CPC EXAM 2026 Questions and Answers
Medicare part a - Correct Answer-Covers inpatient hospital, care, as well as
nursing facilities, hospice, and home healthcare
Medicare part B - Correct Answer-Madeline is a necessary physician services,
outpatient care, and other medical services
Medicare part C - Correct Answer-Also called Medicare advantage, combined
benefits from Medicare, part a, part D, and sometimes part D
Medicare part D - Correct Answer-Prescription drug program
Resource-Based Relative Value Scale (RBRVS) - Correct Answer-52% physician
work component, 44% practice expense, 4% resource space professional liability
insurance
Medical necessity - Correct Answer-Refers to whether a procedure or service is
considered appropriate in a given circumstance
National coverage determinations - Correct Answer-Explain when Medicare will
pay for items or services
©COPYRIGHT2025, ALL RIGHTS RESERVED 1
,Advance Beneficiary Notice (ABN) - Correct Answer-A standardized form that
explains to the patient why Medicare may deny the service or procedure
OIG Work Plan - Correct Answer-Set forth a plan outlining its priorities for the
fiscal year and beyond
APC - Correct Answer-Ambulatory Payment Classification
APM - Correct Answer-Advanced Alternative Payment Models
ARRA - Correct Answer-American Recovery and Reinvestment Act of 2009
CF - Correct Answer-Conversion factor
CMS - Correct Answer-Centers for Medicare and Medicaid Services
CMS - HCC - Correct Answer-Centers for Medicare and Medicaid services -
hierarchical condition categories
GPCI - Correct Answer-Geographic Practice Cost Index
LCD - Correct Answer-Local Coverage Determination
MACRA - Correct Answer-Medicare Access and CHIP Reauthorization Act
MIPS - Correct Answer-Merit-based Incentive Payment System
PPACA - Correct Answer-Patient Protection and Affordable Care Act
RUC - Correct Answer-Relative Value Update Committee
©COPYRIGHT2025, ALL RIGHTS RESERVED 2
, RVU - Correct Answer-Relative Value Unit
RBRVS - Correct Answer-Resource Based Relative Value Scale
Anterior (ventral) - Correct Answer-front of the body
Posterior (dorsal) - Correct Answer-back of body
Medial - Correct Answer-toward the midline
Lateral - Correct Answer-away from the midline
Proximal - Correct Answer-Closer to the point of attachment
Distal - Correct Answer-away from the point of attachment
Superior - Correct Answer-Higher on the body, nearer to the head
inferior - Correct Answer-Lower on the body, farther from the head
Superficial - Correct Answer-near the surface
Deep (internal) - Correct Answer-Away from the body surface; more internal
Sagittal - Correct Answer-A plane that divides the body into right and left portions.
frontal plane - Correct Answer-Divides the body into front and back portions.
Transverse - Correct Answer-Divides body into upper and lower parts
©COPYRIGHT2025, ALL RIGHTS RESERVED 3
Medicare part a - Correct Answer-Covers inpatient hospital, care, as well as
nursing facilities, hospice, and home healthcare
Medicare part B - Correct Answer-Madeline is a necessary physician services,
outpatient care, and other medical services
Medicare part C - Correct Answer-Also called Medicare advantage, combined
benefits from Medicare, part a, part D, and sometimes part D
Medicare part D - Correct Answer-Prescription drug program
Resource-Based Relative Value Scale (RBRVS) - Correct Answer-52% physician
work component, 44% practice expense, 4% resource space professional liability
insurance
Medical necessity - Correct Answer-Refers to whether a procedure or service is
considered appropriate in a given circumstance
National coverage determinations - Correct Answer-Explain when Medicare will
pay for items or services
©COPYRIGHT2025, ALL RIGHTS RESERVED 1
,Advance Beneficiary Notice (ABN) - Correct Answer-A standardized form that
explains to the patient why Medicare may deny the service or procedure
OIG Work Plan - Correct Answer-Set forth a plan outlining its priorities for the
fiscal year and beyond
APC - Correct Answer-Ambulatory Payment Classification
APM - Correct Answer-Advanced Alternative Payment Models
ARRA - Correct Answer-American Recovery and Reinvestment Act of 2009
CF - Correct Answer-Conversion factor
CMS - Correct Answer-Centers for Medicare and Medicaid Services
CMS - HCC - Correct Answer-Centers for Medicare and Medicaid services -
hierarchical condition categories
GPCI - Correct Answer-Geographic Practice Cost Index
LCD - Correct Answer-Local Coverage Determination
MACRA - Correct Answer-Medicare Access and CHIP Reauthorization Act
MIPS - Correct Answer-Merit-based Incentive Payment System
PPACA - Correct Answer-Patient Protection and Affordable Care Act
RUC - Correct Answer-Relative Value Update Committee
©COPYRIGHT2025, ALL RIGHTS RESERVED 2
, RVU - Correct Answer-Relative Value Unit
RBRVS - Correct Answer-Resource Based Relative Value Scale
Anterior (ventral) - Correct Answer-front of the body
Posterior (dorsal) - Correct Answer-back of body
Medial - Correct Answer-toward the midline
Lateral - Correct Answer-away from the midline
Proximal - Correct Answer-Closer to the point of attachment
Distal - Correct Answer-away from the point of attachment
Superior - Correct Answer-Higher on the body, nearer to the head
inferior - Correct Answer-Lower on the body, farther from the head
Superficial - Correct Answer-near the surface
Deep (internal) - Correct Answer-Away from the body surface; more internal
Sagittal - Correct Answer-A plane that divides the body into right and left portions.
frontal plane - Correct Answer-Divides the body into front and back portions.
Transverse - Correct Answer-Divides body into upper and lower parts
©COPYRIGHT2025, ALL RIGHTS RESERVED 3
