CRC - Chapter 1 Exam with Complete
Solutions
Seven key actions to Compliance Program - ANSWER-1. Conduct internal monitoring
and auditing.
2. Implement compliance and practice standards.
3. Designate a compliance officer or contact.
4. Conduct appropriate training and education.
5. Respond appropriately to detected offenses and develop correct of action.
6. Develop open lines of communication with employees.
7. Enforce disciplinary standards through well publicized guidelines.
OIG Work Plan - ANSWER-OIG's annual list of planned projects. Updated yearly
AAPC - ANSWER-American Academy of Professional Coders (founded 1988)
HITECH - ANSWER-Health Information Technology Economic and Clinical Health Act
OIG Work Plan - ANSWER-Office of Inspector General plan that lists the year's planned
projects for sampling types of billing to determine if there are any problems.
Updated monthly on oig website
Physician Assistant (PA) - ANSWER-26 1/2 months of training
Nurse Practitioner (NP) - ANSWER-6 years education
Phycian - ANSWER-4 yrs college, 4 yrs medical school and 3-5 yrs residency.
For risk adjustment, a code can... - ANSWER-Provide an internal audit to ensure all
diagnosis codes are being assigned appropriately.
Logic driven clinical algorithms - ANSWER-Vendors use these to identify and validate
incomplete or in accurate claims data in retrospective risk adjustment solutions.
What jurisdiction is covered by LCDs? - ANSWER-Region
Local Coverage Determination (LCD) - ANSWER-Describe if services can be paid for
under Medicare.
, Which act was enacted as part of the American Recovery and Reinvestment Act of
2009 (ARRA) and affected privacy and security? - ANSWER-HITECH
Metacarpals - ANSWER-bones of the hand
arthro - ANSWER-joint
angiocarditis - ANSWER-inflammation of the heart and blood vessels
Bile - ANSWER-A substance produced by the liver that breaks up fat particles.
Peristalsis - ANSWER-wave like contractions that move food through the digestive tract
Metoprolol - ANSWER-beta blocker
Impetigo - ANSWER-bacterial skin infection characterized by isolated pustules that
become crusted and rupture
Ischemia - ANSWER-Lack/restriction of blood supply
Cytopenia - ANSWER-deficiency of cells in the blood
Anisometropia - ANSWER-Different/unequal refractive strength in each eye
Dystonia - ANSWER-abnormal muscle tone causing abnormal postures and muscle
spasm
myasthenia gravis - ANSWER-a chronic autoimmune disease that affects the
NEUROMUSCULAR junction and produces serious weakness of voluntary muscles
which bone has trochanters? - ANSWER-Femur
hallux - ANSWER-big toe
Which of the following is not a function of the skin? - ANSWER-The skin DOES NOT act
as a gland by synthesizing vitamin A
Function of skin - ANSWER-protection, prevents penetration, perception, temperature
regulation, identification, communication, wound repair, absorption and excretion,
production of vitamin D
Muscle is attached to bone by: - ANSWER-tendon (aponeurosis & directly to bone)
Medulla - ANSWER-the base of the brainstem; controls blood pressure, heart rate &
respiration.
Solutions
Seven key actions to Compliance Program - ANSWER-1. Conduct internal monitoring
and auditing.
2. Implement compliance and practice standards.
3. Designate a compliance officer or contact.
4. Conduct appropriate training and education.
5. Respond appropriately to detected offenses and develop correct of action.
6. Develop open lines of communication with employees.
7. Enforce disciplinary standards through well publicized guidelines.
OIG Work Plan - ANSWER-OIG's annual list of planned projects. Updated yearly
AAPC - ANSWER-American Academy of Professional Coders (founded 1988)
HITECH - ANSWER-Health Information Technology Economic and Clinical Health Act
OIG Work Plan - ANSWER-Office of Inspector General plan that lists the year's planned
projects for sampling types of billing to determine if there are any problems.
Updated monthly on oig website
Physician Assistant (PA) - ANSWER-26 1/2 months of training
Nurse Practitioner (NP) - ANSWER-6 years education
Phycian - ANSWER-4 yrs college, 4 yrs medical school and 3-5 yrs residency.
For risk adjustment, a code can... - ANSWER-Provide an internal audit to ensure all
diagnosis codes are being assigned appropriately.
Logic driven clinical algorithms - ANSWER-Vendors use these to identify and validate
incomplete or in accurate claims data in retrospective risk adjustment solutions.
What jurisdiction is covered by LCDs? - ANSWER-Region
Local Coverage Determination (LCD) - ANSWER-Describe if services can be paid for
under Medicare.
, Which act was enacted as part of the American Recovery and Reinvestment Act of
2009 (ARRA) and affected privacy and security? - ANSWER-HITECH
Metacarpals - ANSWER-bones of the hand
arthro - ANSWER-joint
angiocarditis - ANSWER-inflammation of the heart and blood vessels
Bile - ANSWER-A substance produced by the liver that breaks up fat particles.
Peristalsis - ANSWER-wave like contractions that move food through the digestive tract
Metoprolol - ANSWER-beta blocker
Impetigo - ANSWER-bacterial skin infection characterized by isolated pustules that
become crusted and rupture
Ischemia - ANSWER-Lack/restriction of blood supply
Cytopenia - ANSWER-deficiency of cells in the blood
Anisometropia - ANSWER-Different/unequal refractive strength in each eye
Dystonia - ANSWER-abnormal muscle tone causing abnormal postures and muscle
spasm
myasthenia gravis - ANSWER-a chronic autoimmune disease that affects the
NEUROMUSCULAR junction and produces serious weakness of voluntary muscles
which bone has trochanters? - ANSWER-Femur
hallux - ANSWER-big toe
Which of the following is not a function of the skin? - ANSWER-The skin DOES NOT act
as a gland by synthesizing vitamin A
Function of skin - ANSWER-protection, prevents penetration, perception, temperature
regulation, identification, communication, wound repair, absorption and excretion,
production of vitamin D
Muscle is attached to bone by: - ANSWER-tendon (aponeurosis & directly to bone)
Medulla - ANSWER-the base of the brainstem; controls blood pressure, heart rate &
respiration.
