Certified Professional Coder (CPC) Certification Exam
Exam Coverage
The exam coverage includes the essential knowledge and skills
required for the Certified Professional Coder (CPC) certification. It
focuses on accurate medical coding using ICD-10-CM, CPT, and
HCPCS Level II code sets, as well as medical terminology, anatomy,
and healthcare documentation. The exam also assesses understanding
of coding guidelines, modifiers, compliance and regulatory
requirements, reimbursement methodologies, and proper
interpretation of medical records to assign correct diagnostic and
procedural codes in various healthcare settings.
,Proper code assignment is determined by?
Content of the medical record and by the unique rules that governs
each code set.
What are the three things that coders must master?
1) Anatomy
2) Medical terminology
3) Must be detail-oriented
,Coding is ____.
The process of translating this written or dictated medical record into
a series of numeric or alpha-numeric codes.
Medical coders assign a code to what?
1) Each diagnosis
2) Service/procedure
3) Supply, using the classification system when applicable.
, What does the classification system determine?
The amount health care providers will be reimbursed if the patient is
covered by Medicare, Medicaid, or other insurance programs using
the system.
What does the coder evaluate the medical record for?
1) Completeness and accuracy
2) Communicate regularly with physicians and other health care
professionals to clarify DX or obtain additional PT information.
Exam Coverage
The exam coverage includes the essential knowledge and skills
required for the Certified Professional Coder (CPC) certification. It
focuses on accurate medical coding using ICD-10-CM, CPT, and
HCPCS Level II code sets, as well as medical terminology, anatomy,
and healthcare documentation. The exam also assesses understanding
of coding guidelines, modifiers, compliance and regulatory
requirements, reimbursement methodologies, and proper
interpretation of medical records to assign correct diagnostic and
procedural codes in various healthcare settings.
,Proper code assignment is determined by?
Content of the medical record and by the unique rules that governs
each code set.
What are the three things that coders must master?
1) Anatomy
2) Medical terminology
3) Must be detail-oriented
,Coding is ____.
The process of translating this written or dictated medical record into
a series of numeric or alpha-numeric codes.
Medical coders assign a code to what?
1) Each diagnosis
2) Service/procedure
3) Supply, using the classification system when applicable.
, What does the classification system determine?
The amount health care providers will be reimbursed if the patient is
covered by Medicare, Medicaid, or other insurance programs using
the system.
What does the coder evaluate the medical record for?
1) Completeness and accuracy
2) Communicate regularly with physicians and other health care
professionals to clarify DX or obtain additional PT information.
