Certified Professional Coder (CPC) Certification Exam QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED

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Certified Professional Coder (CPC) Certification Exam

QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST

UPDATE THIS YEAR – JUST RELEASED

Certified Professional Coder (CPC) Certification Exam - ANSWER-Exam Coverage




The exam coverage includes the essential knowledge and skills required for the Certified

Professional Coder (CPC) certification. It focuses on accurate medical coding using ICD-10-CM,

CPT, and HCPCS Level II code sets, as well as medical terminology, anatomy, and healthcare

documentation. The exam also assesses understanding of coding guidelines, modifiers,

compliance and regulatory requirements, reimbursement methodologies, and proper

interpretation of medical records to assign correct diagnostic and procedural codes in various

healthcare settings.




QUESTION: Proper code assignment is determined by? - ANSWER-Content of the medical record

and by the unique rules that governs each code set.




QUESTION: What are the three things that coders must master? - ANSWER-1) Anatomy

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2) Medical terminology


3) Must be detail-oriented




QUESTION: Coding is ____. - ANSWER-The process of translating this written or dictated medical

record into a series of numeric or alpha-numeric codes.




QUESTION: Medical coders assign a code to what? - ANSWER-1) Each diagnosis


2) Service/procedure


3) Supply, using the classification system when applicable.




QUESTION: What does the classification system determine? - ANSWER-The amount health care

providers will be reimbursed if the patient is covered by Medicare, Medicaid, or other insurance

programs using the system.




QUESTION: What does the coder evaluate the medical record for? - ANSWER-1) Completeness

and accuracy

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2) Communicate regularly with physicians and other health care professionals to clarify DX or

obtain additional PT information.




QUESTION: Technicians who specialize in coding inpatient hospital services are referred to as? -

ANSWER-1) Health information coders


2) Medical record coders


3) Coders/abstractors


4) Coding specialist




QUESTION: What is MS-DRGs? What is it? - ANSWER-1) Medicare Severity- Diagnosis Related

Groups




2) Determines the amount the hospital will be reimbursed if the patient is covered by Medicare

or other insurance groups.




QUESTION: EHR - ANSWER-Electronic Health Record

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QUESTION: What can skilled coders become? - ANSWER-Consultants, educators, or medical

auditors




QUESTION: What is the difference between hospital and physician services? - ANSWER-1)

Outpatient coding(physician services): Learning CPT, HCPCS, Level II, ICD-10 CM codes volumes

1 and 2.




2) Impatient coding(Hospital services): Learning CPT, IC10-CM codes Volumes 1, 2, 3 and MS-

DRGs.




QUESTION: What is APC and who would use it? - ANSWER-Ambulatory Payment Classification-

outpatient facility coders (physician services).




QUESTION: What is the coder's role in a physician's office? - ANSWER-Extremely important to

properly reimburse and the livelihood of the physician.




QUESTION: What is a physician's degree of education? - ANSWER-4 years of college, 4 years of

medical school plus 3 to 5 years of residency.