AAPC CPC Exam Study Guide

AAPC CPC Exam Study Guide (Latest Update 2025 / 2026) Questions and Answers | Grade A | 100% Correct (Verified Solutions)

Question:

Who is responsible for interpreting national policies into regional polices, called LCDs?

Answer:

each MAC

(Medicare Administrative Contractor)

Question:

Whose responsibility is it to develop and implement policies, best suited to its particular circumstances, to meet HIPAA requirements.

Answer:

the entity covered by HIPAA

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Question:

Work RVUs reflect

Answer:

The relative levels of time and intensity associated with furnishing a Medicare PFS service and account for ~50% of the total payment associated with a service.

Question:

compliance plan

Answer:

a written set of instructions outlining the process for coding and submitting accurate claims, and what to do if mistakes are found.

Question:

fraud

Answer:

to purposely bill for services that were never given or to bill for a service that has a higher reimbursement than the service provided.

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Question:

AMA

Answer:

American Medical Association

Question:

The ICD-9-CM Coordination and Maintenance Committee, which is co- chaired by the

Answer:

NCHS (National Centers for Health Statistics) and the

CMS (Centers for Medicare & Medicaid Services)

Question:

Maintenance of the ICD-9-CM is performed by

Answer:

the Coordination and Maintenance Committee

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Question:

ICD-10 accommodates

Answer:

advancements in medical knowledge of disease and disease processes, where ICD-9_CM has become outdated and insufficient.

Question:

ICD-9CM is published in ___ volumes

Answer:

3

Question:

Volume 1 of the ICD-9-CM

Answer:

Tabular List: Diagnosis codes organized in order by code

Question:

Volume 2 of the ICD-9-CM

Answer:

Index to Diseases: Diagnosis codes organized in an alphabetic index

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