terminology) {LATEST 2026 -2027 update}
QUESTIONS AND ANSWERS 100%
CORRECT
Meninges - correct answer composed of three connective tissue membranes found
within the dorsal cavity and serve as a protective covering of the brain and spinal cord.
Out layer --> Inner layer: Duramater, arachnoid, piamater
Cutaneous membrane - correct answer skin
Epidermis and dermis - correct answer two layers that make up the skin
Medicare Part A - correct answer inpatient hospital care, skilled nursing facility care,
hospice and home healthcare
,Medicare Part B - correct answer medically necessary physician services, outpatient
care; optional benefit --> patient must pay a premium, yearly deductible, and
coinsurance
Medicare Part C - correct answer A + B combined (+ sometimes D); managed by
private insurers and approved my Medicare
Medicare Part D - correct answer Prescription drug coverage program; private
insurers and approved by Medicare
Compliance Plan - correct answer A written set of instructions outlining the process
for coding and submitting accurate claims, and what to do if mistakes are found
,OIG Work Plan - correct answer Sets forth a plan outlining its priorities for the fiscal
year and beyond; a list of potential areas that will receive special scrutiny in the
upcoming year
Local Coverage Determination (LCD) - correct answer National Coverage
Determination (NCD) interpreted at the Medicare Administrative Contractor (MAC)
level is considered...
$100; 25% - correct answer The amount on an ABN should be within _____ or _____ of
the cost to the patient
Clearhousing - correct answer an entity that processes nonstandard health
information they receive from another entity into a standard format
PHI - correct answer Protected Health Information
, Fraud - correct answer intentional billing of services not provided
When a service is not expected to be covered my Medicare - correct answer When
should an ABN be signed?
Workers Compensation - correct answer Which one is not a covered entity of HIPAA?
Anterior (ventral) - correct answer toward the front of the body
Posterior (dorsal) - correct answer toward the back of the body
Medial - correct answer Toward the midline of the body
Lateral - correct answer Toward the side of the body