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