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MEDICAL CODING AND REIMBURSEMENT STUDY GUIDE, TEST 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MEDICAL CODING AND REIMBURSEMENT STUDY GUIDE, TEST 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MEDICAL CODING ANDREIMBURSEMENT STUDY GUIDE, TEST
1 QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
What is medical coding? - ANSWER medical coding is the assignment of numerical and alphanumerical
codes to represent the diagnoses and procedures provided to patient during an episode of care.
Why are medical codes used? - ANSWER medical codes are placed on a billing form and sent to the
insurance company to determine what was done to the patient, why it was done and how much they are
willing to pay the care provider. they are also used in databases for medical research, strategic and
institutional planning, medical educators, quality review, accreditation review and reporting
requirements.
How many different types of coding systems are there? - ANSWER 3
What are the three different coding systems? - ANSWER 1. ICD-10
2. CPT
3. HCPCS
Which coding system has two parts and what are its two parts? - ANSWER ICD-10 has two different
parts:
ICD-10-CM and IDC-10-PCS
What is the difference between ICD-10 CM and ICD-10-PCS? - ANSWER ICD-10-CM codes diagnoses
ICD-10-PCS codes procedures and services provided by a hospital provider to inpatients
What coding system always has to be on all patient health encounter data? - ANSWER ICD-10-CM
What is the CPT coding system? - ANSWER The coding system (also known as current procedural
terminology) codes procedures and services provided by a hospital provider to outpatients. It only
contains general supply codes.
, What is the HCPCS coding system? - ANSWER The coding system (also known as National Codes) is used
to identify services, supplies and procedures not included in CPT. It was published by the centers of
Medicare and Medicaid.
For coding procedures, which coding system would you use if the patient was an outpatient? - ANSWER
CPT
For coding procedures, which coding system would you use if the patient was an inpatient in a hospital
setting? - ANSWER ICD-10-PCS
For coding procedures, which coding system would you use if the patient was an inpatient in a physician
setting? - ANSWER CPT
What are the four different coding certifications? - ANSWER 1. Certified Coding Associate (CCA)
2. Certified Coding Specialist (CCS)
3. Certified Coding Specialist- Physician Based (CCS-P)
4. Certified Professional Coder (CPC)
What is considered a primary source in the medical field? - ANSWER patients health record
What is a CCA? - ANSWER A Certified Coding Associate can code in any setting, including both hospitals
and physician practices.
What is a CCS? - ANSWER A Certified Coding Specialist that can classify medical data from patient
records, generally in a hospital setting. They are knowledgeable in medical terminology, disease
processes and pharmacology.
What is a CCS-P? - ANSWER A Certified Coding Specialist- Physician Based and they code in a physician
setting. They know the CPT-coding system and has familiarity with the ICD-10-CM and HCPCS level 2
coding system.
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