CPC Certification Study Guide Solved 100% Correct

When should an ABN be signed? - ANSWER-When a service is not expected to be covered by Medicare. What are NCD's interpreted at the MAC level considered? - ANSWER-LCD What is medical billing? - ANSWER-Translating medical documentation into codes. What part of Medicare should be billed for the pain medication by the pharmacy? - ANSWER-Part D The amount on an ABN should be within how much of the cost to the 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. What is PHI? - ANSWER-Personal Health Information. Intentional billing of services not provided is considered? - ANSWER-Fraud. What OIG document should a provider reveiw for potential problem areas that will receive special scrutiny in the upcoming year? - ANSWER-OIG Work Plan. Each year in October. What is ABN? - ANSWER-Advance Beneficiary Notification What is AMA? - ANSWER-American Medical Association. What is CPT? - ANSWER-Current Procedural Terminology. What was done into codes. What is ICD-9-CM? - ANSWER-International Classification of Disease, 9th Clinical Modification. Why was done in codes. What is HIPAA? - ANSWER-Health Insurance Portability and Accountability Act of 1996. Law passed by Congress to improve the portability and continuity of healthcare coverage. What is OIG? - ANSWER-Office of Inspector General. Makes sure everyone is in compliance What is CMS? - ANSWER-Centers for Medicare & Medicaid Services. Basic guidelines for private prctice and rules. a-,an- - ANSWER-Without, lack of, absent, deficient Ab-,abs- - ANSWER-From, away Ad- - ANSWER-Near, toward -algia,-algesia - ANSWER-Pain Ambi- - ANSWER-Both Angio - ANSWER-Vessle (blood or lymph) Ano - ANSWER-Anus Ante- - ANSWER-Before Anti- - ANSWER-Against Arterio - ANSWER-Artery Arthro - ANSWER-Joint Asthenia - ANSWER-Weakness. Auto- - ANSWER-Self Bi- - ANSWER-Two, twice Brady- - ANSWER-Slow Broncho - ANSWER-Bronchus Cardio - ANSWER-Heart -cele - ANSWER-Tumor, swelling, hernia, sac -centesis - ANSWER-Puncture Cephalo - ANSWER-Head Chole - ANSWER-Gall Cholecysto - ANSWER-Gall bladder Choledocho - ANSWER-Common bile duct Chondro - ANSWER-Cartilage -cide - ANSWER-Kill Circum - ANSWER-Around -cise - ANSWER-Cut Colo - ANSWER-Colon Colpo - ANSWER-Vagina Contra - ANSWER-Against Costo - ANSWER-Rib Cranio - ANSWER-Skull Cyano - ANSWER-Blue Cysto - ANSWER-Urinary bladder De- - ANSWER-Down, from Denti - ANSWER-Tooth Dermo, dermato - ANSWER-Skin Di- - ANSWER-Two Dia- - ANSWER-Through, between, across, apart Dis- - ANSWER-Apart Dys- - ANSWER-Painful, difficult, disordered Ecto- - ANSWER-Outer, or on the outside -ectomy - ANSWER-Surgical removal -emesis - ANSWER-Vomiting -emia - ANSWER-Blood