Certified Professional Coder Certification Exam Preparation Test Bank Latest With Chapter
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
Coding is ____. - (answer)The process of translating this written or dictated medical 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 the three things that coders 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.
What does the classification system determine? - (answer)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? - (answer)1) Completeness and accuracy
2) Communicate regularly with physicians and other health care professionals to clarify DX or obtain
additional PT information.
Technicians who specialize in coding inpatient hospital services are referred to as? - (answer)1) Health
information coders
2) Medical record coders
3) Coders/abstractors
4) Coding specialist
,Certified Professional Coder Certification Exam Preparation Test Bank Latest With Chapter
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
What is MS-DRGs? What is it? - (answer)1) Medicare Severity- Diagnosis Related Groups
2) Determines the amount the hospital will be reimbursed if the patient is covered by Medicare or other
insurance groups.
EHR - (answer)Electronic Health Record
What can skilled coders become? - (answer)Consultants, educators, or medical auditors
What is the difference between hospital and physician services? - (answer)1) Outpatient
coding(physician services): Learning CPT, HCPCS, Level II, ICD-10 CM codes volumes 1 and 2.
2) Impatient coding(Hospital services): Learning CPT, IC10-CM codes Volumes 1, 2, 3 and MS-DRGs.
What is APC and who would use it? - (answer)Ambulatory Payment Classification- outpatient facility
coders (physician services).
What is the coder's role in a physician's office? - (answer)Extremely important to properly reimburse
and the livelihood of the physician.
What is a physician's degree of education? - (answer)4 years of college, 4 years of medical school plus 3
to 5 years of residency.
What are mid-level providers and who? - (answer)1) Mid-level providers are known as physician
extenders.
2) Physician assistants (PA) and nurse practitioners (NP).
,Certified Professional Coder Certification Exam Preparation Test Bank Latest With Chapter
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
What are the requirements for a PA and what do they do? - (answer)1) 26 1/2 months to complete
2) License to practice medicine with physician supervision.
A nurse practitioner must have______. - (answer)A master's degree in nursing.
Commercial carrier are considered what? - (answer)Private payers that offer both group and individual
plans.
How many payers in the most simplest form? - (answer)1) Two
2) Private insurance plans and government insurance plans.
Private payers contracts may____. - (answer)Vary but may include hospitalization, basic and major
medical coverage.
What is the most significant government insurer? - (answer)Medicare
What is Medicare? - (answer)Federal health insurance program- Administered by the Center by the
Center for Medicare & Medicaid Services (CMS).
What is CMS and what does it provide? - (answer)Center for Medicare and Medicaid Services (CMS)
provides coverage for people over the age of 65, blind, or disabled individuals, people with end-stage
renal disease.
CMS regulations often serves as______ word in coding requirement for Medicare and non-Medicare
payers alike. - (answer)Last
, Certified Professional Coder Certification Exam Preparation Test Bank Latest With Chapter
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
What are the parts of Medicare? - (answer)Medicare A
Medicare B
Medicare C
Medicare D
What is Medicare Part A? - (answer)Covers inpatient hospital care, as well as care provide in skilled
nursing facilities, hospice care, and home health care.
What is Medicare Part B? - (answer)Covered medically necessary doctors' services, outpatient care,
other medical services (including some preventative service not covered under Medicare Part A.
Medicare Part B is considered______. - (answer)An optional benefit for which the patient must pay the
premium and which generally requires a yearly copay.
Where is Medicare Part B usually used? - (answer)Physician offices (outpatient facility).
What is Medicare Part C? - (answer)Combines the benefits of Medicare Part A, Part B, and sometimes
Part D.
What is Medicare Part C also called? - (answer)Medicare Advantage
What does PPO mean? - (answer)Preferred Provider Organization
What is HMO? - (answer)Health Maintenance Organization
Which plan covers PPO and HMO? - (answer)Medicare Part C
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
Coding is ____. - (answer)The process of translating this written or dictated medical 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 the three things that coders 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.
What does the classification system determine? - (answer)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? - (answer)1) Completeness and accuracy
2) Communicate regularly with physicians and other health care professionals to clarify DX or obtain
additional PT information.
Technicians who specialize in coding inpatient hospital services are referred to as? - (answer)1) Health
information coders
2) Medical record coders
3) Coders/abstractors
4) Coding specialist
,Certified Professional Coder Certification Exam Preparation Test Bank Latest With Chapter
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
What is MS-DRGs? What is it? - (answer)1) Medicare Severity- Diagnosis Related Groups
2) Determines the amount the hospital will be reimbursed if the patient is covered by Medicare or other
insurance groups.
EHR - (answer)Electronic Health Record
What can skilled coders become? - (answer)Consultants, educators, or medical auditors
What is the difference between hospital and physician services? - (answer)1) Outpatient
coding(physician services): Learning CPT, HCPCS, Level II, ICD-10 CM codes volumes 1 and 2.
2) Impatient coding(Hospital services): Learning CPT, IC10-CM codes Volumes 1, 2, 3 and MS-DRGs.
What is APC and who would use it? - (answer)Ambulatory Payment Classification- outpatient facility
coders (physician services).
What is the coder's role in a physician's office? - (answer)Extremely important to properly reimburse
and the livelihood of the physician.
What is a physician's degree of education? - (answer)4 years of college, 4 years of medical school plus 3
to 5 years of residency.
What are mid-level providers and who? - (answer)1) Mid-level providers are known as physician
extenders.
2) Physician assistants (PA) and nurse practitioners (NP).
,Certified Professional Coder Certification Exam Preparation Test Bank Latest With Chapter
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
What are the requirements for a PA and what do they do? - (answer)1) 26 1/2 months to complete
2) License to practice medicine with physician supervision.
A nurse practitioner must have______. - (answer)A master's degree in nursing.
Commercial carrier are considered what? - (answer)Private payers that offer both group and individual
plans.
How many payers in the most simplest form? - (answer)1) Two
2) Private insurance plans and government insurance plans.
Private payers contracts may____. - (answer)Vary but may include hospitalization, basic and major
medical coverage.
What is the most significant government insurer? - (answer)Medicare
What is Medicare? - (answer)Federal health insurance program- Administered by the Center by the
Center for Medicare & Medicaid Services (CMS).
What is CMS and what does it provide? - (answer)Center for Medicare and Medicaid Services (CMS)
provides coverage for people over the age of 65, blind, or disabled individuals, people with end-stage
renal disease.
CMS regulations often serves as______ word in coding requirement for Medicare and non-Medicare
payers alike. - (answer)Last
, Certified Professional Coder Certification Exam Preparation Test Bank Latest With Chapter
Review Questions and Correct Answers with Rationales | AAPC CPC Exam 2025 Prep Test
bank (new!)
What are the parts of Medicare? - (answer)Medicare A
Medicare B
Medicare C
Medicare D
What is Medicare Part A? - (answer)Covers inpatient hospital care, as well as care provide in skilled
nursing facilities, hospice care, and home health care.
What is Medicare Part B? - (answer)Covered medically necessary doctors' services, outpatient care,
other medical services (including some preventative service not covered under Medicare Part A.
Medicare Part B is considered______. - (answer)An optional benefit for which the patient must pay the
premium and which generally requires a yearly copay.
Where is Medicare Part B usually used? - (answer)Physician offices (outpatient facility).
What is Medicare Part C? - (answer)Combines the benefits of Medicare Part A, Part B, and sometimes
Part D.
What is Medicare Part C also called? - (answer)Medicare Advantage
What does PPO mean? - (answer)Preferred Provider Organization
What is HMO? - (answer)Health Maintenance Organization
Which plan covers PPO and HMO? - (answer)Medicare Part C
