Question 1

The demographic portion of the CMS 1500 form:

Accepted Answer

A)  Contains information such as the services provided on a date of service 
B)  Is found at the top of the form 
C)  Is found at the bottom of the form 
D)  Contains information such as the patient's medical condition 
A)  Contains information such as the services provided on a date of service 
B)  Is found at the top of the form 
C)  Is found at the bottom of the form 
D)  Contains information such as the patient's medical condition B

Question 2

Any diagnosis, condition, procedure, or service that is documented in the patient record as having been treated or medically managed demonstrates:

Accepted Answer

A)  medical documentation 
B)  medical support 
C)  medical necessity 
D)  medical management 
A)  medical documentation 
B)  medical support 
C)  medical necessity 
D)  medical management C

Question 3

The CPC exam tests the coder's ability and understanding of all of the following except:

Accepted Answer

A)  Pharmacology 
B)  Eye and ocular adnexa 
C)  Male/female genital 
D)  Anatomy and physiology 
A)  Pharmacology 
B)  Eye and ocular adnexa 
C)  Male/female genital 
D)  Anatomy and physiology A

Question 4

Recommended strategies for improving test-taking skills include all of the following except:

Accepted Answer

A)  Use available resources to practice specific areas of weakness 
B)  Take a mock/practice test a few months before the actual test 
C)  Perform a cramming session the night before the exam 
D)  Form a study group among your peers 
A)  Use available resources to practice specific areas of weakness 
B)  Take a mock/practice test a few months before the actual test 
C)  Perform a cramming session the night before the exam 
D)  Form a study group among your peers

Question 5

The __________ form becomes the source of the statistical medical data for the practice, payer, and governing bodies.

Accepted Answer

A)  Billing language 
B)  UB-04 
C)  Advanced Beneficiary Notice (ABN) 
D)  CMS 1500 
A)  Billing language 
B)  UB-04 
C)  Advanced Beneficiary Notice (ABN) 
D)  CMS 1500

Question 6

The time allowed for completing the CPC exam is:

Accepted Answer

A)  5 hours 30 minutes 
B)  5 hours 40 minutes 
C)  6 hours 
D)  5 hours 
A)  5 hours 30 minutes 
B)  5 hours 40 minutes 
C)  6 hours 
D)  5 hours

Question 7

A Certified Professional Coder is an individual who has demonstrated his or her knowledge of medical coding by successfully completing the _____________ exam:

Accepted Answer

A)  PAC 
B)  APC 
C)  CPA 
D)  CPC 
A)  PAC 
B)  APC 
C)  CPA 
D)  CPC

Question 8

The CPC exam tests the coder's ability and understanding of which of the following areas:

Accepted Answer

A)  HCPCS Level II 
B)  Radiology 
C)  All of these 
D)  Anesthesia 
A)  HCPCS Level II 
B)  Radiology 
C)  All of these 
D)  Anesthesia

Question 9

A CMS 1500 claim that is complete and accurate from the demographic portion to the diagnosis and procedure is a:

Accepted Answer

A)  advanced beneficiary notice 
B)  modifier 
C)  false claim 
D)  clean claim 
A)  advanced beneficiary notice 
B)  modifier 
C)  false claim 
D)  clean claim

Question 10

Payer language includes terms such as:

Accepted Answer

A)  medical necessity, clean claims, and denials 
B)  advanced beneficiary notices, fraud, and abuse 
C)  compliance language, unbundling, and medical necessity 
D)  accounts receivable, medical necessity, and unbundling 
A)  medical necessity, clean claims, and denials 
B)  advanced beneficiary notices, fraud, and abuse 
C)  compliance language, unbundling, and medical necessity 
D)  accounts receivable, medical necessity, and unbundling

Question 11

Coding and billing language is used to assist _____________________________ in understanding why the patient was seen and what services, procedures, or supplies were provided for the patient.

Accepted Answer

A)  collection agencies and hospitals 
B)  physician offices and patients 
C)  patients and collection agencies 
D)  third-party administrators and customer service representatives 
A)  collection agencies and hospitals 
B)  physician offices and patients 
C)  patients and collection agencies 
D)  third-party administrators and customer service representatives

Question 12

ICD-10 codes are reported in field ______ of the CMS form.

Accepted Answer

A)  25 
B)  21 
C)  22 
D)  18 
A)  25 
B)  21 
C)  22 
D)  18

Question 13

The CPC exam tests the coder's ability and understanding of all of the following except:

Accepted Answer

A)  Eye and ocular adnexa 
B)  Anatomy and physiology 
C)  Pharmacology 
D)  Male/female genital 
A)  Eye and ocular adnexa 
B)  Anatomy and physiology 
C)  Pharmacology 
D)  Male/female genital

Question 14

The code set(s) used to translate the specific services, procedures, and supplies performed on a date of service is/are:

Accepted Answer

A)  ICD, CPT 
B)  CPT 
C)  ICD, HCPCS 
D)  HCPCS Level II, CPT 
A)  ICD, CPT 
B)  CPT 
C)  ICD, HCPCS 
D)  HCPCS Level II, CPT

Question 15

ICD-10 codes are reported in field ______ of the CMS form.

Accepted Answer

A)  22 
B)  25 
C)  18 
D)  21 
A)  22 
B)  25 
C)  18 
D)  21

Question 16

Compliance language includes:

Accepted Answer

A)  Services, procedures, and medical terminology 
B)  Noncovered services, medical necessity, and unbundling 
C)  Denials, modifiers, and advanced beneficiary notices 
D)  Unbundling, fraud, and abuse 
A)  Services, procedures, and medical terminology 
B)  Noncovered services, medical necessity, and unbundling 
C)  Denials, modifiers, and advanced beneficiary notices 
D)  Unbundling, fraud, and abuse

Question 17

Compliance language includes:

Accepted Answer

A)  Unbundling, fraud, and abuse 
B)  Denials, modifiers, and advanced beneficiary notices 
C)  Services, procedures, and medical terminology 
D)  Noncovered services, medical necessity, and unbundling 
A)  Unbundling, fraud, and abuse 
B)  Denials, modifiers, and advanced beneficiary notices 
C)  Services, procedures, and medical terminology 
D)  Noncovered services, medical necessity, and unbundling

Question 18

Accounts receivable, denials, and modifiers are examples of _____________ language.

Accepted Answer

A)  Provider 
B)  Compliance 
C)  Payer 
D)  Billing 
A)  Provider 
B)  Compliance 
C)  Payer 
D)  Billing

Question 19

One of the more common reasons for a coder performing poorly on the exam when he/she knows the material well is:

Accepted Answer

A)  The coder brought all permitted coding manuals 
B)  The coder experiences test anxiety 
C)  The coder forgot to bring No. 2 pencils 
D)  The coder forgot to bring headphones 
A)  The coder brought all permitted coding manuals 
B)  The coder experiences test anxiety 
C)  The coder forgot to bring No. 2 pencils 
D)  The coder forgot to bring headphones

Question 20

To be of value to the practices or organizations they work for, medical coders should:

Accepted Answer

A)  Consistently audit the use of ICD-10 codes 
B)  Memorize all procedure codes 
C)  Demonstrate strong organizational skills 
D)  Be diligent in maintaining and updating their knowledge of medical coding and billing policies 
A)  Consistently audit the use of ICD-10 codes 
B)  Memorize all procedure codes 
C)  Demonstrate strong organizational skills 
D)  Be diligent in maintaining and updating their knowledge of medical coding and billing policies

Exam 1: The Certified Professional Coder

The demographic portion of the CMS 1500 form:

Any diagnosis, condition, procedure, or service that is documented in the patient record as having been treated or medically managed demonstrates:

The CPC exam tests the coder's ability and understanding of all of the following except:

Recommended strategies for improving test-taking skills include all of the following except:

The __________ form becomes the source of the statistical medical data for the practice, payer, and governing bodies.

The time allowed for completing the CPC exam is:

A Certified Professional Coder is an individual who has demonstrated his or her knowledge of medical coding by successfully completing the _____________ exam:

The CPC exam tests the coder's ability and understanding of which of the following areas:

A CMS 1500 claim that is complete and accurate from the demographic portion to the diagnosis and procedure is a:

Payer language includes terms such as:

Coding and billing language is used to assist _____________________________ in understanding why the patient was seen and what services, procedures, or supplies were provided for the patient.

ICD-10 codes are reported in field ______ of the CMS form.

The CPC exam tests the coder's ability and understanding of all of the following except:

The code set(s) used to translate the specific services, procedures, and supplies performed on a date of service is/are:

ICD-10 codes are reported in field ______ of the CMS form.

Compliance language includes:

Compliance language includes:

Accounts receivable, denials, and modifiers are examples of _____________ language.

One of the more common reasons for a coder performing poorly on the exam when he/she knows the material well is:

To be of value to the practices or organizations they work for, medical coders should:

Foundations of ICD-10-CM

ICD-Specific Guidelines

Foundations of CPT

Evaluation and Management

Anesthesia

Surgery Section

Surgery Section: Integumentary System

Surgery Section: Musculoskeletal System

Surgery Section: Respiratory System

Surgery Section: Cardiovascular and Lymphatic Systems

Surgery Section: Digestive System

Surgery Section: Urinary System and Male Reproductive System

Surgery Section: Female Reproductive System and Maternity Care and Delivery

Surgery Section: Nervous System

Surgery Section: Eyes, Ears, and Endocrine System

Radiology

Pathology Laboratory

Medicine

HCPCS Level II: Category II and Category III Codes

Practice Management

Fundamental Coding Guidelines

Coding for Evaluation and Management E&M, Anesthesia, and Surgery Section

Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

Coding for Surgical Procedures on Digestive, Urinary, Male and Female Reproductive Systems, Maternity Care, Nervous System, and Eyes, Ears, and Endocrine System

Coding for Radiology, Pathology Laboratory, General Medicine, HCPCS Category II and III, and Practice Management

Coding and Surgical Procedures

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