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Certified Professional Coder (CPC)
Certification Exam Questions and Correct
Answers/ Latest Update / Already Graded
Coding is ____.
Ans: 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?
Ans: Content of the medical record and by the unique rules
that governs each code set.
What are the three things that coders must master?
Ans: 1) Anatomy
2) Medical terminology
3) Must be detail-oriented
Medical coders assign a code to what?
Ans: 1) Each diagnosis
2) Service/procedure
3) Supply, using the classification system when applicable.
All rights reserved © 2025/ 2026 |
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What does the classification system determine?
Ans: 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?
Ans: 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?
Ans: 1) Health information coders
2) Medical record coders
3) Coders/abstractors
4) Coding specialist
What is MS-DRGs? What is it?
Ans: 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.
All rights reserved © 2025/ 2026 |
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EHR
Ans: Electronic Health Record
What can skilled coders become?
Ans: Consultants, educators, or medical auditors
What is the difference between hospital and physician services?
Ans: 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?
Ans: Ambulatory Payment Classification- outpatient facility
coders (physician services).
What is the coder's role in a physician's office?
Ans: Extremely important to properly reimburse and the
livelihood of the physician.
All rights reserved © 2025/ 2026 |
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What is a physician's degree of education?
Ans: 4 years of college, 4 years of medical school plus 3 to 5
years of residency.
What are mid-level providers and who?
Ans: 1) Mid-level providers are known as physician extenders.
2) Physician assistants (PA) and nurse practitioners (NP).
What are the requirements for a PA and what do they do?
Ans: 1) 26 1/2 months to complete
2) License to practice medicine with physician supervision.
A nurse practitioner must have______.
Ans: A master's degree in nursing.
Commercial carrier are considered what?
Ans: Private payers that offer both group and individual plans.
All rights reserved © 2025/ 2026 |
Certified Professional Coder (CPC)
Certification Exam Questions and Correct
Answers/ Latest Update / Already Graded
Coding is ____.
Ans: 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?
Ans: Content of the medical record and by the unique rules
that governs each code set.
What are the three things that coders must master?
Ans: 1) Anatomy
2) Medical terminology
3) Must be detail-oriented
Medical coders assign a code to what?
Ans: 1) Each diagnosis
2) Service/procedure
3) Supply, using the classification system when applicable.
All rights reserved © 2025/ 2026 |
, Page |2
What does the classification system determine?
Ans: 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?
Ans: 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?
Ans: 1) Health information coders
2) Medical record coders
3) Coders/abstractors
4) Coding specialist
What is MS-DRGs? What is it?
Ans: 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.
All rights reserved © 2025/ 2026 |
, Page |3
EHR
Ans: Electronic Health Record
What can skilled coders become?
Ans: Consultants, educators, or medical auditors
What is the difference between hospital and physician services?
Ans: 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?
Ans: Ambulatory Payment Classification- outpatient facility
coders (physician services).
What is the coder's role in a physician's office?
Ans: Extremely important to properly reimburse and the
livelihood of the physician.
All rights reserved © 2025/ 2026 |
, Page |4
What is a physician's degree of education?
Ans: 4 years of college, 4 years of medical school plus 3 to 5
years of residency.
What are mid-level providers and who?
Ans: 1) Mid-level providers are known as physician extenders.
2) Physician assistants (PA) and nurse practitioners (NP).
What are the requirements for a PA and what do they do?
Ans: 1) 26 1/2 months to complete
2) License to practice medicine with physician supervision.
A nurse practitioner must have______.
Ans: A master's degree in nursing.
Commercial carrier are considered what?
Ans: Private payers that offer both group and individual plans.
All rights reserved © 2025/ 2026 |
