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Which HIPAA rule applies to Protected Health Information (PHI) in all forms (oral, paper, and electronic), and which specifically governs electronic Protected Health Information (ePHI)?
Under the Privacy Rule, a coder is reviewing a chart for a worker's compensation claim. What standard dictates that only the information relevant to the claim should be disclosed?
A patient requests a copy of their medical records. Under the HIPAA Privacy Rule, what is the maximum timeframe a covered entity has to provide this access?
Does the HIPAA Security Rule require a specific type of encryption technology for all ePHI stored on a coder's laptop?
A clinic implements a policy requiring all computer monitors to be positioned away from public view. This is an example of which type of safeguard under the Security Rule?
A coding consultant (Business Associate) accidentally sends ePHI to the wrong client. Under current HIPAA standards, who is primarily responsible for notifying the Department of Health and Human Services (HHS)?
A covered entity discovers a breach affecting 501 individuals. According to the Breach Notification Rule, what is the deadline for notifying the Secretary of HHS and the media?
In the context of the HIPAA Security Rule, differentiate between \Required\ and \Addressable\ implementation specifications.
A provider discusses a patient's diagnosis with a specialist for a referral without a specific signed authorization. Does this violate the HIPAA Privacy Rule?
An IT contractor performs a vulnerability scan on a hospital's server. Which specific safeguard category of the Security Rule requires the implementation of \Audit Controls\?
A medical coder is reviewing a chart for an encounter and accesses the patient's entire history, including unrelated psychiatric notes, to ensure complete coding. Does this violate HIPAA?
Under the HIPAA Privacy Rule, which of the following scenarios allows for the disclosure of PHI WITHOUT a patient's written authorization?
To de-identify a patient record under the HIPAA Safe Harbor method, how many specific identifiers must be removed?
A third-party company is hired by a clinic to provide medical coding and auditing services. Under HIPAA, what must be in place before they can access PHI?
A patient requests to see their medical record but the provider believes certain notes might be harmful to the patient's mental health. Can the provider deny access?
A clinic discovers a breach of unsecured PHI affecting 550 patients. According to the HITECH Act, what is the maximum timeframe for notifying the Department of Health and Human Services (HHS)?
A coder accidentally leaves a printed claim form containing PHI on a shared printer for 10 minutes. Another employee sees it but does not read it. Is this a HIPAA violation?
The 21st Century Cures Act introduced regulations regarding Information Blocking. How does this affect a coder's handling of PHI requests?
A medical office receives a subpoena for a patient's records signed by an attorney. No court order or patient authorization is attached. What is the correct HIPAA-compliant response?
A pharmaceutical company offers a clinic a per-transfer fee to provide a list of patients with asthma for a new inhaler marketing campaign. Is this permitted?
Under the False Claims Act (FCA), which level of intent is required for a provider to be held liable for submitting incorrect claims to Medicare?
A medical coder files a lawsuit on behalf of the federal government regarding a systemic upcoding scheme at a hospital. What is the legal term for this type of whistleblower provision?
A practice identifies a Medicare overpayment of $50,000. Under the 60-day rule, what happens if they fail to return the funds within 60 days of identification?
What are the primary financial penalties mandated for a violation of the False Claims Act, excluding the per-claim civil monetary penalty?
A billing company knowingly submits claims for Incident To services that do not meet physician supervision requirements. Who can be held liable under the FCA?
How does a violation of the Anti-Kickback Statute (AKS) impact a provider's liability under the False Claims Act (FCA)?
In the context of the FCA, what does the Materiality standard (as clarified by the Supreme Court in the Escobar case) require for a claim to be fraudulent?
A coder is terminated after reporting fraudulent Medicare billing to the OIG. Under FCA Section 3730(h), what specific financial remedy is provided for back pay?
A physician group is audited and told their E/M leveling is consistently too high. They ignore the audit and continue the same patterns. Which FCA knowledge standard is most likely met?
Which of the following scenarios best illustrates a Reverse False Claim under the LATEST FCA guidelines?
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I know exactly how overwhelming the preparation for the Cpc exam can feel. When I talk to colleagues starting this process, the sheer volume of code sets, guidelines, and regulatory details often feels like a mountain that is too high to climb. You are likely balancing your current workload with the need to memorize thousands of details, and it is completely normal to feel a bit anxious about where to begin. That is why I always suggest starting small and building momentum, rather than trying to tackle everything at once. In my experience helping professionals prepare for certification, I have found that breaking down the material into manageable pieces is the key to retention. This collection includes 1,041 flashcards in total, but I want you to start with these 30 free practice questions to get a feel for the material without any pressure. We cover the essential pillars you will see on exam day, including coding guidelines, RBRVS, medical terminology, and the specific anatomy and pathology knowledge required for accurate coding. When you go through this free preview, I encourage you to treat it like a diagnostic check-in. Do not worry if you get some wrong right now. Use these questions to identify where your current strengths lie. Perhaps you are solid on anatomy but need a refresher on regulations or management. These cards are designed to test your recall on specific procedures, pharmacology, and evaluation and management data, giving you a clear picture of where to focus your energy moving forward. The reason I advocate for this flashcard approach is that it utilizes active recall. Instead of passively reading through heavy coding manuals, you are forcing your brain to retrieve information, which creates stronger neural pathways. It is the same principle we use in clinical practice—learning by doing and recalling. Whether you are reviewing a card on diagnostics or medicine, the act of self-testing is one of the most effective ways to ensure the information sticks when you are under the time constraints of the actual exam. Take a deep breath and give these first 30 cards a try. You have already done the hard work of committing to this goal, and that is the most important step. I am rooting for you to succeed, and I hope this resource gives you the clarity and confidence to move forward with your studies.
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