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