CPC exam prep
i i
WhatipartiofiMedicareicoversiprescriptionidrugiservicesi-i
i ✅PartiD
Whatiisimedicalicoding?i-i
i ✅Translatingimedicalidocumentationiintoicodes.
WhichiisiNOTiaicoveredientityiofiHIPAA...iMedicare,iWorker'siComp,iDentists,iPharmaciesi-i
i ✅Workersicompensation
WhatiisianiNCDi(NationaliCoverageiDetermination)iinterpretediatitheiMACileveliconsidered?i-i
i ✅LCDi(LocaliCoverageiDeterminations)
WhenishouldianiABNi(AdvanceiBeneficiaryiNotification)ibeisigned?i-i
i ✅wheniaiserviceiisinotiexpecteditoibeicoverediunderimedicare
TheiamountionianiABNishouldibeiwithinihowimuchiofitheicostitoiaipatient?i-i
i ✅$100iori25%ioficost
Anientityithatiprocessesinonstandardihealthiinformationitheyireceiveifromianotherientityiintoiaistandar
diisiconsiderediwhat?i-i
i ✅Clearinghouse
Aicoveredientityidoesinotiinclude:i-i
i ✅patients
WhatiisiPHI?i-i
i ✅ProtectediHealthiInformation
1i|iP a g e
,Intentionalibillingiofiservicesinotiprovidediisiconsideredi-i
i ✅fraud
WhatiOIGidocumentishouldiaiproviderireviewiforipotentialiproblemiareasithatiwillireceiveispecialiscrutin
yiinitheiupcomingiyear?i-i
i ✅OIGiWorkiPlan
5iBodyicavitiesi-i
i ✅cranial,ispinal,ithoracic,iabdominal,ipelvic
5itypesiofimembranesi-i
i ✅mucous,iserous,isynovial,imeninges,icutaneous
2ilayersiofitheiskini-i
i ✅epidermisiandidermis
5ilayersiofiepidermisi-i
i ✅stratumicorneum,istratumilucidum,istratumigranulosum,istratumispinosum,istratumibasale
2ilayersiofidermisi-i
i ✅papillaryiandireticular
Closedifracturei-i
i ✅brokeniboneiwithinoiopeniwound
compoundifracturei-i
i ✅boneibreaksithroughitheiskin
comminutedifracturei-i
i ✅fractureiiniwhichitheiboneiisisplinteredioricrushed
2i|iP a g e
, transverseifracturei-i
i ✅occursistraightiacrossitheibone
greenstickifracturei-i
i ✅bendingiandiincompleteibreakiofiaibone;imostiofteniseeniinichildren
spiralifracturei-i
i ✅aifractureiiniwhichitheiboneihasibeenitwistediapart
Colles'ifracturei-i
i ✅fractureiofitheidistaliradiusiatitheiwrist
compressionifracturei-i
i ✅occursiwhenitheiboneiisipresseditogetheri(compressed)ioniitselfi(vertebrae)
epiphysealifracturei-i
i ✅aibreakiatitheilocationiofitheigrowthiplate,iwhichicaniaffectigrowthiofitheibone
typesiofimusclei-i
i ✅skeletal,icardiac,ismooth
3ilayersiofitheihearti-i
i ✅epicardium,imyocardium,iendocardium
organsiofitheilymphaticisystemi-i
i ✅lymphinodes,ilymphaticivessels,ithymusigland,ispleen,itonsils
CentraliNervousiSystemi(CNS)i-i
i ✅brainiandispinalicord
3i|iP a g e
i i
WhatipartiofiMedicareicoversiprescriptionidrugiservicesi-i
i ✅PartiD
Whatiisimedicalicoding?i-i
i ✅Translatingimedicalidocumentationiintoicodes.
WhichiisiNOTiaicoveredientityiofiHIPAA...iMedicare,iWorker'siComp,iDentists,iPharmaciesi-i
i ✅Workersicompensation
WhatiisianiNCDi(NationaliCoverageiDetermination)iinterpretediatitheiMACileveliconsidered?i-i
i ✅LCDi(LocaliCoverageiDeterminations)
WhenishouldianiABNi(AdvanceiBeneficiaryiNotification)ibeisigned?i-i
i ✅wheniaiserviceiisinotiexpecteditoibeicoverediunderimedicare
TheiamountionianiABNishouldibeiwithinihowimuchiofitheicostitoiaipatient?i-i
i ✅$100iori25%ioficost
Anientityithatiprocessesinonstandardihealthiinformationitheyireceiveifromianotherientityiintoiaistandar
diisiconsiderediwhat?i-i
i ✅Clearinghouse
Aicoveredientityidoesinotiinclude:i-i
i ✅patients
WhatiisiPHI?i-i
i ✅ProtectediHealthiInformation
1i|iP a g e
,Intentionalibillingiofiservicesinotiprovidediisiconsideredi-i
i ✅fraud
WhatiOIGidocumentishouldiaiproviderireviewiforipotentialiproblemiareasithatiwillireceiveispecialiscrutin
yiinitheiupcomingiyear?i-i
i ✅OIGiWorkiPlan
5iBodyicavitiesi-i
i ✅cranial,ispinal,ithoracic,iabdominal,ipelvic
5itypesiofimembranesi-i
i ✅mucous,iserous,isynovial,imeninges,icutaneous
2ilayersiofitheiskini-i
i ✅epidermisiandidermis
5ilayersiofiepidermisi-i
i ✅stratumicorneum,istratumilucidum,istratumigranulosum,istratumispinosum,istratumibasale
2ilayersiofidermisi-i
i ✅papillaryiandireticular
Closedifracturei-i
i ✅brokeniboneiwithinoiopeniwound
compoundifracturei-i
i ✅boneibreaksithroughitheiskin
comminutedifracturei-i
i ✅fractureiiniwhichitheiboneiisisplinteredioricrushed
2i|iP a g e
, transverseifracturei-i
i ✅occursistraightiacrossitheibone
greenstickifracturei-i
i ✅bendingiandiincompleteibreakiofiaibone;imostiofteniseeniinichildren
spiralifracturei-i
i ✅aifractureiiniwhichitheiboneihasibeenitwistediapart
Colles'ifracturei-i
i ✅fractureiofitheidistaliradiusiatitheiwrist
compressionifracturei-i
i ✅occursiwhenitheiboneiisipresseditogetheri(compressed)ioniitselfi(vertebrae)
epiphysealifracturei-i
i ✅aibreakiatitheilocationiofitheigrowthiplate,iwhichicaniaffectigrowthiofitheibone
typesiofimusclei-i
i ✅skeletal,icardiac,ismooth
3ilayersiofitheihearti-i
i ✅epicardium,imyocardium,iendocardium
organsiofitheilymphaticisystemi-i
i ✅lymphinodes,ilymphaticivessels,ithymusigland,ispleen,itonsils
CentraliNervousiSystemi(CNS)i-i
i ✅brainiandispinalicord
3i|iP a g e