Certification Exam Review for Healthcare
Coding ACTUAL QUESTIONS AND
CORRECT ANSWERS
ICD 10 - Correct answers✔✔International Classification of Disease clinical modification
CMS 1500 - Correct answers✔✔Universal paper form
CPT - Correct answers✔✔Current Procedure Terminology - 5 digit codes (medical procedures)
HCPCS - Correct answers✔✔Healthcare Common Procedure Coding System (2 levels)
AMA - Correct answers✔✔American Medical Association
Fee for service (FFS) - Correct answers✔✔A payment model where healthcare providers are
paid for each service they perform
Capitation payments - Correct answers✔✔Fixed, pre-arranged monthly payments received by a
physician, clinic, or hospital per patient enrolled in a health plan
Prospective payment system (PPS) - Correct answers✔✔A method of reimbursement in which
Medicare payment is made based on a predetermined fixed amount
SNF - Correct answers✔✔Skilled nursing facility
Coding ACTUAL QUESTIONS AND
CORRECT ANSWERS
ICD 10 - Correct answers✔✔International Classification of Disease clinical modification
CMS 1500 - Correct answers✔✔Universal paper form
CPT - Correct answers✔✔Current Procedure Terminology - 5 digit codes (medical procedures)
HCPCS - Correct answers✔✔Healthcare Common Procedure Coding System (2 levels)
AMA - Correct answers✔✔American Medical Association
Fee for service (FFS) - Correct answers✔✔A payment model where healthcare providers are
paid for each service they perform
Capitation payments - Correct answers✔✔Fixed, pre-arranged monthly payments received by a
physician, clinic, or hospital per patient enrolled in a health plan
Prospective payment system (PPS) - Correct answers✔✔A method of reimbursement in which
Medicare payment is made based on a predetermined fixed amount
SNF - Correct answers✔✔Skilled nursing facility
