CPC Certification Study Guide

CPC Certification Study Guide
i i i




WhenishouldianiABNibeisigned?i-i

i ✅WheniaiserviceiisinotiexpecteditoibeicoveredibyiMedicare.



WhatiareiNCD'siinterpretediatitheiMACileveliconsidered?i-i

i ✅LCD



Whatiisimedicalibilling?i-i

i ✅Translatingimedicalidocumentationiintoicodes.



WhatipartiofiMedicareishouldibeibillediforitheipainimedicationibyitheipharmacy?i-i

i ✅PartiD



TheiamountionianiABNishouldibeiwithinihowimuchiofitheicostitoitheipatient?i-i

i ✅$100iori25%ioficost.



Anientityithatiprocessesinonstandardihealthiinformationitheyireceiveifromianotherientityiintoiaistandar
diisiconsiderediwhat?i-i

i ✅Clearinghouse.



WhatiisiPHI?i-i

i ✅PersonaliHealthiInformation.



Intentionalibillingiofiservicesinotiprovidediisiconsidered?i-i

i ✅Fraud.



WhatiOIGidocumentishouldiaiproviderireveiwiforipotentialiproblemiareasithatiwillireceiveispecialiscrutin
yiinitheiupcomingiyear?i-i

i ✅OIGiWorkiPlan.iEachiyeariiniOctober.



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,WhatiisiABN?i-i

i ✅AdvanceiBeneficiaryiNotification



WhatiisiAMA?i-i

i ✅AmericaniMedicaliAssociation.



WhatiisiCPC?i-i

i ✅CurrentiProceduraliTerminology.iWhatiwasidoneiintoicodes.



WhatiisiICD-9-CM?i-i

i ✅InternationaliClassificationiofiDisease,i9thiClinicaliModification.iWhyiwasidoneiinicodes.



WhatiisiHIPAA?i-i

✅HealthiInsuranceiPortabilityiandiAccountabilityiActiofi1996.iLawipassedibyiCongressitoiimproveitheip
i

ortabilityiandicontinuityiofihealthcareicoverage.



WhatiisiOIG?i-i

i ✅OfficeiofiInspectoriGeneral.iMakesisureieveryoneiisiinicompliance



WhatiisiCMS?i-i

i ✅CentersiforiMedicarei&iMedicaidiServices.iBasiciguidelinesiforiprivateiprcticeiandirules.



a-,an-i-i

i ✅Without,ilackiof,iabsent,ideficient



Ab-,abs-i-i

i ✅From,iaway



Ad-i-i

i ✅Near,itoward



2i|iP a g e

, -algia,-algesiai-i

i ✅Pain



Ambi-i-i

i ✅Both



Angioi-i

i ✅Vesslei(bloodiorilymph)



Anoi-i

i ✅Anus



Ante-i-i

i ✅Before



Anti-i-i

i ✅Against



Arterioi-i

i ✅Artery



Arthroi-i

i ✅Joint



Astheniai-i

i ✅Weakness.



Auto-i-i

i ✅Self




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