CPC Exam Study Guide

Documentation (content) CORRECT ANSWER-Proper code assignment is determined both by _____________ in the medical record and by the unique rules that govern each code set in that instance An auditor CORRECT ANSWER-The role a coder may take on to verify that the documentation supports the codes the physician has selected Query the physician CORRECT ANSWER-If the medical record is inaccurate or incomplete, it will not translate properly to the language of codes. What can a coder do in order for the medical record to be complete and accurate so they can bill properly? Quarterly (usually) CORRECT ANSWER-How often are codes and insurance payment policies updated? NPP CORRECT ANSWER-Non-Physician Provider (also known as mid-level providers or physician extenders) PA CORRECT ANSWER-Physician assistant NP CORRECT ANSWER-Nurse practitioner Commercial and Government CORRECT ANSWER-The two types of primary insurances Commercial Carriers CORRECT ANSWER-Private payers that may offer both group and individual plans