CPC PREP FREQUENTLY TESTED ACTUAL EXAM
QUESTIONS WITH CORRECT ANSWERS
Question 1.
What part of Medicare covers prescription drug services
ANSWER
Part D
Question 2.
What is medical coding?
ANSWER
Translating medical documentation into codes.
Question 3.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies
ANSWER
Workers compensation
Question 4.
What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
ANSWER
LCD (Local Coverage Determinations)
Question 5.
When should an ABN (Advance Beneficiary Notification) be signed?
ANSWER
when a service is not expected to be covered under medicare
Question 6.
The amount on an ABN should be within how much of the cost to a patient?
ANSWER
$100 or 25% of cost
1
,Question 7.
An entity that processes nonstandard health information they receive from another entity into a
standard is considered what?
ANSWER
Clearinghouse
Question 8.
A covered entity does not include:
ANSWER
patients
Question 9.
What is PHI?
ANSWER
Protected Health Information
Question 10.
Intentional billing of services not provided is considered
ANSWER
fraud
Question 11.
What OIG document should a provider review for potential problem areas that will receive
special scrutiny in the upcoming year?
ANSWER
OIG Work Plan
Question 12.
5 Body cavities
ANSWER
cranial, spinal, thoracic, abdominal, pelvic
Question 13.
5 types of membranes
ANSWER
mucous, serous, synovial, meninges, cutaneous
2
, Question 14.
2 layers of the skin
ANSWER
epidermis and dermis
Question 15.
5 layers of epidermis
ANSWER
stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale
Question 16.
2 layers of dermis
ANSWER
papillary and reticular
Question 17.
Closed fracture
ANSWER
broken bone with no open wound
Question 18.
compound fracture
ANSWER
bone breaks through the skin
Question 19.
comminuted fracture
ANSWER
fracture in which the bone is splintered or crushed
Question 20.
transverse fracture
ANSWER
occurs straight across the bone
3
QUESTIONS WITH CORRECT ANSWERS
Question 1.
What part of Medicare covers prescription drug services
ANSWER
Part D
Question 2.
What is medical coding?
ANSWER
Translating medical documentation into codes.
Question 3.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies
ANSWER
Workers compensation
Question 4.
What is an NCD (National Coverage Determination) interpreted at the MAC level considered?
ANSWER
LCD (Local Coverage Determinations)
Question 5.
When should an ABN (Advance Beneficiary Notification) be signed?
ANSWER
when a service is not expected to be covered under medicare
Question 6.
The amount on an ABN should be within how much of the cost to a patient?
ANSWER
$100 or 25% of cost
1
,Question 7.
An entity that processes nonstandard health information they receive from another entity into a
standard is considered what?
ANSWER
Clearinghouse
Question 8.
A covered entity does not include:
ANSWER
patients
Question 9.
What is PHI?
ANSWER
Protected Health Information
Question 10.
Intentional billing of services not provided is considered
ANSWER
fraud
Question 11.
What OIG document should a provider review for potential problem areas that will receive
special scrutiny in the upcoming year?
ANSWER
OIG Work Plan
Question 12.
5 Body cavities
ANSWER
cranial, spinal, thoracic, abdominal, pelvic
Question 13.
5 types of membranes
ANSWER
mucous, serous, synovial, meninges, cutaneous
2
, Question 14.
2 layers of the skin
ANSWER
epidermis and dermis
Question 15.
5 layers of epidermis
ANSWER
stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale
Question 16.
2 layers of dermis
ANSWER
papillary and reticular
Question 17.
Closed fracture
ANSWER
broken bone with no open wound
Question 18.
compound fracture
ANSWER
bone breaks through the skin
Question 19.
comminuted fracture
ANSWER
fracture in which the bone is splintered or crushed
Question 20.
transverse fracture
ANSWER
occurs straight across the bone
3
