Medical Coding Chapter 1 Exam
Questions and Answers (Latest Update
2026)
What type of profession might a skilled coder enter -
correct answer ✅Consultants, Educators or Medical Auditor
What coding is used in Outpatient Coding -
correct answer ✅CPT, HCPCS Level II, ICD-9Cm Vol 1 & 2
What coding is used in Inpatient Coding -
correct answer ✅ICD-9CM Vol 1, 2, 3; MS-DRG
What is a Midlevel Provider -
correct answer ✅Physician Assistants and Nurse Practitoner's that
work under the supervision of the Physician
What is covered under Medicare A -
correct answer ✅Covers inpatient services, nursing facilities,
hospice and home health care
What is covered under Medicare B -
correct answer ✅Covers Doctors services, outpatient care;
Optional benefit
,Medical Coding Chapter 1 Exam
Questions and Answers (Latest Update
2026)
What is covered under Medicare C -
correct answer ✅Combines Medicare A,B and D. Is managed by
private insurers
What is cover under Medicare D -
correct answer ✅Prescription drug coverage
What does SOAP represent -
correct answer ✅S:Subjective(the patients complaint)
O:Objective(the providers observations) A:Assessment(evaluation &
conclusion) P:Plan (course of action)
What are 5 tip for coding operative reports -
correct answer ✅1 Diagnosis code reporting; use post-operative
diagnosis
2 Start with Procedures listed; look in the header
3 Look for key words
4 Highlight unfamiliar words; research them
5 Read the body
, Medical Coding Chapter 1 Exam
Questions and Answers (Latest Update
2026)
What is a medical necessity -
correct answer ✅The procedure or service considered appropriate
in the circumstance
What tool should you refer to for a medical necessity -
correct answer ✅NCDM: The National Coverage Determination
Manual
What are some common reasons Medicare may deny a procedure
or service -
correct answer ✅Medicare does not pay for a patients condition
Medicare does not pay for procedures or services as frequently as
proposed
Medicare does not pay for experimental procedures or services
Under the Privacy Rule; the minimum necessary standard does not
apply to what type of disclosures -
correct answer ✅For treatment purposes; By the patients request;
Signed by the patient; In compliance with HIPAA; In compliance
with HHS(Department of Health & Human Services); Required by
Law
Questions and Answers (Latest Update
2026)
What type of profession might a skilled coder enter -
correct answer ✅Consultants, Educators or Medical Auditor
What coding is used in Outpatient Coding -
correct answer ✅CPT, HCPCS Level II, ICD-9Cm Vol 1 & 2
What coding is used in Inpatient Coding -
correct answer ✅ICD-9CM Vol 1, 2, 3; MS-DRG
What is a Midlevel Provider -
correct answer ✅Physician Assistants and Nurse Practitoner's that
work under the supervision of the Physician
What is covered under Medicare A -
correct answer ✅Covers inpatient services, nursing facilities,
hospice and home health care
What is covered under Medicare B -
correct answer ✅Covers Doctors services, outpatient care;
Optional benefit
,Medical Coding Chapter 1 Exam
Questions and Answers (Latest Update
2026)
What is covered under Medicare C -
correct answer ✅Combines Medicare A,B and D. Is managed by
private insurers
What is cover under Medicare D -
correct answer ✅Prescription drug coverage
What does SOAP represent -
correct answer ✅S:Subjective(the patients complaint)
O:Objective(the providers observations) A:Assessment(evaluation &
conclusion) P:Plan (course of action)
What are 5 tip for coding operative reports -
correct answer ✅1 Diagnosis code reporting; use post-operative
diagnosis
2 Start with Procedures listed; look in the header
3 Look for key words
4 Highlight unfamiliar words; research them
5 Read the body
, Medical Coding Chapter 1 Exam
Questions and Answers (Latest Update
2026)
What is a medical necessity -
correct answer ✅The procedure or service considered appropriate
in the circumstance
What tool should you refer to for a medical necessity -
correct answer ✅NCDM: The National Coverage Determination
Manual
What are some common reasons Medicare may deny a procedure
or service -
correct answer ✅Medicare does not pay for a patients condition
Medicare does not pay for procedures or services as frequently as
proposed
Medicare does not pay for experimental procedures or services
Under the Privacy Rule; the minimum necessary standard does not
apply to what type of disclosures -
correct answer ✅For treatment purposes; By the patients request;
Signed by the patient; In compliance with HIPAA; In compliance
with HHS(Department of Health & Human Services); Required by
Law
