CPC Exam Prep Questions And Answers

CPC Exam Prep Questions And Answers

What part of Medicare covers prescription drug services - Part D

What is medical coding? - Translating medical documentation into codes.

Which is NOT a covered entity of HIPAA... Medicare, Worker's Comp, Dentists, Pharmacies -

Workers compensation

What is an NCD (National Coverage Determination) interpreted at the MAC level

considered? - LCD (Local Coverage Determinations)

When should an ABN (Advance Beneficiary Notification) be signed? - 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? - $100 or 25%

of cost

An entity that processes nonstandard health information they receive from another entity

into a standard is considered what? - Clearinghouse

A covered entity does not include: - patients

What is PHI? - Protected Health Information

Intentional billing of services not provided is considered - fraud

What OIG document should a provider review for potential problem areas that will receive

special scrutiny in the upcoming year? - OIG Work Plan

5 Body cavities - cranial, spinal, thoracic, abdominal, pelvic

5 types of membranes - mucous, serous, synovial, meninges, cutaneous

2 layers of the skin - epidermis and dermis

5 layers of epidermis - stratum corneum, stratum lucidum, stratum granulosum, stratum

spinosum, stratum basale

2 layers of dermis - papillary and reticular

Closed fracture - broken bone with no open wound

compound fracture - bone breaks through the skin

comminuted fracture - fracture in which the bone is splintered or crushed

transverse fracture - occurs straight across the bone

greenstick fracture - bending and incomplete break of a bone; most often seen in children

spiral fracture - a fracture in which the bone has been twisted apart

Colles' fracture - fracture of the distal radius at the wrist

compression fracture - occurs when the bone is pressed together (compressed) on itself

(vertebrae)

epiphyseal fracture - a break at the location of the growth plate, which can affect growth of

the bone

types of muscle - skeletal, cardiac, smooth

3 layers of the heart - epicardium, myocardium, endocardium

organs of the lymphatic system - lymph nodes, lymphatic vessels, thymus gland, spleen,

tonsils

Central Nervous System (CNS) - brain and spinal cord

Peripheral Nervous System (PNS) - the sensory and motor neurons that connect the CNS to

the rest of the body