CPC Certification Study Guide| 208 QUESTIONS| WITH
COMPLETE SOLUTIONS
When should an ABN be signed? Correct Answer: When a service is not expected to be covered
by Medicare.
What are NCD's interpreted at the MAC level considered? Correct Answer: LCD
What is medical billing? Correct Answer: Translating medical documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy? Correct
Answer: Part D
The amount on an ABN should be within how much of the cost to the patient? Correct Answer:
$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another entity into a
standard is considered what? Correct Answer: Clearinghouse.
What is PHI? Correct Answer: Personal Health Information.
Intentional billing of services not provided is considered? Correct Answer: Fraud.
What OIG document should a provider reveiw for potential problem areas that will receive
special scrutiny in the upcoming year? Correct Answer: OIG Work Plan. Each year in October.
What is ABN? Correct Answer: Advance Beneficiary Notification
What is AMA? Correct Answer: American Medical Association.
What is CPC? Correct Answer: Current Procedural Terminology. What was done into codes.
What is ICD-9-CM? Correct Answer: International Classification of Disease, 9th Clinical
Modification. Why was done in codes.
What is HIPAA? Correct Answer: Health Insurance Portability and Accountability Act of 1996.
Law passed by Congress to improve the portability and continuity of healthcare coverage.
What is OIG? Correct Answer: Office of Inspector General. Makes sure everyone is in
compliance
What is CMS? Correct Answer: Centers for Medicare & Medicaid Services. Basic guidelines for
private prctice and rules.
a-,an- Correct Answer: Without, lack of, absent, deficient
, Ab-,abs- Correct Answer: From, away
Ad- Correct Answer: Near, toward
-algia,-algesia Correct Answer: Pain
Ambi- Correct Answer: Both
Angio Correct Answer: Vessle (blood or lymph)
Ano Correct Answer: Anus
Ante- Correct Answer: Before
Anti- Correct Answer: Against
Arterio Correct Answer: Artery
Arthro Correct Answer: Joint
Asthenia Correct Answer: Weakness.
Auto- Correct Answer: Self
Bi- Correct Answer: Two, twice
Brady- Correct Answer: Slow
Broncho Correct Answer: Bronchus
Cardio Correct Answer: Heart
-cele Correct Answer: Tumor, swelling, hernia, sac
-centesis Correct Answer: Puncture
Cephalo Correct Answer: Head
Chole Correct Answer: Gall
Cholecysto Correct Answer: Gall bladder
Choledocho Correct Answer: Common bile duct
Chondro Correct Answer: Cartilage
COMPLETE SOLUTIONS
When should an ABN be signed? Correct Answer: When a service is not expected to be covered
by Medicare.
What are NCD's interpreted at the MAC level considered? Correct Answer: LCD
What is medical billing? Correct Answer: Translating medical documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy? Correct
Answer: Part D
The amount on an ABN should be within how much of the cost to the patient? Correct Answer:
$100 or 25% of cost.
An entity that processes nonstandard health information they receive from another entity into a
standard is considered what? Correct Answer: Clearinghouse.
What is PHI? Correct Answer: Personal Health Information.
Intentional billing of services not provided is considered? Correct Answer: Fraud.
What OIG document should a provider reveiw for potential problem areas that will receive
special scrutiny in the upcoming year? Correct Answer: OIG Work Plan. Each year in October.
What is ABN? Correct Answer: Advance Beneficiary Notification
What is AMA? Correct Answer: American Medical Association.
What is CPC? Correct Answer: Current Procedural Terminology. What was done into codes.
What is ICD-9-CM? Correct Answer: International Classification of Disease, 9th Clinical
Modification. Why was done in codes.
What is HIPAA? Correct Answer: Health Insurance Portability and Accountability Act of 1996.
Law passed by Congress to improve the portability and continuity of healthcare coverage.
What is OIG? Correct Answer: Office of Inspector General. Makes sure everyone is in
compliance
What is CMS? Correct Answer: Centers for Medicare & Medicaid Services. Basic guidelines for
private prctice and rules.
a-,an- Correct Answer: Without, lack of, absent, deficient
, Ab-,abs- Correct Answer: From, away
Ad- Correct Answer: Near, toward
-algia,-algesia Correct Answer: Pain
Ambi- Correct Answer: Both
Angio Correct Answer: Vessle (blood or lymph)
Ano Correct Answer: Anus
Ante- Correct Answer: Before
Anti- Correct Answer: Against
Arterio Correct Answer: Artery
Arthro Correct Answer: Joint
Asthenia Correct Answer: Weakness.
Auto- Correct Answer: Self
Bi- Correct Answer: Two, twice
Brady- Correct Answer: Slow
Broncho Correct Answer: Bronchus
Cardio Correct Answer: Heart
-cele Correct Answer: Tumor, swelling, hernia, sac
-centesis Correct Answer: Puncture
Cephalo Correct Answer: Head
Chole Correct Answer: Gall
Cholecysto Correct Answer: Gall bladder
Choledocho Correct Answer: Common bile duct
Chondro Correct Answer: Cartilage
