CPC Certification Study Guide correctly answered 2022

CPC Certification Study Guide correctly answered 2022When should an ABN be signed? When a service is not expected to be covered by Medicare. What are NCD's interpreted at the MAC level considered? LCD What is medical billing? Translating medical documentation into codes. What part of Medicare should be billed for the pain medication by the pharmacy? Part D The amount on an ABN should be within how much of the cost to the 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. What is PHI? Personal Health Information. Intentional billing of services not provided is considered? Fraud. What OIG document should a provider reveiw for potential problem areas that will receive special scrutiny in the upcoming year? OIG Work Plan. Each year in October. What is ABN? Advance Beneficiary Notification What is AMA? American Medical Association. What is CPC? Current Procedural Terminology. What was done into codes. What is ICD-9-CM? International Classification of Disease, 9th Clinical Modification. Why was done in codes. What is HIPAA? Health Insurance Portability and Accountability Act of 1996. Law passed by Congress to improve the portability and continuity of healthcare coverage. What is OIG? Office of Inspector General. Makes sure everyone is in compliance What is CMS? Centers for Medicare & Medicaid Services. Basic guidelines for private prctice and rules. a-,an- Without, lack of, absent, deficient Ab-,abs- From, away Ad- Near, toward -algia,-algesia Pain Ambi- Both Angio Vessle (blood or lymph) Ano Anus Ante- Before Anti- Against Arterio Artery Arthro Joint Asthenia Weakness. Auto- Self Bi- Two, twice Brady- Slow Broncho Bronchus Cardio Heart -cele Tumor, swelling, hernia, sac -centesis Puncture Cephalo Head Chole Gall Cholecysto Gall bladder Choledocho Common bile duct Chondro Cartilage -cide Kill Circum Around -cise Cut Colo Colon Colpo Vagina Contra Against Costo Rib Cranio Skull Cyano Blue Cysto Urinary bladder De- Down, from Denti Tooth Dermo, dermato Skin Di- Two Dia- Through, between, across, apart Dis- Apart Dys- Painful, difficult, disordered Ecto- Outer, or on the outside -ectomy Surgical removal -emesis Vomiting -emia Blood En- In, inside Encephalo Brain Endo Within inner, on the inside Entero Intestine Epi- Above, over Erythro Red -esthesia Sensation Ex- Out Febr Fever Fibro Connective tissue Gastro Stomach