CPC EXAM 1 EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS GRADED
A+ ANSWERS
Covers inpatient hospital, care, as well as nursing
facilities, hospice, and home healthcare - ✔✔ANSWER
✔✔-Medicare part a
Madeline is a necessary physician services, outpatient
care, and other medical services - ✔✔ANSWER ✔✔-
Medicare part B
,Also called Medicare advantage, combined benefits from
Medicare, part a, part D, and sometimes part D -
✔✔ANSWER ✔✔-Medicare part C
Prescription drug program - ✔✔ANSWER ✔✔-Medicare
part D
52% physician work component, 44% practice expense,
4% resource space professional liability insurance -
✔✔ANSWER ✔✔-Resource-Based Relative Value Scale
(RBRVS)
Refers to whether a procedure or service is considered
appropriate in a given circumstance - ✔✔ANSWER ✔✔-
Medical necessity
Explain when Medicare will pay for items or services -
✔✔ANSWER ✔✔-National coverage determinations
,A standardized form that explains to the patient why
Medicare may deny the service or procedure -
✔✔ANSWER ✔✔-Advance Beneficiary Notice (ABN)
Set forth a plan outlining its priorities for the fiscal year
and beyond - ✔✔ANSWER ✔✔-OIG Work Plan
Ambulatory Payment Classification - ✔✔ANSWER ✔✔-
APC
Advanced Alternative Payment Models - ✔✔ANSWER
✔✔-APM
American Recovery and Reinvestment Act of 2009 -
✔✔ANSWER ✔✔-ARRA
Conversion factor - ✔✔ANSWER ✔✔-CF
Centers for Medicare and Medicaid Services -
✔✔ANSWER ✔✔-CMS
, Centers for Medicare and Medicaid services - hierarchical
condition categories - ✔✔ANSWER ✔✔-CMS - HCC
Geographic Practice Cost Index - ✔✔ANSWER ✔✔-GPCI
Local Coverage Determination - ✔✔ANSWER ✔✔-LCD
Medicare Access and CHIP Reauthorization Act -
✔✔ANSWER ✔✔-MACRA
Merit-based Incentive Payment System - ✔✔ANSWER
✔✔-MIPS
Patient Protection and Affordable Care Act - ✔✔ANSWER
✔✔-PPACA
Relative Value Update Committee - ✔✔ANSWER ✔✔-
RUC
CORRECT VERIFIED ANSWERS GRADED
A+ ANSWERS
Covers inpatient hospital, care, as well as nursing
facilities, hospice, and home healthcare - ✔✔ANSWER
✔✔-Medicare part a
Madeline is a necessary physician services, outpatient
care, and other medical services - ✔✔ANSWER ✔✔-
Medicare part B
,Also called Medicare advantage, combined benefits from
Medicare, part a, part D, and sometimes part D -
✔✔ANSWER ✔✔-Medicare part C
Prescription drug program - ✔✔ANSWER ✔✔-Medicare
part D
52% physician work component, 44% practice expense,
4% resource space professional liability insurance -
✔✔ANSWER ✔✔-Resource-Based Relative Value Scale
(RBRVS)
Refers to whether a procedure or service is considered
appropriate in a given circumstance - ✔✔ANSWER ✔✔-
Medical necessity
Explain when Medicare will pay for items or services -
✔✔ANSWER ✔✔-National coverage determinations
,A standardized form that explains to the patient why
Medicare may deny the service or procedure -
✔✔ANSWER ✔✔-Advance Beneficiary Notice (ABN)
Set forth a plan outlining its priorities for the fiscal year
and beyond - ✔✔ANSWER ✔✔-OIG Work Plan
Ambulatory Payment Classification - ✔✔ANSWER ✔✔-
APC
Advanced Alternative Payment Models - ✔✔ANSWER
✔✔-APM
American Recovery and Reinvestment Act of 2009 -
✔✔ANSWER ✔✔-ARRA
Conversion factor - ✔✔ANSWER ✔✔-CF
Centers for Medicare and Medicaid Services -
✔✔ANSWER ✔✔-CMS
, Centers for Medicare and Medicaid services - hierarchical
condition categories - ✔✔ANSWER ✔✔-CMS - HCC
Geographic Practice Cost Index - ✔✔ANSWER ✔✔-GPCI
Local Coverage Determination - ✔✔ANSWER ✔✔-LCD
Medicare Access and CHIP Reauthorization Act -
✔✔ANSWER ✔✔-MACRA
Merit-based Incentive Payment System - ✔✔ANSWER
✔✔-MIPS
Patient Protection and Affordable Care Act - ✔✔ANSWER
✔✔-PPACA
Relative Value Update Committee - ✔✔ANSWER ✔✔-
RUC
