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CPC 2022 Exam Study Guide

Exam (elaborations) Dec 16, 2025 ★★★★★ (5.0/5)
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  • CPC 2022 Exam Study Guide

1.Documentation (content): Proper code assignment is determined both

by in the medical record and by the unique rules that govern each code set in that instance

2.An auditor: The role a coder may take on to verify that the

documentation supports the codes the physician has selected

3.Query the physician: 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?

4.Quarterly (usually): How often are codes and insurance payment

policies updated?

5.NPP: Non-Physician Provider (also known as mid-level providers or

physician extenders)

6.PA: Physician assistant

7.NP: Nurse practitioner

8.Commercial and Government: The two types of primary insurances

9.Commercial Carriers: Private payers that may offer both group and

individual plans 1 / 2

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10.Medicare: The most significant government insurer; a federal health

insurance program 11.People over 65, blind or disabled individuals, and people with

permanent kidney failure or end-stage renal disease: Medicare provides

coverage for what kind of people?

12.ESRD: end-stage renal disease

13.Medicare Part A: Helps cover inpatient hospital care, as well as care

provided in skilled nursing facilities, hospice care, and home healthcare,

14.Medicare Part B: 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.

15.Medicare Part C: 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.

16.Medicare Part D: A prescription drug program available to all

Medicare bene- ficiaries.

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Category: Exam (elaborations)
Added: Dec 16, 2025
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1 / CPC 2022 Exam Study Guide 1.Documentation (content): Proper code assignment is determined both by in the medical record and by the unique rules that govern each code set in that instance 2.An a...

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