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


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

Correct Answer

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


A) ICD-10-PCS
B) Evaluation and management
C) Medical terminology
D) Practice management

Correct Answer

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The CPC exam is an "open code-book" exam. All of the following are approved coding manuals for use during the exam except:


A) DSM-5
B) HCPCS
C) ICD
D) CPT

Correct Answer

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The CPC exam tests the coder's ability and understanding of which content areas?


A) Radiology, DRGs, Advanced Beneficiary Notices, and Anesthesia
B) HCPCS Level II, Radiology, and DRGs
C) Radiology, Anesthesia, and HCPCS Level II
D) DRGs, HCPCS Level II, and Anesthesia

Correct Answer

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When taking the CPC exam, it is best to do all of the following except:


A) Follow all instructions the proctor gives
B) Make your best attempt to answer a question then move on
C) Leave questions you are unsure of blank
D) Complete questions about which you are more confident first

Correct Answer

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Coding guidelines and regulations can change:


A) Monthly
B) Weekly
C) Annually
D) Quarterly

Correct Answer

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The _____ exam is a 150-question exam that thoroughly tests the coder's ability within a medical coding subset.


A) National Billing and Insurance Specialist
B) Certified Coding Specialist
C) Certified Coding Associate
D) Certified Professional Coder

Correct Answer

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The CPC exam tests the coder's ability and understanding of which content areas?


A) DRGs, HCPCS Level II, and Anesthesia
B) Radiology, Anesthesia, and HCPCS Level II
C) Radiology, DRGs, Advanced Beneficiary Notices, and Anesthesia
D) HCPCS Level II, Radiology, and DRGs

Correct Answer

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


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

Correct Answer

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A complete and current list of non-approved manuals for use during certification testing can be found at:


A) www.cpc.com
B) www.ahima.org
C) www.cms.gov
D) www.aapc.com

Correct Answer

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Certified coders, on average, earn _____ percent more than noncertified coders.


A) 30
B) 10
C) 20
D) 15

Correct Answer

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The most effective way to increase revenue at a physician practice is to:


A) Increase patient workload
B) Hire more physicians
C) Remain aware of billing and coding guidelines
D) Hire more office staff

Correct Answer

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A complete and current list of non-approved manuals for use during certification testing can be found at:


A) www.cpc.com
B) www.aapc.com
C) www.ahima.org
D) www.cms.gov

Correct Answer

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


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

Correct Answer

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The CPC exam tests the coder's ability and understanding of which content areas?


A) General coding guidelines, Maternity and Delivery, and risk adjustment
B) Risk adjustment, Pathology, and Maternity and Delivery
C) Maternity and Delivery, Pathology, and general coding guidelines
D) Pathology, general coding guidelines, and risk adjustment

Correct Answer

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Errors in the medical records may be corrected by doing which of the following?


A) Creating an addendum to the record that is dated and legibly signed
B) Drawing a strike-through line through the error, writing the correction beside it, and initialing or creating an addendum to the record that is dated and legibly signed
C) Drawing a strike-through line through the error, writing the correction beside it, and initialing
D) Erasing the error, writing the correction in its place, and initialing

Correct Answer

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The CPC exam tests the coder's ability and understanding of which content areas?


A) Risk adjustment, Pathology, and Maternity and Delivery
B) Maternity and Delivery, Pathology, and general coding guidelines
C) General coding guidelines, Maternity and Delivery, and risk adjustment
D) Pathology, general coding guidelines, and risk adjustment

Correct Answer

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


A) Digestive
B) Psychology
C) Musculoskeletal
D) Respiratory

Correct Answer

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


A) The coder studied for weeks leading up to the exam date
B) The coder ran out of time to take the exam
C) The coder got lost on the way to the test site
D) The coder forgot to bring food to the test site

Correct Answer

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Medical practices contract with multiple insurance payers for all of the following reasons except:


A) To ensure the uninsured receive services
B) Facilitate payment for patients covered by diverse insurance plans
C) To maintain the number of patients they serve
D) To increase the number of patients they serve

Correct Answer

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