRisRmedicalRcoding?R-RCORRECTRANSWERR-
TheRprocessRofRtranslatingRthisRwrittenRorRdictatedRmedicalRrecordRintoRaRseriesRofRnumericRandRalphanum
ericRcodes.
WhatRareRtheRtwoRprimaryRtypesRofRinsurance?R-RCORRECTRANSWERR-CommercialRandRgovernment
WhatRisRmedicareRpartRA?R-RCORRECTRANSWERR-
CoversRinpatientRhospitalRcare,RasRwellRasRcareRprovidedRinRskilledRnursingRfacilities,RhospiceRcare,RandRho
meRhealthRcare
WhatRisRmedicareRpartRB?R-RCORRECTRANSWERR-
CoveredRMedicallyRnecessaryRdoctors'Rservices,RoutpatientRcare,RotherRmedicalRservicesR(includingRsomeR
preventiveRserviceRnotRcoveredRunderRMedicareRPartRA
WhatRisRmedicareRpartRC?R-RCORRECTRANSWERR-
CombinesRtheRbenefitsRofRMedicareRPartRA,RPartRB,RandRsometimesRPartRD.
WhatRisRmedicareRpartRDR-RCORRECTRANSWERR-
PrescriptionRdrugRcoverageRprogramRavailableRtoRallRMedicareRbeneficiaries.RPrivateRcompaniesRapprovedR
byRMedicareRprovideRtheRcoverage.
WhatRisRResourceRbasedRrelativeRvalueRscaleR(RBRVS)RbasedRoffRof?R-RCORRECTRANSWERR-
PhysicianRwork,RpracticeRexpense,RandRprofessionalRliabilityRinsurance.
WhatRdoesRmedicalRnecessityRmean?R-RCORRECTRANSWERR-
WhetherRaRprocedureRorRserviceRisRconsideredRappropriateRinRaRgivenRcircumstance?
WhatRisRtheR"reasonableRestimate"RaccordingRtoRmedicare?R-RCORRECTRANSWERR-$100RorR25%
WhatRisRtheRHIPAARPrivacyRRule?R-RCORRECTRANSWERR-
providesRfederalRprotectionsRforRprotectedRhealthRinformationRwhenRheldRbyRcoveredRenitites.
, whatRareRcoveredRentitiesRunderRHIPAAR-RCORRECTRANSWERR-
healthRcareRprovidersR(doctors),RHealthRplansR(InsuranceRcompanies,R&RHealthcareRClearinghouse
WhatRisRHITECH?R-RCORRECTRANSWERR-
HealthRInformationRTechnologyRforREconomicRandRClinicalRHealthRAct
WhenRshouldRaRABNRbeRsigned?R-RCORRECTRANSWERR-
WhenRaRserviceRisRnotRexpectedRtoRbeRcoveredRbyRMedicare?
WhatROIGRdocumentRshouldRaRproviderRreviewRforRpotentialRproblemRareasRthatRwillRreceiveRspecialRscruti
nyRinRtheRupcomingRyear?R-RCORRECTRANSWERR-OIGRWorkRPlan
WhatRareRrootRwords?R-RCORRECTRANSWERR-TheRbaseRofRtheRword.
blephar/oR-RCORRECTRANSWERR-eyelid
bucc/oR-RCORRECTRANSWERR-cheek
cholecyst/oR-RCORRECTRANSWERR-gallbladder
Colp/oR-RCORRECTRANSWERR-vagina
cyst/oR-RCORRECTRANSWERR-fluidRsacRorRpouch,RurinaryRbladder
derm/oR-RCORRECTRANSWERR-skin
encephal/oR-RCORRECTRANSWERR-brain
Enter/oR-RCORRECTRANSWERR-intestine
WITH CORRECT ANSWERS 2025
WhatRisRmedicalRcoding?R-RCORRECTRANSWERR-
TheRprocessRofRtranslatingRthisRwrittenRorRdictatedRmedicalRrecordRintoRaRseriesRofRnumericRandRalphanum
ericRcodes.
WhatRareRtheRtwoRprimaryRtypesRofRinsurance?R-RCORRECTRANSWERR-CommercialRandRgovernment
WhatRisRmedicareRpartRA?R-RCORRECTRANSWERR-
CoversRinpatientRhospitalRcare,RasRwellRasRcareRprovidedRinRskilledRnursingRfacilities,RhospiceRcare,RandRho
meRhealthRcare
WhatRisRmedicareRpartRB?R-RCORRECTRANSWERR-
CoveredRMedicallyRnecessaryRdoctors'Rservices,RoutpatientRcare,RotherRmedicalRservicesR(includingRsomeR
preventiveRserviceRnotRcoveredRunderRMedicareRPartRA
WhatRisRmedicareRpartRC?R-RCORRECTRANSWERR-
CombinesRtheRbenefitsRofRMedicareRPartRA,RPartRB,RandRsometimesRPartRD.
WhatRisRmedicareRpartRDR-RCORRECTRANSWERR-
PrescriptionRdrugRcoverageRprogramRavailableRtoRallRMedicareRbeneficiaries.RPrivateRcompaniesRapprovedR
byRMedicareRprovideRtheRcoverage.
WhatRisRResourceRbasedRrelativeRvalueRscaleR(RBRVS)RbasedRoffRof?R-RCORRECTRANSWERR-
PhysicianRwork,RpracticeRexpense,RandRprofessionalRliabilityRinsurance.
WhatRdoesRmedicalRnecessityRmean?R-RCORRECTRANSWERR-
WhetherRaRprocedureRorRserviceRisRconsideredRappropriateRinRaRgivenRcircumstance?
WhatRisRtheR"reasonableRestimate"RaccordingRtoRmedicare?R-RCORRECTRANSWERR-$100RorR25%
WhatRisRtheRHIPAARPrivacyRRule?R-RCORRECTRANSWERR-
providesRfederalRprotectionsRforRprotectedRhealthRinformationRwhenRheldRbyRcoveredRenitites.
, whatRareRcoveredRentitiesRunderRHIPAAR-RCORRECTRANSWERR-
healthRcareRprovidersR(doctors),RHealthRplansR(InsuranceRcompanies,R&RHealthcareRClearinghouse
WhatRisRHITECH?R-RCORRECTRANSWERR-
HealthRInformationRTechnologyRforREconomicRandRClinicalRHealthRAct
WhenRshouldRaRABNRbeRsigned?R-RCORRECTRANSWERR-
WhenRaRserviceRisRnotRexpectedRtoRbeRcoveredRbyRMedicare?
WhatROIGRdocumentRshouldRaRproviderRreviewRforRpotentialRproblemRareasRthatRwillRreceiveRspecialRscruti
nyRinRtheRupcomingRyear?R-RCORRECTRANSWERR-OIGRWorkRPlan
WhatRareRrootRwords?R-RCORRECTRANSWERR-TheRbaseRofRtheRword.
blephar/oR-RCORRECTRANSWERR-eyelid
bucc/oR-RCORRECTRANSWERR-cheek
cholecyst/oR-RCORRECTRANSWERR-gallbladder
Colp/oR-RCORRECTRANSWERR-vagina
cyst/oR-RCORRECTRANSWERR-fluidRsacRorRpouch,RurinaryRbladder
derm/oR-RCORRECTRANSWERR-skin
encephal/oR-RCORRECTRANSWERR-brain
Enter/oR-RCORRECTRANSWERR-intestine
