CPC exam prep
What part of Medicare covers prescription drug services - Answer-Part D
What is medical coding? - Answer-Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies - Answer-
Workers compensation
What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - Answer-
LCD (Local Coverage Determinations)
When should an ABN (Advance Beneficiary Notification) be signed? - Answer-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? - 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
,A covered entity does not include: - Answer-patients
What is PHI? - Answer-Protected Health Information
Intentional billing of services not provided is considered - Answer-fraud
What OIG document should a provider review for potential problem areas that will receive special
scrutiny in the upcoming year? - Answer-OIG Work Plan
5 Body cavities - Answer-cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes - Answer-mucous, serous, synovial, meninges, cutaneous
2 layers of the skin - Answer-epidermis and dermis
5 layers of epidermis - Answer-stratum corneum, stratum lucidum, stratum granulosum, stratum
spinosum, stratum basale
2 layers of dermis - Answer-papillary and reticular
Closed fracture - Answer-broken bone with no open wound
compound fracture - Answer-bone breaks through the skin
comminuted fracture - Answer-fracture in which the bone is splintered or crushed
, transverse fracture - Answer-occurs straight across the bone
greenstick fracture - Answer-bending and incomplete break of a bone; most often seen in children
spiral fracture - Answer-a fracture in which the bone has been twisted apart
Colles' fracture - Answer-fracture of the distal radius at the wrist
compression fracture - Answer-occurs when the bone is pressed together (compressed) on itself
(vertebrae)
epiphyseal fracture - Answer-a break at the location of the growth plate, which can affect growth of the
bone
types of muscle - Answer-skeletal, cardiac, smooth
3 layers of the heart - Answer-epicardium, myocardium, endocardium
organs of the lymphatic system - Answer-lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils
Central Nervous System (CNS) - Answer-brain and spinal cord
Peripheral Nervous System (PNS) - Answer-the sensory and motor neurons that connect the CNS to the
rest of the body
Components of blood - Answer-plasma, red blood cells, white blood cells, platelets
What part of Medicare covers prescription drug services - Answer-Part D
What is medical coding? - Answer-Translating medical documentation into codes.
Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies - Answer-
Workers compensation
What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - Answer-
LCD (Local Coverage Determinations)
When should an ABN (Advance Beneficiary Notification) be signed? - Answer-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? - 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
,A covered entity does not include: - Answer-patients
What is PHI? - Answer-Protected Health Information
Intentional billing of services not provided is considered - Answer-fraud
What OIG document should a provider review for potential problem areas that will receive special
scrutiny in the upcoming year? - Answer-OIG Work Plan
5 Body cavities - Answer-cranial, spinal, thoracic, abdominal, pelvic
5 types of membranes - Answer-mucous, serous, synovial, meninges, cutaneous
2 layers of the skin - Answer-epidermis and dermis
5 layers of epidermis - Answer-stratum corneum, stratum lucidum, stratum granulosum, stratum
spinosum, stratum basale
2 layers of dermis - Answer-papillary and reticular
Closed fracture - Answer-broken bone with no open wound
compound fracture - Answer-bone breaks through the skin
comminuted fracture - Answer-fracture in which the bone is splintered or crushed
, transverse fracture - Answer-occurs straight across the bone
greenstick fracture - Answer-bending and incomplete break of a bone; most often seen in children
spiral fracture - Answer-a fracture in which the bone has been twisted apart
Colles' fracture - Answer-fracture of the distal radius at the wrist
compression fracture - Answer-occurs when the bone is pressed together (compressed) on itself
(vertebrae)
epiphyseal fracture - Answer-a break at the location of the growth plate, which can affect growth of the
bone
types of muscle - Answer-skeletal, cardiac, smooth
3 layers of the heart - Answer-epicardium, myocardium, endocardium
organs of the lymphatic system - Answer-lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils
Central Nervous System (CNS) - Answer-brain and spinal cord
Peripheral Nervous System (PNS) - Answer-the sensory and motor neurons that connect the CNS to the
rest of the body
Components of blood - Answer-plasma, red blood cells, white blood cells, platelets
