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