CPC Certification Study Guide,
Questions and answers, 100% Accurate.
Rated A+
When should an ABN be signed? - ✔✔-When a service is not expected to be covered by Medicare.
What are NCD's interpreted at the MAC level
...
CPC Certification Study Guide,
Questions and answers, 100% Accurate.
Rated A+
When should an ABN be signed? - ✔✔-When a service is not expected to be covered by Medicare.
What are NCD's interpreted at the MAC level considered? - ✔✔-LCD
What is medical billing? - ✔✔-Translating medical documentation into codes.
What part of Medicare should be billed for the pain medication by the pharmacy? - ✔✔-Part D
The amount on an ABN should be within how much of the cost to the 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.
What is PHI? - ✔✔-Personal Health Information.
Intentional billing of services not provided is considered? - ✔✔-Fraud.
What OIG document should a provider reveiw for potential problem areas that will receive special
scrutiny in the upcoming year? - ✔✔-OIG Work Plan. Each year in October.
What is ABN? - ✔✔-Advance Beneficiary Notification
What is AMA? - ✔✔-American Medical Association.
What is CPC? - ✔✔-Current Procedural Terminology. What was done into codes.
What is ICD-9-CM? - ✔✔-International Classification of Disease, 9th Clinical Modification. Why was done
in codes.
What is HIPAA? - ✔✔-Health Insurance Portability and Accountability Act of 1996. Law passed by
Congress to improve the portability and continuity of healthcare coverage.
What is OIG? - ✔✔-Office of Inspector General. Makes sure everyone is in compliance
What is CMS? - ✔✔-Centers for Medicare & Medicaid Services. Basic guidelines for private prctice and
rules.
a-,an- - ✔✔-Without, lack of, absent, deficient
Ab-,abs- - ✔✔-From, away
Ad- - ✔✔-Near, toward
-algia,-algesia - ✔✔-Pain
Ambi- - ✔✔-Both
Angio - ✔✔-Vessle (blood or lymph)
Ano - ✔✔-Anus
Ante- - ✔✔-Before
Anti- - ✔✔-Against
Arterio - ✔✔-Artery
Arthro - ✔✔-Joint
Asthenia - ✔✔-Weakness.
Auto- - ✔✔-Self
Bi- - ✔✔-Two, twice
Brady- - ✔✔-Slow
Broncho - ✔✔-Bronchus
Cardio - ✔✔-Heart
-cele - ✔✔-Tumor, swelling, hernia, sac
-centesis - ✔✔-Puncture
Cephalo - ✔✔-Head
Chole - ✔✔-Gall
Cholecysto - ✔✔-Gall bladder
Choledocho - ✔✔-Common bile duct
Chondro - ✔✔-Cartilage
-cide - ✔✔-Kill
Circum - ✔✔-Around
-cise - ✔✔-Cut
Colo - ✔✔-Colon
Colpo - ✔✔-Vagina
Contra - ✔✔-Against
Costo - ✔✔-Rib
Cranio - ✔✔-Skull
Cyano - ✔✔-Blue
Cysto - ✔✔-Urinary bladder
De- - ✔✔-Down, from
Denti - ✔✔-Tooth
Dermo, dermato - ✔✔-Skin
Di- - ✔✔-Two
Dia- - ✔✔-Through, between, across, apart
Dis- - ✔✔-Apart
Dys- - ✔✔-Painful, difficult, disordered
Ecto- - ✔✔-Outer, or on the outside
-ectomy - ✔✔-Surgical removal
-emesis - ✔✔-Vomiting
-emia - ✔✔-Blood
En- - ✔✔-In, inside
Encephalo - ✔✔-Brain
Endo - ✔✔-Within inner, on the inside
Entero - ✔✔-Intestine
Epi- - ✔✔-Above, over
Erythro - ✔✔-Red
-esthesia - ✔✔-Sensation
Ex- - ✔✔-Out
Febr - ✔✔-Fever
Fibro - ✔✔-Connective tissue
Gastro - ✔✔-Stomach
-gene,-genic - ✔✔-Production, origin
Glosso - ✔✔-Tongue
Gluco, glyco - ✔✔-Sugar, sweet
-gram - ✔✔-Record
-graph - ✔✔-Machin
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