Medical Coding and Reimbursement
Study Guide, Test 1 with verified
answers to pass
What is medical coding? - correct answer ✔✔medical coding is the assignment of numerical
and alphanumerical codes to represent the diagnoses and procedures provided to patient
during an episode of care.
Why are medical codes used? - correct answer ✔✔medical codes are placed on a billing form
and sent to the insurance company to determine what was done to the patient, why it was done
and how much they are willing to pay the care provider. they are also used in databases for
medical research, strategic and institutional planning, medical educators, quality review,
accreditation review and reporting requirements.
How many different types of coding systems are there? - correct answer ✔✔3
What are the three different coding systems? - correct answer ✔✔1. ICD-10
2. CPT
3. HCPCS
Which coding system has two parts and what are its two parts? - correct answer ✔✔ICD-10 has
two different parts:
ICD-10-CM and IDC-10-PCS
What is the difference between ICD-10 CM and ICD-10-PCS? - correct answer ✔✔ICD-10-CM
codes diagnoses
ICD-10-PCS codes procedures and services provided by a hospital provider to inpatients
, What coding system always has to be on all patient health encounter data? - correct answer
✔✔ICD-10-CM
What is the CPT coding system? - correct answer ✔✔The coding system (also known as current
procedural terminology) codes procedures and services provided by a hospital provider to
outpatients. It only contains general supply codes.
What is the HCPCS coding system? - correct answer ✔✔The coding system (also known as
National Codes) is used to identify services, supplies and procedures not included in CPT. It was
published by the centers of Medicare and Medicaid.
For coding procedures, which coding system would you use if the patient was an outpatient? -
correct answer ✔✔CPT
For coding procedures, which coding system would you use if the patient was an inpatient in a
hospital setting? - correct answer ✔✔ICD-10-PCS
For coding procedures, which coding system would you use if the patient was an inpatient in a
physician setting? - correct answer ✔✔CPT
What are the four different coding certifications? - correct answer ✔✔1. Certified Coding
Associate (CCA)
2. Certified Coding Specialist (CCS)
3. Certified Coding Specialist- Physician Based (CCS-P)
4. Certified Professional Coder (CPC)
What is considered a primary source in the medical field? - correct answer ✔✔patients health
record
Study Guide, Test 1 with verified
answers to pass
What is medical coding? - correct answer ✔✔medical coding is the assignment of numerical
and alphanumerical codes to represent the diagnoses and procedures provided to patient
during an episode of care.
Why are medical codes used? - correct answer ✔✔medical codes are placed on a billing form
and sent to the insurance company to determine what was done to the patient, why it was done
and how much they are willing to pay the care provider. they are also used in databases for
medical research, strategic and institutional planning, medical educators, quality review,
accreditation review and reporting requirements.
How many different types of coding systems are there? - correct answer ✔✔3
What are the three different coding systems? - correct answer ✔✔1. ICD-10
2. CPT
3. HCPCS
Which coding system has two parts and what are its two parts? - correct answer ✔✔ICD-10 has
two different parts:
ICD-10-CM and IDC-10-PCS
What is the difference between ICD-10 CM and ICD-10-PCS? - correct answer ✔✔ICD-10-CM
codes diagnoses
ICD-10-PCS codes procedures and services provided by a hospital provider to inpatients
, What coding system always has to be on all patient health encounter data? - correct answer
✔✔ICD-10-CM
What is the CPT coding system? - correct answer ✔✔The coding system (also known as current
procedural terminology) codes procedures and services provided by a hospital provider to
outpatients. It only contains general supply codes.
What is the HCPCS coding system? - correct answer ✔✔The coding system (also known as
National Codes) is used to identify services, supplies and procedures not included in CPT. It was
published by the centers of Medicare and Medicaid.
For coding procedures, which coding system would you use if the patient was an outpatient? -
correct answer ✔✔CPT
For coding procedures, which coding system would you use if the patient was an inpatient in a
hospital setting? - correct answer ✔✔ICD-10-PCS
For coding procedures, which coding system would you use if the patient was an inpatient in a
physician setting? - correct answer ✔✔CPT
What are the four different coding certifications? - correct answer ✔✔1. Certified Coding
Associate (CCA)
2. Certified Coding Specialist (CCS)
3. Certified Coding Specialist- Physician Based (CCS-P)
4. Certified Professional Coder (CPC)
What is considered a primary source in the medical field? - correct answer ✔✔patients health
record
