CPC EXAM 2024 ACTUAL TEST QUESTIONS WITH ACCURATE SOLUTIONS
Medicare Part A
Covers inpatient hospital care, skilled nursinf facilities, hospice care, home health care.
Medicare Part C
Medicare Advantage, combines the benefits of Parts A and B, sometimes D. Plans are
managed by private insurers approved by Medicare.
Medicare Part D
Prescription drug program available to all Medicare beneficiaries
RBRVS
Resource based relative value scale: physician work, practice expense and professional
liability insurance
Medical necessity
Whether a procedure or service is considered appropriate in a given circumstance
NCD
National Coverage Determinations: explain when Medicare will pay for items or services
,LCD
Local Coverage Determinations: Has jurisdiction within their regional area if an NCD
doesn't exist for an item
ABN
Standardized form that explains to the patient why Medicare may deny the service or
procedure
HIPPA (Health Insurance Portability and Accountability Act)
Provides federal protections for health information
Fraud
When someone knowingly gives false information that allows someone to get a benefit they
is not allowed to
Abuse
When someone knowingly takes actions that result in unnecessary cost or services
Blephar/o
Eyelid
,Bucc/o
Cheek
Cholecyst/o
Gallbladder
Colp/o
Vagina
Cyst/o
A fluid sac or pouch, urinary bladder
Derm
Skin
Encephal/o
Brain
Enter/o
, Intestine
Hem, Hemat/o
Blood
Post-
After, behind
-Centesis
Puncture a cavity to remove fluid
-desis
Binding, fusion
-ectomy
Excision, surgical removal
-graphy
Act of recording data
Medicare Part A
Covers inpatient hospital care, skilled nursinf facilities, hospice care, home health care.
Medicare Part C
Medicare Advantage, combines the benefits of Parts A and B, sometimes D. Plans are
managed by private insurers approved by Medicare.
Medicare Part D
Prescription drug program available to all Medicare beneficiaries
RBRVS
Resource based relative value scale: physician work, practice expense and professional
liability insurance
Medical necessity
Whether a procedure or service is considered appropriate in a given circumstance
NCD
National Coverage Determinations: explain when Medicare will pay for items or services
,LCD
Local Coverage Determinations: Has jurisdiction within their regional area if an NCD
doesn't exist for an item
ABN
Standardized form that explains to the patient why Medicare may deny the service or
procedure
HIPPA (Health Insurance Portability and Accountability Act)
Provides federal protections for health information
Fraud
When someone knowingly gives false information that allows someone to get a benefit they
is not allowed to
Abuse
When someone knowingly takes actions that result in unnecessary cost or services
Blephar/o
Eyelid
,Bucc/o
Cheek
Cholecyst/o
Gallbladder
Colp/o
Vagina
Cyst/o
A fluid sac or pouch, urinary bladder
Derm
Skin
Encephal/o
Brain
Enter/o
, Intestine
Hem, Hemat/o
Blood
Post-
After, behind
-Centesis
Puncture a cavity to remove fluid
-desis
Binding, fusion
-ectomy
Excision, surgical removal
-graphy
Act of recording data
