Certified Professional Coder Certification
Exam Preparation Test Bank Latest With
Chapter Review Questions and Correct
Answers with Rationales Exam 2025 Prep
Test bank (new!)
Coding is ......answer.....the process of translating this written or
dictated fmedical record into a series of numeric or alpha-numeric
codes
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
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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
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.
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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
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
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2. Inpatient coding (Hospital services)- Learning CPT, ICD-9 CM
codes Volumes 1,2,3 and MS-DRGS
What is APC and who uses it ......answer.....Ambulatory Payment
Classification- outpatient facility coders (physician services
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.
What is a mid-level providers and who ......answer.....1. Mid-level
providers are know as physician extenders
2. Physician assistants (PA) and Nurse Practitioners (NP)
What are the requirement for a PA and what ......answer.....1. 26 1/2
month to complete