, Solution and Answer Guide: Green, 3-2-1 Code It!, 14e, 2026, 9798214481968;
Chapter 1: Overview of Coding
Solution and Answer Guide
GREEN, 3-2-1 CODE IT!, 14E, 2026, 9798214481968;
CHAPTER 1: OVERVIEW OF CODING
TABLE OF CONTENTS
Exercises ............................................................................................................................................1
Exercise 1.1: Career as a Coder ................................................................................................................. 1
Exercise 1.2: Professional Associations..................................................................................................... 2
Exercise 1.3: Coding Systems and Processes ............................................................................................ 3
Exercise 1.4: Other Classification Systems and Databases ....................................................................... 5
Exercise 1.5: Documentation as Basis for Coding ..................................................................................... 6
Exercise 1.6: Health Data Collection ......................................................................................................... 8
Review ..............................................................................................................................................9
Multiple Choice ......................................................................................................................................... 9
EXERCISES
EXERCISE 1.1: CAREER AS A CODER
1. A coder is required to have a working knowledge of the CPT, HCPCS Level II, ICD-10-CM, and __________
coding systems.
Answer: ICD-10-PCS
Analysis: A coder must have a working knowledge of the CPT, HCPCS Level II, ICD-10-CM, and ICD-10-PCS
coding systems.
2. The complexity and intensity of procedures performed and services provided during an outpatient or
physician office encounter are captured as part of __________ coding.
Answer: professional
Analysis: The complexity and intensity of procedures performed and services provided during an outpatient
or physician office encounter are captured as part of professional coding.
3. The intensity of services and severity of illness associated with inpatient care are captured as part of
__________ (or facility) coding.
Answer: institutional
© 2027 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It!, 14e, 2026, 9798214481968;
Chapter 1: Overview of Coding
Analysis: The intensity of services and severity of illness associated with inpatient care are captured as part
of institutional (or facility) coding.
4. When a multi-hospital system provides physician office services along with traditional inpatient,
outpatient, and emergency department hospital care, the concept of __________ coding is adopted to
facilitate professional and institutional billing.
Answer: single-path
Analysis: When a multi-hospital system provides physician office services along with traditional inpatient,
outpatient, and emergency department hospital care, the concept of single-path coding is adopted to
facilitate professional and institutional billing.
5. A professional who reviews health-related claims to determine whether the costs are reasonable and
medically necessary based on the patient’s diagnosis reported for procedures performed and services
provided is called a health _______ specialist (or claims examiner).
Answer: insurance
Analysis: A health insurance specialist (or claims examiner) reviews health-related claims to determine
whether the costs are reasonable and medically necessary based on the patient’s diagnosis reported for
procedures performed and services provided. This role is closely related to that of a coder.
EXERCISE 1.2: PROFESSIONAL ASSOCIATIONS
1. Reduced certification exam fees and website access for members only are common benefits of a(n)
__________ association.
Answer: professional
Analysis: Reduced certification exam fees and website access for members only are common benefits of a
professional association.
2. Attending professional association conferences and meetings provides opportunities to __________ (or
interact) with other professionals, which can facilitate internship or job placement.
Answer: network
Analysis: Attending professional association conferences and meetings provides opportunities to network
(or interact) with other professionals, which can facilitate internship or job placement.
3. A medical assistant usually joins the American Medical Technologists (AMT) or the __________.
Answer: American Association of Medical Assistants (AAMA)
Analysis: A medical assistant usually joins the American Medical Technologists (AMT) or the American
Association of Medical Assistants (AAMA).
4. An Internet-based discussion forum that covers a variety of professional topics and issues is called an
online discussion board or _______.
Answer: forum
Analysis: An Internet-based discussion forum that covers a variety of professional topics and issues is
called an online discussion board or forum.
© 2027 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It!, 14e, 2026, 9798214481968;
Chapter 1: Overview of Coding
5. A coder usually joins either the American Health Information Management Association (AHIMA) or the
__________.
Answer: AAPC
Analysis: A coder usually joins either the American Health Information Management Association (AHIMA)
or the AAPC. (The AAPC was founded as the American Academy of Professional Coders and uses just the
abbreviation today.)
EXERCISE 1.3: CODING SYSTEMS AND PROCESSES
1. A medical nomenclature that is organized according to similar conditions, diseases, procedures, and
services, and contains codes for each, is called a __________ (or classification) system.
Answer: coding
Analysis: A medical nomenclature that is organized according to similar conditions, diseases, procedures,
and services, and contains codes for each, is called a coding (or classification) system.
2. All diseases, injuries, and reasons for an encounter, whether patients are treated as inpatients or
outpatients, are coded using the __________ classification system.
Answer: ICD-10-CM
Analysis: All diseases, injuries, and reasons for an encounter, whether patients are treated as inpatients or
outpatients, are coded using the ICD-10-CM classification system.
3. Inpatient hospital procedures and services are coded using the __________ classification system.
Answer: ICD-10-PCS
Analysis: Inpatient hospital procedures and services are coded using the ICD-10-PCS classification system.
4. A public or private entity that processes or facilitates the processing of health information and claims
from a nonstandard to a standard format is called a health care __________.
Answer: clearinghouse
Analysis: A public or private entity that processes or facilitates the processing of health information and
claims from a nonstandard format to a standard format is called a health care clearinghouse.
5. Routinely assigning lower-level CPT codes for convenience instead of reviewing patient record
documentation and the coding manual to determine the proper code to be reported is called
__________.
Answer: downcoding
Analysis: Routinely assigning lower-level CPT codes as a convenience instead of reviewing patient record
documentation and the coding manual to determine the proper code to be reported is called downcoding.
6. Reporting codes that are not supported by documentation in the patient record for the purpose of
increasing reimbursement is called __________.
Answer: upcoding
© 2027 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 3
website, in whole or in part.
Chapter 1: Overview of Coding
Solution and Answer Guide
GREEN, 3-2-1 CODE IT!, 14E, 2026, 9798214481968;
CHAPTER 1: OVERVIEW OF CODING
TABLE OF CONTENTS
Exercises ............................................................................................................................................1
Exercise 1.1: Career as a Coder ................................................................................................................. 1
Exercise 1.2: Professional Associations..................................................................................................... 2
Exercise 1.3: Coding Systems and Processes ............................................................................................ 3
Exercise 1.4: Other Classification Systems and Databases ....................................................................... 5
Exercise 1.5: Documentation as Basis for Coding ..................................................................................... 6
Exercise 1.6: Health Data Collection ......................................................................................................... 8
Review ..............................................................................................................................................9
Multiple Choice ......................................................................................................................................... 9
EXERCISES
EXERCISE 1.1: CAREER AS A CODER
1. A coder is required to have a working knowledge of the CPT, HCPCS Level II, ICD-10-CM, and __________
coding systems.
Answer: ICD-10-PCS
Analysis: A coder must have a working knowledge of the CPT, HCPCS Level II, ICD-10-CM, and ICD-10-PCS
coding systems.
2. The complexity and intensity of procedures performed and services provided during an outpatient or
physician office encounter are captured as part of __________ coding.
Answer: professional
Analysis: The complexity and intensity of procedures performed and services provided during an outpatient
or physician office encounter are captured as part of professional coding.
3. The intensity of services and severity of illness associated with inpatient care are captured as part of
__________ (or facility) coding.
Answer: institutional
© 2027 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 1
website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It!, 14e, 2026, 9798214481968;
Chapter 1: Overview of Coding
Analysis: The intensity of services and severity of illness associated with inpatient care are captured as part
of institutional (or facility) coding.
4. When a multi-hospital system provides physician office services along with traditional inpatient,
outpatient, and emergency department hospital care, the concept of __________ coding is adopted to
facilitate professional and institutional billing.
Answer: single-path
Analysis: When a multi-hospital system provides physician office services along with traditional inpatient,
outpatient, and emergency department hospital care, the concept of single-path coding is adopted to
facilitate professional and institutional billing.
5. A professional who reviews health-related claims to determine whether the costs are reasonable and
medically necessary based on the patient’s diagnosis reported for procedures performed and services
provided is called a health _______ specialist (or claims examiner).
Answer: insurance
Analysis: A health insurance specialist (or claims examiner) reviews health-related claims to determine
whether the costs are reasonable and medically necessary based on the patient’s diagnosis reported for
procedures performed and services provided. This role is closely related to that of a coder.
EXERCISE 1.2: PROFESSIONAL ASSOCIATIONS
1. Reduced certification exam fees and website access for members only are common benefits of a(n)
__________ association.
Answer: professional
Analysis: Reduced certification exam fees and website access for members only are common benefits of a
professional association.
2. Attending professional association conferences and meetings provides opportunities to __________ (or
interact) with other professionals, which can facilitate internship or job placement.
Answer: network
Analysis: Attending professional association conferences and meetings provides opportunities to network
(or interact) with other professionals, which can facilitate internship or job placement.
3. A medical assistant usually joins the American Medical Technologists (AMT) or the __________.
Answer: American Association of Medical Assistants (AAMA)
Analysis: A medical assistant usually joins the American Medical Technologists (AMT) or the American
Association of Medical Assistants (AAMA).
4. An Internet-based discussion forum that covers a variety of professional topics and issues is called an
online discussion board or _______.
Answer: forum
Analysis: An Internet-based discussion forum that covers a variety of professional topics and issues is
called an online discussion board or forum.
© 2027 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 2
website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It!, 14e, 2026, 9798214481968;
Chapter 1: Overview of Coding
5. A coder usually joins either the American Health Information Management Association (AHIMA) or the
__________.
Answer: AAPC
Analysis: A coder usually joins either the American Health Information Management Association (AHIMA)
or the AAPC. (The AAPC was founded as the American Academy of Professional Coders and uses just the
abbreviation today.)
EXERCISE 1.3: CODING SYSTEMS AND PROCESSES
1. A medical nomenclature that is organized according to similar conditions, diseases, procedures, and
services, and contains codes for each, is called a __________ (or classification) system.
Answer: coding
Analysis: A medical nomenclature that is organized according to similar conditions, diseases, procedures,
and services, and contains codes for each, is called a coding (or classification) system.
2. All diseases, injuries, and reasons for an encounter, whether patients are treated as inpatients or
outpatients, are coded using the __________ classification system.
Answer: ICD-10-CM
Analysis: All diseases, injuries, and reasons for an encounter, whether patients are treated as inpatients or
outpatients, are coded using the ICD-10-CM classification system.
3. Inpatient hospital procedures and services are coded using the __________ classification system.
Answer: ICD-10-PCS
Analysis: Inpatient hospital procedures and services are coded using the ICD-10-PCS classification system.
4. A public or private entity that processes or facilitates the processing of health information and claims
from a nonstandard to a standard format is called a health care __________.
Answer: clearinghouse
Analysis: A public or private entity that processes or facilitates the processing of health information and
claims from a nonstandard format to a standard format is called a health care clearinghouse.
5. Routinely assigning lower-level CPT codes for convenience instead of reviewing patient record
documentation and the coding manual to determine the proper code to be reported is called
__________.
Answer: downcoding
Analysis: Routinely assigning lower-level CPT codes as a convenience instead of reviewing patient record
documentation and the coding manual to determine the proper code to be reported is called downcoding.
6. Reporting codes that are not supported by documentation in the patient record for the purpose of
increasing reimbursement is called __________.
Answer: upcoding
© 2027 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible 3
website, in whole or in part.
