CPT CODING Module 1 Chapters 1, 9
with correct answers
coder - Correct Answer acquires a working knowledge of coding systems (e.g., CPT, HCPCS level II, ICD-
10-CM, and ICD-10-PCS), coding principles and rules, government regulations, and third-party payer
requirements to ensure that all diagnoses (conditions), services (e.g., office visit), and procedures (e.g.,
surgery and x-ray) documented in patient records are coded accurately for reimbursement, research,
and statistical purposes.
Inpatient and/or outpatient coders obtain - Correct Answer CCS and/or CIC certification
physician office coders choose the - Correct Answer CCS-P and/or CPC credential
Insurance specialists who work for health care facilities and third-party payers obtain the - Correct
Answer CCS-P.
Coders can obtain employment in a variety of settings, including - Correct Answer clinics, consulting
firms, government agencies, hospitals, insurance companies, nursing facilities, home health agencies,
hospice organizations, and physicians' offices
application service provider (ASP) - Correct Answer third-party entity that manages and distributes
software-based services and solutions to customers across a wide area network (WAN) from a central
data center.
health insurance specialist (or claims examiner) - Correct Answer employed by third-party payers to
review health-related claims to determine whether the costs are reasonable and medically necessary
based on the patient's diagnosis.
medical assistant - Correct Answer health care professional employed by a provider to perform
administrative and clinical tasks.
Answers telephones, greets patients, and updates and files patient medical records, Schedules hospital
admission and laboratory services - Correct Answer Medical assistant
, Communicates with providers about documentation and compliance issues related to code assignment -
Correct Answer Coder
Reviews claims for third-party payers to determine whether costs are reasonable and medically
necessary, Verifies claims against third-party payer guidelines to authorize appropriate payments -
Correct Answer Health insurance specialist
Professional Associations- Coder - Correct Answer AAPC (previously called the American Academy of
Professional Coders)
American Health Information Management Association (AHIMA)
Professional Associations- Health Insurance Specialist - Correct Answer Alliance of Claims Assistance
Professionals (ACAP)
American Medical Billing Association (AMBA)
Medical Association of Billers (MAB)
Professional Associations - Medical Assistant - Correct Answer American Association of Medical
Assistants (AAMA)
American Medical Technologists (AMT)
coding system - Correct Answer organizes a medical nomenclature according to similar conditions,
diseases, procedures, and services; it contains codes for each.
medical nomenclature - Correct Answer includes clinical terminologies and clinical vocabularies that are
used by health care providers to document patient care; clinical terminologies include designations,
expressions, symbols, and terms used in the field of medicine, and clinical vocabularies include clinical
phrases or words along with their meanings.
Clinical terminologies include - Correct Answer designations, expressions, symbols, and terms used in
the field of medicine, such as "pupils equal, round, and reactive to light," commonly abbreviated as
PERRL
with correct answers
coder - Correct Answer acquires a working knowledge of coding systems (e.g., CPT, HCPCS level II, ICD-
10-CM, and ICD-10-PCS), coding principles and rules, government regulations, and third-party payer
requirements to ensure that all diagnoses (conditions), services (e.g., office visit), and procedures (e.g.,
surgery and x-ray) documented in patient records are coded accurately for reimbursement, research,
and statistical purposes.
Inpatient and/or outpatient coders obtain - Correct Answer CCS and/or CIC certification
physician office coders choose the - Correct Answer CCS-P and/or CPC credential
Insurance specialists who work for health care facilities and third-party payers obtain the - Correct
Answer CCS-P.
Coders can obtain employment in a variety of settings, including - Correct Answer clinics, consulting
firms, government agencies, hospitals, insurance companies, nursing facilities, home health agencies,
hospice organizations, and physicians' offices
application service provider (ASP) - Correct Answer third-party entity that manages and distributes
software-based services and solutions to customers across a wide area network (WAN) from a central
data center.
health insurance specialist (or claims examiner) - Correct Answer employed by third-party payers to
review health-related claims to determine whether the costs are reasonable and medically necessary
based on the patient's diagnosis.
medical assistant - Correct Answer health care professional employed by a provider to perform
administrative and clinical tasks.
Answers telephones, greets patients, and updates and files patient medical records, Schedules hospital
admission and laboratory services - Correct Answer Medical assistant
, Communicates with providers about documentation and compliance issues related to code assignment -
Correct Answer Coder
Reviews claims for third-party payers to determine whether costs are reasonable and medically
necessary, Verifies claims against third-party payer guidelines to authorize appropriate payments -
Correct Answer Health insurance specialist
Professional Associations- Coder - Correct Answer AAPC (previously called the American Academy of
Professional Coders)
American Health Information Management Association (AHIMA)
Professional Associations- Health Insurance Specialist - Correct Answer Alliance of Claims Assistance
Professionals (ACAP)
American Medical Billing Association (AMBA)
Medical Association of Billers (MAB)
Professional Associations - Medical Assistant - Correct Answer American Association of Medical
Assistants (AAMA)
American Medical Technologists (AMT)
coding system - Correct Answer organizes a medical nomenclature according to similar conditions,
diseases, procedures, and services; it contains codes for each.
medical nomenclature - Correct Answer includes clinical terminologies and clinical vocabularies that are
used by health care providers to document patient care; clinical terminologies include designations,
expressions, symbols, and terms used in the field of medicine, and clinical vocabularies include clinical
phrases or words along with their meanings.
Clinical terminologies include - Correct Answer designations, expressions, symbols, and terms used in
the field of medicine, such as "pupils equal, round, and reactive to light," commonly abbreviated as
PERRL
