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CPC exam prep

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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 ...

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  • April 3, 2023
  • 14
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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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

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