CPC Compliance and Regulatory Practice Questions
3 of 100 questions on the CPC exam, in AAPC’s content breakdown
100 questions across all eighteen areas in 4 hours, with a score for Compliance so you know where you stand.
Free Compliance drillWhen must an Advance Beneficiary Notice be given to an Original Medicare patient for it to be valid?
Compliance and Regulatory on the CPC
Compliance and regulatory is 3 of the 100 questions on the CPC exam. AAPC lists Medicare Parts A, B, C and D, applying coding to payment policy, place of service, fraud and abuse, NCCI edits, NCDs and LCDs, HIPAA, ABNs and RVUs.
- Share of the exam
- 3 of 100 questions, as AAPC lists them
- Our drill
- 10 questions from 20 Compliance questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass
What Compliance questions test
- What each part of Medicare covers, and Medicare Advantage
- Place of service codes for office, hospital, ambulatory surgical center and telehealth
- Fraud and abuse: the False Claims Act, Anti-Kickback Statute and Stark Law, upcoding and unbundling
- NCCI procedure-to-procedure edits, modifier indicators and medically unlikely edits
- ABNs and the GA, GZ and GY modifiers; NCDs and LCDs; HIPAA privacy and code set rules; RVU components
Sit the full exam under the real clock
100 questions across all eighteen areas in 4 hours, with a score for Compliance so you know where you stand.
Free Compliance drillHow to study it
- Learn the difference between the Anti-Kickback Statute (payment for referrals) and the Stark Law (self-referral).
- Learn the NCCI modifier indicators: 0 never bypassed, 1 bypassed with a supported modifier, 9 not applicable.
- Learn when an ABN must be given (before the service) and which modifier shows it is on file.
- Take the compliance drill until you score 80% or better.
Common questions
How many compliance questions are on the CPC exam?
AAPC lists 3 compliance and regulatory questions out of 100.
Are compliance rules in the code books?
Some are. NCCI and place of service codes appear in many CPT and HCPCS editions, but laws such as Stark and HIPAA are not, so learn them before the exam.
100 questions across all eighteen areas in 4 hours, with a score for Compliance so you know where you stand.
Free Compliance drillThe other CPC areas
- Medical Terminology
- Anatomy
- Coding Guidelines
- ICD-10-CM
- HCPCS Level II
- CPT 10000 Series: Integumentary System
- CPT 20000 Series: Musculoskeletal System
- CPT 30000 Series: Respiratory, Cardiovascular, Hemic and Lymphatic, Mediastinum and Diaphragm
- CPT 40000 Series: Digestive System
- CPT 50000 Series: Urinary, Male and Female Reproductive, Maternity and Delivery
- CPT 60000 Series: Nervous System
- Radiology
- Pathology and Laboratory
- Medicine
- Evaluation and Management (E/M)
- Anesthesia
- Cases (Medical Record Coding)
- CPC practice exam (100 questions, 4 hours)
- Mixed drill: all eighteen areas
- CPC practice test: exam facts and every area
Sources
- AAPC: Taking the CPC exam (format, time, passing score, approved books, questions per area)
- AAPC: CPC certification (what the credential covers, CEU requirement)
- AAPC: How much does the exam cost?
- AAPC: What is the Apprentice status?
- AAPC: Why is there an annual exam blackout period?
- AAPC Exam Agreement (annual January 1 update, exam rules)
- CMS: ICD-10-CM code files and Official Guidelines for Coding and Reporting
- CMS: HCPCS Level II quarterly code files
- CMS: National Correct Coding Initiative (NCCI) edits and policy manual
Original practice questions written to AAPC’s published CPC content areas; they are not AAPC exam or practice exam questions. CPT codes are cited by number only, and their descriptions are in the AMA’s CPT Professional Edition. Independent practice, not affiliated with or endorsed by AAPC or the American Medical Association. CPC is a registered trademark of AAPC. CPT is a registered trademark of the American Medical Association.