CPB (Certified Professional Biller) Certification Practice Exam

Which coding system is used to report professional services to payers?

1. Medical Ethics

2. Current Procedural Terminology (CPT)

3. Independent Contractor

4. BlueCard Program

The correct answer is: Current Procedural Terminology (CPT)

The correct answer is Current Procedural Terminology (CPT), which is specifically designed for reporting professional services to payers, including insurance companies and government programs. CPT codes are extensive numerical codes developed by the American Medical Association (AMA) that provide a uniform language for describing medical services and procedures. Using these codes ensures accurate billing and aids in the standardization of communication between healthcare providers and payers. This coding system helps streamline the reimbursement process for physicians and healthcare providers by categorizing services consistently. The other options do not pertain to the reporting of professional services. Medical Ethics refers to the moral implications and principles guiding healthcare practices, while Independent Contractor relates to a work arrangement rather than a coding system. The BlueCard Program is a network facilitating insurance coverage for out-of-state healthcare for Blue Cross Blue Shield members but does not serve as a coding system for billing professional services.