CERTIFIED PROFESSIONAL CODER
CERTIFICATION EXAM PREP TEST BANK 2025
PREP TEST BANK
What is the coder role in a physician's office
......answer.....Extremely important to proper
reimbursement and the livelihood of the physican
What is a physican degree of education ......answer.....4
years of college, 4 years of medical school plus 3 to 5
years of residency.
Coding is ......answer.....the process of translating this
written or dictated fmedical record into a series of
numeric or alpha-numeric codes
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Proper code assignment is determined by
......answer.....content of the medical record and by the
unique rules that governs each code set
what are 3 things that Coder must master ......answer.....1.
anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what ......answer.....1. Each
diagnosis
2. service/procedure
3. Supply, using the classification system when applicable
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The classification system determines what
......answer.....the amount health care providers will be
reimbursed if the patient is covered by Medicare,
Medicaid, or other insurance programs using the system
A coder must evaluate the medical record for
......answer.....1. completeness and accuracy
2. communicate regularly with physicians and othe health
care professional to clarify DX or obtain additonal PT info.
Techicians who speciallize in coding inpatient hospital
services are referred as ......answer.....1. Health
information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
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What is MS-DRGs and what is it ......answer.....1. Medicare
Severity-
Diagnosis Related Groups
2. Determines the amt the hospital will be reimbursed if
the PT is covered by Medicare or other insurance
programs
What is EHR ......answer.....Electronic health record
Skill coders may become ......answer.....consulatants,
educators or medical auditors
What is the difference between Hospital and Physican
Services
......answer.....1. Outpatient coding (physician services)-
learning
CPT, HCPCS, LEVEL II, ICD-9 CM codes Volume 1 and 2