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
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
