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Medical Coding & Billing Certification Exam 2025: CPC Practice Test & Study Guide

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Pass your Medical Coding and Billing certification (CPC, CCS). Get a 2025 practice test and study guide with questions on ICD-10, CPT, HCPCS, and reimbursement methodologies.

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MEDICAL CODING AND BILLING CERTIFICATION
(MCBC) EXAM LATEST WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ 100% GUARANTEED
PASS!




Chief Complaint (element 1 of history) - .....ANSWER
...✔✔ History of present illness,
Review symptom,
Past, Family, and Social history


History Levels (Element 2 of history) and Examination
Levels (Element 3 of History) - .....ANSWER ...✔✔
Problem focused,
expanded problem focused,
detailed,
Comprehensive


Medical Decision Making Complexity Levels (element 4
of history) - .....ANSWER ...✔✔ Straightforward,
Low,

,2|Page



Moderate,
High


straightforward - .....ANSWER ...✔✔ Minimal
diagnosis
Minimal risk
Minimal complexity of data


Low - .....ANSWER ...✔✔ Limited diagnosis
Limited/low risk to patient
Limited data


Moderate - .....ANSWER ...✔✔ Multiple diagnosis
Moderate risk to patient
Moderate amount and complexity of data


high - .....ANSWER ...✔✔ Extensive diagnosis
high risk to patient
extensive amount and complexity of data

,3|Page



truncated coding (error in coding) - .....ANSWER
...✔✔ using diagnosis codes that are not as specific
as possible


assumption coding (fraudulent coding) - .....ANSWER
...✔✔ reporting items of services that are not actually
documented


errors of the coding process - .....ANSWER ...✔✔ -
altering documentation after services are reported
-coding without documentation
-reporting services provided by unlicensed or
unqualified clinical personnel
-coding a unilateral service twice instead of choosing the
bilateral
-not satisfying the condition of coverage for a particular
service
-codes that report more than one diagnosis with one
code is a combination code


Unbundling codes - .....ANSWER ...✔✔ when multiple
codes are used to code a procedure when a single code
should be used

, 4|Page



Upcoding - .....ANSWER ...✔✔ using a procedural
code that provides a higher reimbursement rate than the
correct code


Downcoding - .....ANSWER ...✔✔ the document does
not justify the level of service


Most common billing errors - .....ANSWER ...✔✔
Billing non-covered services
Billing over limit services
Upcoding
Downcoding
Billing without signatures
Using outdated codes


External Audits
Internal Audits
Retrospective audits - .....ANSWER ...✔✔ Types of
Audits done to avoid billing and coding errors


External Audits - .....ANSWER ...✔✔ a private payer
or government investigator's review of selected records
of a practice for compliance

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