CPC CERTIFICATION STUDY GUIDE
EXAM WITH CORRECT ANSWERS
When gshould gan gABN gbe gsigned? g- gcorrect ganswers g-When ga gservice gis gnot
gexpected gto gbe gcovered gby gMedicare.
What gare gNCD's ginterpreted gat gthe gMAC glevel gconsidered? g- gcorrect ganswers g-
LCD
What gis gmedical gbilling? g- gcorrect ganswers g-Translating gmedical gdocumentation
ginto gcodes.
What gpart gof gMedicare gshould gbe gbilled gfor gthe gpain gmedication gby gthe
gpharmacy? g- gcorrect ganswers g-Part gD
The gamount gon gan gABN gshould gbe gwithin ghow gmuch gof gthe gcost gto gthe
gpatient? g- gcorrect ganswers g-$100 gor g25% gof gcost.
, An gentity gthat gprocesses gnonstandard ghealth ginformation gthey greceive gfrom
ganother gentity ginto ga gstandard gis gconsidered gwhat? g- gcorrect ganswers g-
Clearinghouse.
What gis gPHI? g- gcorrect ganswers g-Personal gHealth gInformation.
Intentional gbilling gof gservices gnot gprovided gis gconsidered? g- gcorrect ganswers g-
Fraud.
What gOIG gdocument gshould ga gprovider greveiw gfor gpotential gproblem gareas gthat
gwill greceive gspecial gscrutiny gin gthe gupcoming gyear? g- gcorrect ganswers g-OIG
gWork gPlan. gEach gyear gin gOctober.
What gis gABN? g- gcorrect ganswers g-Advance gBeneficiary gNotification
What gis gAMA? g- gcorrect ganswers g-American gMedical gAssociation.
What gis gCPC? g- gcorrect ganswers g-Current gProcedural gTerminology. gWhat gwas
gdone ginto gcodes.
What gis gICD-9-CM? g- gcorrect ganswers g-International gClassification gof gDisease,
g9th gClinical gModification. gWhy gwas gdone gin gcodes.
What gis gHIPAA? g- gcorrect ganswers g-Health gInsurance gPortability gand
gAccountability gAct gof g1996. gLaw gpassed gby gCongress gto gimprove gthe gportability
gand gcontinuity gof ghealthcare gcoverage.
What gis gOIG? g- gcorrect ganswers g-Office gof gInspector gGeneral. gMakes gsure
geveryone gis gin gcompliance
What gis gCMS? g- gcorrect ganswers g-Centers gfor gMedicare g& gMedicaid gServices.
gBasic gguidelines gfor gprivate gprctice gand grules.
a-,an- g- gcorrect ganswers g-Without, glack gof, gabsent, gdeficient
Ab-,abs- g- gcorrect ganswers g-From, gaway
Ad- g- gcorrect ganswers g-Near, gtoward
-algia,-algesia g- gcorrect ganswers g-Pain
Ambi- g- gcorrect ganswers g-Both
Angio g- gcorrect ganswers g-Vessle g(blood gor glymph)
EXAM WITH CORRECT ANSWERS
When gshould gan gABN gbe gsigned? g- gcorrect ganswers g-When ga gservice gis gnot
gexpected gto gbe gcovered gby gMedicare.
What gare gNCD's ginterpreted gat gthe gMAC glevel gconsidered? g- gcorrect ganswers g-
LCD
What gis gmedical gbilling? g- gcorrect ganswers g-Translating gmedical gdocumentation
ginto gcodes.
What gpart gof gMedicare gshould gbe gbilled gfor gthe gpain gmedication gby gthe
gpharmacy? g- gcorrect ganswers g-Part gD
The gamount gon gan gABN gshould gbe gwithin ghow gmuch gof gthe gcost gto gthe
gpatient? g- gcorrect ganswers g-$100 gor g25% gof gcost.
, An gentity gthat gprocesses gnonstandard ghealth ginformation gthey greceive gfrom
ganother gentity ginto ga gstandard gis gconsidered gwhat? g- gcorrect ganswers g-
Clearinghouse.
What gis gPHI? g- gcorrect ganswers g-Personal gHealth gInformation.
Intentional gbilling gof gservices gnot gprovided gis gconsidered? g- gcorrect ganswers g-
Fraud.
What gOIG gdocument gshould ga gprovider greveiw gfor gpotential gproblem gareas gthat
gwill greceive gspecial gscrutiny gin gthe gupcoming gyear? g- gcorrect ganswers g-OIG
gWork gPlan. gEach gyear gin gOctober.
What gis gABN? g- gcorrect ganswers g-Advance gBeneficiary gNotification
What gis gAMA? g- gcorrect ganswers g-American gMedical gAssociation.
What gis gCPC? g- gcorrect ganswers g-Current gProcedural gTerminology. gWhat gwas
gdone ginto gcodes.
What gis gICD-9-CM? g- gcorrect ganswers g-International gClassification gof gDisease,
g9th gClinical gModification. gWhy gwas gdone gin gcodes.
What gis gHIPAA? g- gcorrect ganswers g-Health gInsurance gPortability gand
gAccountability gAct gof g1996. gLaw gpassed gby gCongress gto gimprove gthe gportability
gand gcontinuity gof ghealthcare gcoverage.
What gis gOIG? g- gcorrect ganswers g-Office gof gInspector gGeneral. gMakes gsure
geveryone gis gin gcompliance
What gis gCMS? g- gcorrect ganswers g-Centers gfor gMedicare g& gMedicaid gServices.
gBasic gguidelines gfor gprivate gprctice gand grules.
a-,an- g- gcorrect ganswers g-Without, glack gof, gabsent, gdeficient
Ab-,abs- g- gcorrect ganswers g-From, gaway
Ad- g- gcorrect ganswers g-Near, gtoward
-algia,-algesia g- gcorrect ganswers g-Pain
Ambi- g- gcorrect ganswers g-Both
Angio g- gcorrect ganswers g-Vessle g(blood gor glymph)
