Solution and Answer Guide: Green, 3-2-1 Code It! 2024, 9780357932209; Chapter 1: Overview of Coding
Solution and Answer Guide
GREEN, 3-2-1 CODE IT! 2024, 9780357932209; CHAPTER 1: OVERVIEW OF CODING
TABLE OF CONTENTS
Exercises................................................................................................................................1
Exercise 1.1: Career as a Coder ..................................................................................................1
TU
Exercise 1.2: Professional Associations...................................................................................2
Exercise 1.3: Coding Systems and Processes ........................................................................3
Exercise 1.4: Other Classification Systems and Databases................................................4
Exercise 1.5: Documentation as Basis for Coding.................................................................6
Exercise 1.6: Health Data Collection........................................................................................8
TO
Review ...................................................................................................................................9
Multiple Choice.............................................................................................................................9
EXERCISES
R
EXERCISE 1.1: CAREER AS A CODER
G
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
U
Analysis: A coder is required to 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
R
outpatient or physician office encounter are captured as part of __________ coding.
Answer: professional
U
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
Analysis: The intensity of services and severity of illness associated with inpatient care
are captured as part of institutional (or facility) coding.
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 1
accessible website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It! 2024, 9780357932209; Chapter 1: Overview of 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 profession that is closely related to that of a coder is a health __________ specialist
(or claims examiner) who reviews health-related claims to determine whether the
TU
costs are reasonable and medically necessary based on the patient’s diagnosis
reported for procedures performed and services provided.
Answer: insurance
Analysis: A profession that is closely related to that of a coder is a health insurance
specialist (or claims examiner) who reviews health-related claims to determine whether
the costs are reasonable and medically necessary based on the patient’s diagnosis
TO
reported for procedures performed and services provided.
EXERCISE 1.2: PROFESSIONAL ASSOCIATIONS
1. Students who become members of __________ association(s) usually pay a reduced
membership fee and receive most of the same benefits as active members.
R
Answer: professional
Analysis: Students who become members of professional association(s) usually pay a
reduced membership fee and receive most of the same benefits as active members.
G
2. Attending professional association conferences and meetings provides opportunities to
__________ (or interact) with other professionals, which can facilitate being placed for
internship or job placement.
U
Answer: network
Analysis: Attending professional association conferences and meetings provides
opportunities to network (or interact) with other professionals, which can facilitate
R
being placed for internship or job placement.
3. A medical assistant usually joins the American Medical Technologists (AMT) or the
__________.
U
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: listserv
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 2
accessible website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It! 2024, 9780357932209; Chapter 1: Overview of Coding
Analysis: An Internet-based discussion forum that covers a variety of professional topics
and issues is called an online discussion board or listserv.
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.
EXERCISE 1.3: CODING SYSTEMS AND PROCESSES
TU
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,
TO
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
R
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.
G
3. Inpatient hospital procedures and services are coded using the __________
classification system.
Answer: ICD-10-PCS
U
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
R
information and claims from a nonstandard to a standard format is called a health
care __________.
Answer: clearinghouse
U
Analysis: 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 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
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 3
accessible website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It! 2024, 9780357932209; Chapter 1: Overview of Coding
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
Analysis: Reporting codes that are not supported by documentation in the patient
record for the purpose of increasing reimbursement is called upcoding.
TU
7. Reporting codes for signs and symptoms in addition to the established diagnosis code
is called __________.
Answer: overcoding
Analysis: Reporting codes for signs and symptoms in addition to the established
diagnosis code is called overcoding.
TO
8. Reporting multiple codes to increase reimbursement when a single combination code
should be reported is called __________.
Answer: unbundling
Analysis: Reporting multiple codes to increase reimbursement when a single
combination code should be reported is called unbundling.
R
9. Coders should always avoid assumption coding, and can do so by generating a physician
__________ when documentation needs clarification prior to the assignment of codes.
Answer: query
G
Analysis: Coders should always avoid assumption coding, and can do so by generating a
physician query when documentation needs clarification prior to the assignment of codes.
10. Software that automatically generates medical codes by analyzing clinical
U
documentation in the electronic health record or electronic medical record is called
__________.
Answer: computer-assisted coding (CAC)
R
Analysis: Software that automatically generates medical codes by analyzing clinical
documentation in the electronic health record or electronic medical record is called
computer-assisted coding (CAC).
U
EXERCISE 1.4: OTHER CLASSIFICATION SYSTEMS AND DATABASES
1. The classification of neoplasms used by cancer registries throughout the world to
record incidence of malignancy and survival rates is called the __________.
Answer: International Classification of Diseases for Oncology, Third Edition (ICD-O-3)
Analysis: The classification of neoplasms used by cancer registries throughout the world
to record incidence of malignancy and survival rates is called the ICD-O-3. (The capital
letter O in the classification system’s abbreviation refers to Oncology.)
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 4
accessible website, in whole or in part.
Solution and Answer Guide
GREEN, 3-2-1 CODE IT! 2024, 9780357932209; CHAPTER 1: OVERVIEW OF CODING
TABLE OF CONTENTS
Exercises................................................................................................................................1
Exercise 1.1: Career as a Coder ..................................................................................................1
TU
Exercise 1.2: Professional Associations...................................................................................2
Exercise 1.3: Coding Systems and Processes ........................................................................3
Exercise 1.4: Other Classification Systems and Databases................................................4
Exercise 1.5: Documentation as Basis for Coding.................................................................6
Exercise 1.6: Health Data Collection........................................................................................8
TO
Review ...................................................................................................................................9
Multiple Choice.............................................................................................................................9
EXERCISES
R
EXERCISE 1.1: CAREER AS A CODER
G
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
U
Analysis: A coder is required to 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
R
outpatient or physician office encounter are captured as part of __________ coding.
Answer: professional
U
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
Analysis: The intensity of services and severity of illness associated with inpatient care
are captured as part of institutional (or facility) coding.
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 1
accessible website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It! 2024, 9780357932209; Chapter 1: Overview of 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 profession that is closely related to that of a coder is a health __________ specialist
(or claims examiner) who reviews health-related claims to determine whether the
TU
costs are reasonable and medically necessary based on the patient’s diagnosis
reported for procedures performed and services provided.
Answer: insurance
Analysis: A profession that is closely related to that of a coder is a health insurance
specialist (or claims examiner) who reviews health-related claims to determine whether
the costs are reasonable and medically necessary based on the patient’s diagnosis
TO
reported for procedures performed and services provided.
EXERCISE 1.2: PROFESSIONAL ASSOCIATIONS
1. Students who become members of __________ association(s) usually pay a reduced
membership fee and receive most of the same benefits as active members.
R
Answer: professional
Analysis: Students who become members of professional association(s) usually pay a
reduced membership fee and receive most of the same benefits as active members.
G
2. Attending professional association conferences and meetings provides opportunities to
__________ (or interact) with other professionals, which can facilitate being placed for
internship or job placement.
U
Answer: network
Analysis: Attending professional association conferences and meetings provides
opportunities to network (or interact) with other professionals, which can facilitate
R
being placed for internship or job placement.
3. A medical assistant usually joins the American Medical Technologists (AMT) or the
__________.
U
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: listserv
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 2
accessible website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It! 2024, 9780357932209; Chapter 1: Overview of Coding
Analysis: An Internet-based discussion forum that covers a variety of professional topics
and issues is called an online discussion board or listserv.
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.
EXERCISE 1.3: CODING SYSTEMS AND PROCESSES
TU
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,
TO
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
R
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.
G
3. Inpatient hospital procedures and services are coded using the __________
classification system.
Answer: ICD-10-PCS
U
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
R
information and claims from a nonstandard to a standard format is called a health
care __________.
Answer: clearinghouse
U
Analysis: 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 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
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 3
accessible website, in whole or in part.
, Solution and Answer Guide: Green, 3-2-1 Code It! 2024, 9780357932209; Chapter 1: Overview of Coding
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
Analysis: Reporting codes that are not supported by documentation in the patient
record for the purpose of increasing reimbursement is called upcoding.
TU
7. Reporting codes for signs and symptoms in addition to the established diagnosis code
is called __________.
Answer: overcoding
Analysis: Reporting codes for signs and symptoms in addition to the established
diagnosis code is called overcoding.
TO
8. Reporting multiple codes to increase reimbursement when a single combination code
should be reported is called __________.
Answer: unbundling
Analysis: Reporting multiple codes to increase reimbursement when a single
combination code should be reported is called unbundling.
R
9. Coders should always avoid assumption coding, and can do so by generating a physician
__________ when documentation needs clarification prior to the assignment of codes.
Answer: query
G
Analysis: Coders should always avoid assumption coding, and can do so by generating a
physician query when documentation needs clarification prior to the assignment of codes.
10. Software that automatically generates medical codes by analyzing clinical
U
documentation in the electronic health record or electronic medical record is called
__________.
Answer: computer-assisted coding (CAC)
R
Analysis: Software that automatically generates medical codes by analyzing clinical
documentation in the electronic health record or electronic medical record is called
computer-assisted coding (CAC).
U
EXERCISE 1.4: OTHER CLASSIFICATION SYSTEMS AND DATABASES
1. The classification of neoplasms used by cancer registries throughout the world to
record incidence of malignancy and survival rates is called the __________.
Answer: International Classification of Diseases for Oncology, Third Edition (ICD-O-3)
Analysis: The classification of neoplasms used by cancer registries throughout the world
to record incidence of malignancy and survival rates is called the ICD-O-3. (The capital
letter O in the classification system’s abbreviation refers to Oncology.)
© 2025 Cengage Learning, Inc. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly 4
accessible website, in whole or in part.
