CPC exam prep

CPC Exam Prep Questions And Answers What part of Medicare covers prescription drug services Ans- Part D What is medical coding? Ans- Translating medical documentation into codes. Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies Ans- Workers compensation What is an NCD (National Coverage Determination) interpreted at the MAC level considered? Ans- LCD (Local Coverage Determinations) When should an ABN (Advance Beneficiary Notification) be signed? Ans- when a service is not expected to be covered under medicare The amount on an ABN should be within how much of the cost to a patient? Ans- $100 or 25% of cost An entity that processes nonstandard health information they receive from another entity into a standard is considered what? Ans- Clearinghouse A covered entity does not include: Ans- patients What is PHI? Ans- Protected Health Information Intentional billing of services not provided is considered Ans- fraud What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? Ans- OIG Work Plan 5 Body cavities Ans- cranial, spinal, thoracic, abdominal, pelvic 5 types of membranes Ans- mucous, serous, synovial, meninges, cutaneous 2 layers of the skin Ans- epidermis and dermis 5 layers of epidermis Ans- stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale 2 layers of dermis Ans- papillary and reticular Closed fracture Ans- broken bone with no open wound compound fracture Ans- bone breaks through the skin comminuted fracture Ans- fracture in which the bone is splintered or crushed transverse fracture Ans- occurs straight across the bone greenstick fracture Ans- bending and incomplete break of a bone; most often seen in children spiral fracture Ans- a fracture in which the bone has been twisted apart Colles' fracture Ans- fracture of the distal radius at the wrist compression fracture Ans- occurs when the bone is pressed together (compressed) on itself (vertebrae) epiphyseal fracture Ans- a break at the location of the growth plate, which can affect growth of the bone types of muscle Ans- skeletal, cardiac, smooth 3 layers of the heart Ans- epicardium, myocardium, endocardium organs of the lymphatic system Ans- lymph nodes, lymphatic vessels, thymus gland, spleen, tonsils Central Nervous System (CNS) Ans- brain and spinal cord Peripheral Nervous System (PNS) Ans- the sensory and motor neurons that connect the CNS to the rest of the body Components of blood Ans- plasma, red blood cells, white blood cells, platelets a patient sustaining an injury to her great saphenous vein would have sustained an injury to which anatomical site? Ans- leg What is a function of the pancreas? Ans- Supplies digestive enzymes. Sebaceous glands are part of which anatomic system? Ans- Integumentary What part of the eye refracts light? Ans- Lens The myocardium is the thickest around which chamber of the heart? Ans- Left ventricle The tunica vaginalis is part of which system? Ans- male reproductive Complete the series: Incus, Stapes... Ans- Malleus Hemiplegia is a disorder caused by a defect i which anatomic system? Ans- Nervous What is the result of a ureteral blockage? Ans- Urine will not be able to flow from the kidney to the bladder. What is a term for a renal calculus? Ans- Nephrolithiasis What year was the AAPC founded? Ans- 1988 Super fascia is in the Ans- hypodermis Stratum Lucidum is found Ans- In areas such as the palms and soles (Thicker skin) Arteries Ans- carry blood away from the heart veins Ans- Blood vessels that carry blood back to the heart Capillaries Ans- Smallest blood vessels; site of oxygen and waste exchange 3 layers of the eye Ans- sclera, choroid, retina anterior segment of eye Ans- contains aqueous humor posterior segment of eye Ans- contains vitreous humor Leukocytosis refers to Ans- increased amount of white blood cells (WBC) what structure of the ear is considered the inner ear? Ans- labrynth what type of membrane lines the inner walls of the digestive system? Ans- mucous what structure is an internal organ of the male genital system? Ans- Cowper's glands The heart receives DEOXYGENATED blood in the right atrium via which vessel? Ans- Vena Cavae The heart circulates blood thru the lungs and is sent back to the left atrium of the heart via which vessel? Ans- left/right pulmonary veins Where are the basal ganglia located Ans- cerebral cortex What is vesicoureteral reflux? Ans- retrograde flow of bladder urine into the ureters The posterior vaginal fornix and outer cervical os were prepped... what does os stand for Ans- ostium (opening) Recession of left inferior rectus muscle... what anatomic location is being operated on? Ans- eye What anatomic location does kyphosis refer to? Ans- thoracic spine A patient diagnosed with glaucoma has Ans- Abnormally high intraocular pressure What is affected by myasthenia gravis? Ans- neuromuscular junction What is significant about an abdominal aneurysm? Ans- it is a weakness in a large artery and rupture can be deadly What is a myocardial infarction? Ans- heart attack; lack of oxygen to the heart tissue resulting in tissue death What is the function of the thyroid gland Ans- It secretes hormones regulating body metabolism and blood calcium Urine is transported from the kidneys to the urinary bladder via the: Ans- ureter The loop of Henle is located in what structure Ans- kidney lacrimal glands are responsible for production of Ans- tears How many lobes does the right lung have? Ans- 3 lobe