CPC exam prep 2023 QUESTIONS AND ANSWERS ALREADY PASSED

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