Advertisement Upgrade to remove ads

CPC Study Guide

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)

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

Colo

Colon

Colpo

Vagina

Contra

Against

Cranio

Skull

Cyano

Blue

Cysto

Urinary bladder

De-

Down, from

Denti

Tooth

Dermo, dermato

Skin

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

Febr

Fever

Fibro

Connective tissue

Gastro

Stomach

-gene,-genic

Production, origin

Glosso

Tongue

Gluco, glyco

Sugar, sweet

-gram

Record

-graph

Machine

-graphy

Practice, process

Gyne

Woman

Hema, hemato, hemo

Blood

Hemi-

Half

Hepa, hepato

Liver

Herni

Rupture

Histo

Tissue

Hydro

Water

Hyster

Uterus

-iasis

Condition of

Ictero

Jaundice

Ileo

Ileum (part of small intestine)

Ilio

Illium (bone)

Inter-

Between

Intra-

Within

-itis

Inflammation

Laparo

Abdomen

-lepsy

Seizure, convulse

Leuko

White

Lith

Stone, calculus

-lysis

Loosen, dissolve

Macro-

Large, long

Mal-

Bad, poor, disordered

-mania

Insanity

Mast

Breast

Mega-

Large

Meso-

Middle

-meter

Measure

Metro

Uterus

Micro

Small

Mono-

Single, one

Muco

Mucous membrane

Myelo

Spinal cord, bone marrow

Myo

Muscle

Narco

Sleep

Necro

Death

Nephro

Kidney

Neuro

Nerve

Non-

No, not

-ology

Study of

-oma

Tumor

Oophor

Ovary

Ophthalmo

Eye

-opia

Vision

Orchi

Testicle

-rrhaphy

To repair a defect, suture

Ortho-

Straight

-oscopy

Look into, see

-osis

Condition of

Osteo

Bone

-ostomy

Surgical opening

-otomy

Incision, to cut into

Para-

Along side

Path

Disease

Ped (latin)

Foot

Ped (greek)

Child

-penia

Two few

peri-

Around, covering

-pexy

to sew up in position, fixation

pharyngo

Throat

phlebo

Vein

-phobia

Fear, dread

-plasty

Shape, mold, repair, operative revision, plastic repair

plegia

Paralysis

-pnea

Breathing

Pneum

Air, lungs

See More

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set