172 CPC exam prep Questions and 100% Correct Answers

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1. What part of Medicare covers prescription drug services - Answer-Part D 2. What is medical coding? - Answer-Translating medical documentation into codes. 3. Which is NOT a covered entity of H... IPAA... Medicare, Worker's Comp, Dentists, Pharmacies - Answer-Workers compensation 4. What is an NCD (National Coverage Determination) interpreted at the MAC level considered? - Answer-LCD (Local Coverage Determinations) 5. When should an ABN (Advance Beneficiary Notification) be signed? - Answer-when a service is not expected to be covered under medicare 6. The amount on an ABN should be within how much of the cost to a patient? - Answer-$100 or 25% of cost 7. An entity that processes nonstandard health information they receive from another entity into a standard is considered what? - Answer-Clearinghouse 8. A covered entity does not include: - Answer-patients 9. What is PHI? - Answer-Protected Health Information 10. Intentional billing of services not provided is considered - Answer-fraud 11. What OIG document should a provider review for potential problem areas that will receive special scrutiny in the upcoming year? - Answer-OIG Work Plan 12. 5 Body cavities - Answer-cranial, spinal, thoracic, abdominal, pelvic 13. 5 types of membranes - Answer-mucous, serous, synovial, meninges, cutaneous 14. 2 layers of the skin - Answer-epidermis and dermis 15. 5 layers of epidermis - Answer-stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale 16. 2 layers of dermis - Answer-papillary and reticular 17. Closed fracture - Answer-broken bone with no open wound [Show More]

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