solutions 2025\2026.
What part of Medicare covers prescription drug services - n
Ans✔
Part D
Qs
What is medical coding? - n
Ans✔
Translating medical documentation into codes.
Qs
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists,
Pharmacies - n
Ans✔
Workers’ compensation
Qs
What is an NCD (National Coverage Determination) interpreted at the MAC level
considered? - n
Ans✔
LCD (Local Coverage Determinations)
Qs
When should an ABN (Advance Beneficiary Notification) be signed? - n
Ans✔
when a service is not expected to be covered under Medicare
Qs
,The amount on an ABN should be within how much of the cost to a patient? - n
Ans✔
$100 or 25% of cost
Qs
An entity that processes nonstandard health information they receive from another
entity into a standard is considered what? - n
Ans✔
Clearinghouse
Qs
A covered entity does not include: - n
Ans✔
patients
Qs
What is PHI? - n
Ans✔
Protected Health Information
Qs
Intentional billing of services not provided is considered - n
Ans✔
fraud
Qs
What OIG document should a provider review for potential problem areas that will
receive special scrutiny in the upcoming year? - n
Ans✔
OIG Work Plan
,Qs
5 Body cavities - n
Ans✔
cranial, spinal, thoracic, abdominal, pelvic
Qs
5 types of membranes - n
Ans✔
mucous, serous, synovial, meninges, cutaneous
Qs
2 layers of the skin - n
Ans✔
epidermis and dermis
Qs
5 layers of epidermis - n
Ans✔
stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum,
stratum basale
Qs
2 layers of dermis - n
Ans✔
papillary and reticular
Qs
Closed fracture - n
Ans✔
, broken bone with no open wound
Qs
compound fracture - n
Ans✔
bone breaks through the skin
Qs
comminuted fracture - n
Ans✔
fracture in which the bone is splintered or crushed
Qs
transverse fracture - n
Ans✔
occurs straight across the bone
Qs
greenstick fracture - n
Ans✔
bending and incomplete break of a bone; most often seen in children
Qs
spiral fracture - n
Ans✔
a fracture in which the bone has been twisted apart
Qs
Colles' fracture - n
Ans✔