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COC Exam Study Guide 2025/2026

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COC Exam Study Guide 2025/2026

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COC Exam Study Guide
APC - Answer: AMBULATORY PAYMENT CLASSIFICATION



CDM - Answer: CHARGE DESCRIPTION MASTER



CMS - Answer: CENTERS FOR MEDICARE AND MEDICAID SERVICES



OPPS - Answer: OUTPATIENT PROSPECTIVE PAYMENT SYSTEM



OCE - Answer: OUTPATIENT CODE EDITOR



ACS - Answer: AMERICAN COLLEGE OF SURGEONS



ASC - Answer: AMBULATORY SURGICAL CENTER



CAH - Answer: CRITICAL ACCESS HOSPITAL



CORF - Answer: COMPREHENSIVE OUTPT REHAB FACILITY



CPT - Answer: CURRENT PROCEDURAL TERMINOLOGY



HCPCS - Answer: HEALTHCARE COMMON PROCEDURE CODING SYSTEM



AHA - Answer: AMERICAN HOSPITAL ASSOCIATION



MS-DRG - Answer: MEDICARE SEVERITY DIAGNOSIS RELATED GROUP

, COC Exam Study Guide
general supervision - Answer: physician must be immediately available; does not have to be in
the room



direct supervision - Answer: Service is under physician's control; provider must be directly
available and on campus.



personal supervision - Answer: provider must be in the room during service



Not included in APC reimbursement (may be billed out separately from hospital): (6) - Answer:
*doctor and anesthesiologist fees

*durable medical equipment (DME)

*prosthetic devices

*ambulance services

*outside lab services

*certain drugs and biologicals



DME - Answer: DURABLE MEDICAL EQUIPMENT



Residents - Answer: licensed physician, two - five years training



Fellows - Answer: physicians obtaining additional training



hard coding - Answer: coding within the charge master



OIG - Answer: OFFICE INSPECTOR GENERAL

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