The American Academy of Professional Coders Revamps Payer Coding Credential

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  • May 14, 2009
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Updated credential allows payers to demonstrate proficiency in provider claims adjudication

The American Academy of Professional Coders (AAPC, has released an updated, revamped version of its Certified Professional Coder-Payer® (CPC-P®) medical coding credential. The AAPC updated the certification to cover the full spectrum of the payer role, placing more emphasis on the specific skill set needed in a payer environment. Passing the examination and obtaining the CPC-P® credential certifies that the successful candidate has the knowledge and skills to adjudicate provider claims effectively.

Certified Professional Coder-Payer CPC-P

“With today’s health care system, it is crucial that payers have the education, training and credentialing to allow them to fairly and accurately adjudicate claims,” said Reed Pew, CEO and president of the AAPC. “Health care in the 21st century will be much different than in the 20th century, and as it continues to evolve, the AAPC is committed to providing the gold standard in medical coding credentials for both providers and payers. After all, they both use the same language.”

The exam tests examinees’ knowledge of coding-related payer functions with emphasis on how those functions differ from coding in a provider environment. The 150-question CPC-P® exam consists of two parts, testing coding accuracy and reimbursement methodologies.

The AAPC has also developed a study guide and practice exams to assist examinees in preparing for the exam. The study guide covers appropriate coding and typical industry standard edits to demonstrate how they work in conjunction with various reimbursement methodologies for physician services, outpatient services and inpatient services. The practice exams, available online, cover medical terminology, anatomy and the rules and regulations of each code set (CPT, ICD-9-CM and HCPCS Level II) while allowing the opportunity to gauge readiness for the actual exams. More information about the CPC-P® exam, study guide and practice exams is available online at


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