CPC Exam Prep Questions And Answers
What part of Medicare covers prescription drug services - Part D
What is medical coding? - Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies -
Workers compensation
What is an NCD (National Coverage Determination) interpreted at the MAC level
considered? - LCD (Local Coverage Determinations)
When should an ABN (Advance Beneficiary Notification) be signed? - when a service is not
expected to be covered under medicare
The amount on an ABN should be within how much of the cost to a patient? - $100 or 25%
of cost
An entity that processes nonstandard health information they receive from another entity
into a standard is considered what? - Clearinghouse
A covered entity does not include: - patients
What is PHI? - Protected Health Information
Intentional billing of services not provided is considered - fraud
,What OIG document should a provider review for potential problem areas that will receive
special scrutiny in the upcoming year? - OIG Work Plan
5 Body cavities - cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes - mucous, serous, synovial, meninges, cutaneous
2 layers of the skin - epidermis and dermis
5 layers of epidermis - stratum corneum, stratum lucidum, stratum granulosum, stratum
spinosum, stratum basale
2 layers of dermis - papillary and reticular
Closed fracture - broken bone with no open wound
compound fracture - bone breaks through the skin
comminuted fracture - fracture in which the bone is splintered or crushed
transverse fracture - occurs straight across the bone
greenstick fracture - bending and incomplete break of a bone; most often seen in children
, spiral fracture - a fracture in which the bone has been twisted apart
Colles' fracture - fracture of the distal radius at the wrist
compression fracture - occurs when the bone is pressed together (compressed) on itself
(vertebrae)
epiphyseal fracture - a break at the location of the growth plate, which can affect growth of
the bone
types of muscle - skeletal, cardiac, smooth
3 layers of the heart - epicardium, myocardium, endocardium
organs of the lymphatic system - lymph nodes, lymphatic vessels, thymus gland, spleen,
tonsils
Central Nervous System (CNS) - brain and spinal cord
Peripheral Nervous System (PNS) - the sensory and motor neurons that connect the CNS to
the rest of the body
Components of blood - plasma, red blood cells, white blood cells, platelets
a patient sustaining an injury to her great saphenous vein would have sustained an injury
to which anatomical site? - leg
What part of Medicare covers prescription drug services - Part D
What is medical coding? - Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies -
Workers compensation
What is an NCD (National Coverage Determination) interpreted at the MAC level
considered? - LCD (Local Coverage Determinations)
When should an ABN (Advance Beneficiary Notification) be signed? - when a service is not
expected to be covered under medicare
The amount on an ABN should be within how much of the cost to a patient? - $100 or 25%
of cost
An entity that processes nonstandard health information they receive from another entity
into a standard is considered what? - Clearinghouse
A covered entity does not include: - patients
What is PHI? - Protected Health Information
Intentional billing of services not provided is considered - fraud
,What OIG document should a provider review for potential problem areas that will receive
special scrutiny in the upcoming year? - OIG Work Plan
5 Body cavities - cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes - mucous, serous, synovial, meninges, cutaneous
2 layers of the skin - epidermis and dermis
5 layers of epidermis - stratum corneum, stratum lucidum, stratum granulosum, stratum
spinosum, stratum basale
2 layers of dermis - papillary and reticular
Closed fracture - broken bone with no open wound
compound fracture - bone breaks through the skin
comminuted fracture - fracture in which the bone is splintered or crushed
transverse fracture - occurs straight across the bone
greenstick fracture - bending and incomplete break of a bone; most often seen in children
, spiral fracture - a fracture in which the bone has been twisted apart
Colles' fracture - fracture of the distal radius at the wrist
compression fracture - occurs when the bone is pressed together (compressed) on itself
(vertebrae)
epiphyseal fracture - a break at the location of the growth plate, which can affect growth of
the bone
types of muscle - skeletal, cardiac, smooth
3 layers of the heart - epicardium, myocardium, endocardium
organs of the lymphatic system - lymph nodes, lymphatic vessels, thymus gland, spleen,
tonsils
Central Nervous System (CNS) - brain and spinal cord
Peripheral Nervous System (PNS) - the sensory and motor neurons that connect the CNS to
the rest of the body
Components of blood - plasma, red blood cells, white blood cells, platelets
a patient sustaining an injury to her great saphenous vein would have sustained an injury
to which anatomical site? - leg
