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