CPC 2023 Exam Study Guide-105 Questions with Complete Answers
Documentation (content) - CORRECT ANSWER Proper code assignment is determined
both by
... [Show More] _____________ 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
Medicare - CORRECT ANSWER The most significant government insurer; a federal
health insurance program
People over 65, blind or disabled individuals, and people with permanent kidney failure
or end-stage renal disease - CORRECT ANSWER Medicare provides coverage for
what kind of people?
ESRD - CORRECT ANSWER end-stage renal disease
Medicare Part A - CORRECT ANSWER Helps cover inpatient hospital care, as well as
care provided in skilled nursing facilities, hospice care, and home healthcare,
Medicare Part B - CORRECT ANSWER Covers medically necessary physicians'
services, outpatient care, and other medical services (including some preventive
services) not covered under Medicare Part A. It can be an optional benefit.
Medicare Part C - CORRECT ANSWER Also called Medicare Advantage, combines the
benefits of Medicare Part A, Part B, and-sometimes- Part D. The plans are managed by
private insurers approved by Medicare. [Show Less]