AAPC CPC EXAM STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS 2025
What is medical coding? - CORRECT ANSWER -
The process of translating this written or dictated medical record into a series of numeric and alphanum
eric codes.
What are the two primary types of insurance? - CORRECT ANSWER -Commercial and government
What is medicare part A? - CORRECT ANSWER -
Covers inpatient hospital care, as well as care provided in skilled nursing facilities, hospice care, and ho
me health care
What is medicare part B? - CORRECT ANSWER -
Covered Medically necessary doctors' services, outpatient care, other medical services (including some
preventive service not covered under Medicare Part A
What is medicare part C? - CORRECT ANSWER -
Combines the benefits of Medicare Part A, Part B, and sometimes Part D.
What is medicare part D - CORRECT ANSWER -
Prescription drug coverage program available to all Medicare beneficiaries. Private companies approved
by Medicare provide the coverage.
What is Resource based relative value scale (RBRVS) based off of? - CORRECT ANSWER -
Physician work, practice expense, and professional liability insurance.
What does medical necessity mean? - CORRECT ANSWER -
Whether a procedure or service is considered appropriate in a given circumstance?
What is the "reasonable estimate" according to medicare? - CORRECT ANSWER -$100 or 25%
What is the HIPAA Privacy Rule? - CORRECT ANSWER -
provides federal protections for protected health information when held by covered enitites.
, what Sare Scovered Sentities Sunder SHIPAA S- SCORRECT SANSWER S-
health Scare Sproviders S(doctors), SHealth Splans S(Insurance Scompanies, S& SHealthcare SClearinghouse
What Sis SHITECH? S- SCORRECT SANSWER S-
Health SInformation STechnology Sfor SEconomic Sand SClinical SHealth SAct
When Sshould Sa SABN Sbe Ssigned? S- SCORRECT SANSWER S-
S When Sa Sservice Sis Snot Sexpected Sto Sbe Scovered Sby
SMedicare?
What SOIG Sdocument Sshould Sa Sprovider Sreview Sfor Spotential Sproblem Sareas Sthat Swill Sreceive Sspecial
Sscruti Sny Sin Sthe Supcoming Syear? S- SCORRECT SANSWER S-OIG SWork SPlan
What Sare Sroot Swords? S- SCORRECT SANSWER S-The Sbase Sof Sthe Sword.
blephar/o S- SCORRECT SANSWER S-eyelid
bucc/o S- SCORRECT SANSWER S-cheek
cholecyst/o S- SCORRECT SANSWER S-gallbladder
Colp/o S- SCORRECT SANSWER S-vagina
cyst/o S- SCORRECT SANSWER S-fluid Ssac Sor Spouch, Surinary Sbladder
derm/o S- SCORRECT SANSWER S-skin
encephal/o S- SCORRECT SANSWER S-brain
Enter/o S- SCORRECT SANSWER S-intestine
WITH CORRECT ANSWERS 2025
What is medical coding? - CORRECT ANSWER -
The process of translating this written or dictated medical record into a series of numeric and alphanum
eric codes.
What are the two primary types of insurance? - CORRECT ANSWER -Commercial and government
What is medicare part A? - CORRECT ANSWER -
Covers inpatient hospital care, as well as care provided in skilled nursing facilities, hospice care, and ho
me health care
What is medicare part B? - CORRECT ANSWER -
Covered Medically necessary doctors' services, outpatient care, other medical services (including some
preventive service not covered under Medicare Part A
What is medicare part C? - CORRECT ANSWER -
Combines the benefits of Medicare Part A, Part B, and sometimes Part D.
What is medicare part D - CORRECT ANSWER -
Prescription drug coverage program available to all Medicare beneficiaries. Private companies approved
by Medicare provide the coverage.
What is Resource based relative value scale (RBRVS) based off of? - CORRECT ANSWER -
Physician work, practice expense, and professional liability insurance.
What does medical necessity mean? - CORRECT ANSWER -
Whether a procedure or service is considered appropriate in a given circumstance?
What is the "reasonable estimate" according to medicare? - CORRECT ANSWER -$100 or 25%
What is the HIPAA Privacy Rule? - CORRECT ANSWER -
provides federal protections for protected health information when held by covered enitites.
, what Sare Scovered Sentities Sunder SHIPAA S- SCORRECT SANSWER S-
health Scare Sproviders S(doctors), SHealth Splans S(Insurance Scompanies, S& SHealthcare SClearinghouse
What Sis SHITECH? S- SCORRECT SANSWER S-
Health SInformation STechnology Sfor SEconomic Sand SClinical SHealth SAct
When Sshould Sa SABN Sbe Ssigned? S- SCORRECT SANSWER S-
S When Sa Sservice Sis Snot Sexpected Sto Sbe Scovered Sby
SMedicare?
What SOIG Sdocument Sshould Sa Sprovider Sreview Sfor Spotential Sproblem Sareas Sthat Swill Sreceive Sspecial
Sscruti Sny Sin Sthe Supcoming Syear? S- SCORRECT SANSWER S-OIG SWork SPlan
What Sare Sroot Swords? S- SCORRECT SANSWER S-The Sbase Sof Sthe Sword.
blephar/o S- SCORRECT SANSWER S-eyelid
bucc/o S- SCORRECT SANSWER S-cheek
cholecyst/o S- SCORRECT SANSWER S-gallbladder
Colp/o S- SCORRECT SANSWER S-vagina
cyst/o S- SCORRECT SANSWER S-fluid Ssac Sor Spouch, Surinary Sbladder
derm/o S- SCORRECT SANSWER S-skin
encephal/o S- SCORRECT SANSWER S-brain
Enter/o S- SCORRECT SANSWER S-intestine
