Certified Professional Coder Coding Test Questions and Answers 100% Verified and Graded A+

Certified Professional Coder Coding
Test Questions and Answers 100%
Verified and Graded A+
CodingAisA-
AAnswer✓AtheAprocessAofAtranslatingAthisAwrittenAorAdictatedAfmedicalArecordAintoAaAser
iesAofAnumericAorAalpha-numericAcodes


ProperAcodeAassignmentAisAdeterminedAbyA-
AAnswer✓AcontentAofAtheAmedicalArecordAandAbyAtheAuniqueArulesAthatAgovernsAeachAco
deAset


whatAareA3AthingsAthatACoderAmustAmasterA-AAnswer✓A1.Aanatomy
2.AmedicalAterminology
3.AmustAbeAdetail-oriented


MedicalAcodersAassignAaAcodeAtoAwhatA-AAnswer✓A1.AEachAdiagnosis
2.Aservice/procedure
3.ASupply,AusingAtheAclassificationAsystemAwhenAapplicable


TheAclassificationAsystemAdeterminesAwhatA-
AAnswer✓AtheAamountAhealthAcareAprovidersAwillAbeAreimbursedAifAtheApatientAisAcovere
dAbyAMedicare,AMedicaid,AorAotherAinsuranceAprogramsAusingAtheAsystem


AAcoderAmustAevaluateAtheAmedicalArecordAforA-AAnswer✓A1.AcompletenessAandAaccuracy
2.AcommunicateAregularlyAwithAphysiciansAandAotheAhealthAcareAprofessionalAtoAclarifyADXA
orAobtainAadditonalAPTAinfo.


TechiciansAwhoAspeciallizeAinAcodingAinpatientAhospitalAservicesAareAreferredAasA-
AAnswer✓A1.AHealthAinformationAcoders
2.AmedicalArecordAcoders
3.ACoder/abstractors
4.ACodingASpecialist

,WhatAisAMS-DRGsAandAwhatAisAitA-AAnswer✓A1.AMedicareASeverity-
DiagnosisARelatedAGroups
2.ADeterminesAtheAamtAtheAhospitalAwillAbeAreimbursedAifAtheAPTAisAcoveredAbyAMedicareA
orAotherAinsuranceAprograms


WhatAisAEHRA-AAnswer✓AElectronicAhealthArecord


SkillAcodersAmayAbecomeA-AAnswer✓Aconsulatants,AeducatorsAorAmedicalAauditors


WhatAisAtheAdifferenceAbetweenAHospitalAandAPhysicanAServicesA-
AAnswer✓A1.AOutpatientAcodingA(physicianAservices)-AlearningACPT,AHCPCS,ALEVELAII,AICD-
9ACMAcodesAVolumeA1AandA2
2.AInpatientAcodingA(HospitalAservices)-ALearningACPT,AICD-
9ACMAcodesAVolumesA1,2,3AandAMS-DRGS


WhatAisAAPCAandAwhoAusesAitA-AAnswer✓AAmbulatoryAPaymentAClassification-
AoutpatientAfacilityAcodersA(physicianAservices


WhatAisAtheAcoderAroleAinAaAphysician'sAofficeA-
AAnswer✓AExtremelyAimportantAtoAproperAreimbursementAandAtheAlivelihoodAofAtheAphysi
can


WhatAisAaAphysicanAdegreeAofAeducationA-
AAnswer✓A4AyearsAofAcollege,A4AyearsAofAmedicalAschoolAplusA3AtoA5AyearsAofAresidenc
y.


WhatAisAaAmid-levelAprovidersAandAwhoA-AAnswer✓A1.AMid-
levelAprovidersAareAknowAasAphysicianAextenders
2.APhysicianAassistantsA(PA)AandANurseAPractitionersA(NP)


WhatAareAtheArequirementAforAaAPAAandAwhatA-
AAnswer✓A1.A26A1/2AmonthAtoAcomplete
2.ALincenseAtoApracticeAmedicineAwithAphysicianAsupervision

,NPAmustAhaveA-AAnswer✓AAAMasterADegreeAinANursing


HowAmanyApayersAinAtheAmostAsimplestAform?A-AAnswer✓A2
PrivateAinsuranceAplansAandAgovernmentAinsuranceAplans


CommericalAcarriersAareAconsideredAwhatA-
AAnswer✓APrivateApayersAthatAofferAbothAgroupAandAindividualAplans.


PrivateAPayersAcontractsAmayA-
AAnswer✓AVaryAbutAmayAincludeAhospitalization,AbasicAandAmajorAmedicalAcoverage.


WhatAisAtheAmostAsignificantAgovernmentAinsurerA-AAnswer✓AMedicare



WhatAisAMedicareA-AAnswer✓AFederalAhealthAinsuranceAprogram-
AAdministerdAbyAtheACenterAforAMedicareA&MedicaidAServicesA(CMS)


WhatAisACMSAandAwhatAdoesAitAprovideA-
AAnswer✓ACenterAforAMedicareA&AMedicaidAServicesA(CMS)AprovidesAcoverageAforApeopleA
overAtheAageAofA65,Ablind,AorAdisabledAindividuals,ApeopleAwithAendA-stageArenalAdisease


CMSAregulationsAoftenAservesAasA____AwordAinAcodingArequirementAforAMedicareAandANon-
MedicareApayersAalikeA-AAnswer✓ALast


WhatAareAtheApartsAofAMedicareA-AAnswer✓AMedicareAA
MedicareAB
MedicareAC
MedicareAD


WhatAisAMedicareAPartAAA-
AAnswer✓ACoversAinpatientAhospitalAcare,AasAwellAasAcareAprovidedAinAskilledAnursingAf
acilites,AhospiceAcare,AandAhomeAhealthAcare

, WhatAisAMedicareAPartABA-
AAnswer✓ACoveredAMedicallyAnecessaryAdoctors'Aservices,AoutpatientAcare,AotherAmedicalA
servicesA(includingAsomeApreventiveAserviceAnotAcoveredAunderAMedicareAPartAA


MedicareAPartABAisAconsideredAwhatA-
AAnswer✓AAAoptionalAbenefitAforAwhichAtheApatientAmustApayAaApremiumAandAwhichAge
nerallyArequiresAaAyearlyAcopay


WhereAisAMedicareAPartABAusuallyAusedA-AAnswer✓APhysicianAofficesA(OutpatientAFacility)


WhatAisAMedicareAPartACA-
AAnswer✓ACombinesAtheAbenefitsAofAMedicareAPartAA,APartAB,AandAsometimesAPartAD.


WhatAisAMedicareAPartACAalsoAcalledA-AAnswer✓AMedicareAAdvantage



WhatAisAPPOA-AAnswer✓APreferredAProviderAOrganizations


WhatAisAHMOA-AAnswer✓AHealthAMaintenaceAOrganizations


WhichAplanAcoversAPPOAandAHMOA-AAnswer✓AMedicareAPartAC


WhatAisAtheACMS-HCCA-AAnswer✓ACenterAforAMedicareA&AMedicaidAServices-
HierarchicalAconditionAcategory


WhatAdoesAtheACMS-HCCAprovideA-
AAnswer✓ARiskAadjumentAmodelAprovidesAadjustedApaymentAbasedAonAaApatient'sAdiseas
eAandAdemographicAfactors.


IfAaAcoderAdoesAnotAincludeAallApertinentAdiagnosesAandAco-
morbidities,AtheAproviderAmayAloseAoutAonAwhatA-
AAnswer✓AadditionalAreimbursementAforAwhichAhe/sheAisAentitled.