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CPC exam prep| 172 questions| with complete solutions

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What part of Medicare covers prescription drug services Correct Answer: Part D What is medical coding? Correct Answer: Translating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies Correct Answer: Workers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? Correct Answer: LCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Notification) be signed? Correct Answer: 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? 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 A covered entity does not include: Correct Answer: patients What is PHI? Correct Answer: Protected Health Information Intentional billing of services not provided is considered Correct Answer: fraud What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? Correct Answer: OIG Work Plan 5 Body cavities Correct Answer: cranial, spinal, thoracic, abdominal, pelvic 5 types of membranes Correct Answer: mucous, serous, synovial, meninges, cutaneous 2 layers of the skin Correct Answer: epidermis and dermis 5 layers of epidermis Correct Answer: stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale 2 layers of dermis Correct Answer: papillary and reticular Closed fracture Correct Answer: br

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CPC exam prep| 172 questions| with complete
solutions
What part of Medicare covers prescription drug services Correct Answer: Part D

What is medical coding? Correct Answer: Translating medical documentation into codes.

Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies
Correct Answer: Workers compensation

What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
Correct Answer: LCD (Local Coverage Determinations)

When should an ABN (Advance Beneficiary Notification) be signed? Correct Answer: 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? 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

A covered entity does not include: Correct Answer: patients

What is PHI? Correct Answer: Protected Health Information

Intentional billing of services not provided is considered Correct Answer: fraud

What OIG document should a provider review for potential problem areas that will receive
special scrutiny in the upcoming year? Correct Answer: OIG Work Plan

5 Body cavities Correct Answer: cranial, spinal, thoracic, abdominal, pelvic

5 types of membranes Correct Answer: mucous, serous, synovial, meninges, cutaneous

2 layers of the skin Correct Answer: epidermis and dermis

5 layers of epidermis Correct Answer: stratum corneum, stratum lucidum, stratum granulosum,
stratum spinosum, stratum basale

2 layers of dermis Correct Answer: papillary and reticular

Closed fracture Correct Answer: broken bone with no open wound

compound fracture Correct Answer: bone breaks through the skin

, comminuted fracture Correct Answer: fracture in which the bone is splintered or crushed

transverse fracture Correct Answer: occurs straight across the bone

greenstick fracture Correct Answer: bending and incomplete break of a bone; most often seen in
children

spiral fracture Correct Answer: a fracture in which the bone has been twisted apart

Colles' fracture Correct Answer: fracture of the distal radius at the wrist

compression fracture Correct Answer: occurs when the bone is pressed together (compressed)
on itself (vertebrae)

epiphyseal fracture Correct Answer: a break at the location of the growth plate, which can affect
growth of the bone

types of muscle Correct Answer: skeletal, cardiac, smooth

3 layers of the heart Correct Answer: epicardium, myocardium, endocardium

organs of the lymphatic system Correct Answer: lymph nodes, lymphatic vessels, thymus gland,
spleen, tonsils

Central Nervous System (CNS) Correct Answer: brain and spinal cord

Peripheral Nervous System (PNS) Correct Answer: the sensory and motor neurons that connect
the CNS to the rest of the body

Components of blood Correct Answer: 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? Correct Answer: leg

What is a function of the pancreas? Correct Answer: Supplies digestive enzymes.

Sebaceous glands are part of which anatomic system? Correct Answer: Integumentary

What part of the eye refracts light? Correct Answer: Lens

The myocardium is the thickest around which chamber of the heart? Correct Answer: Left
ventricle

The tunica vaginalis is part of which system? Correct Answer: male reproductive

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