How can we help?

You can also find more resources in our Help Center.

208 terms

CPC Certification Study Guide

CPC Study Guide
STUDY
PLAY
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
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
Lipo
Fat
Lith
Stone, calculus
-lysis
Loosen, dissolve
Macro-
Large, long
Mal-
Bad, poor, disordered
-mania
Insanity
Mast
Breast
Mega-
Large
Men
Month
Meso-
Middle
-meter
Measure
Metro
Uterus
Micro
Small
Mono-
Single, one
Muco
Mucous membrane
Myelo
Spinal cord, bone marrow
Myo
Muscle
Narco
Sleep
Naso
Nose
Necro
Death
Neo-
New
Nephro
Kidney
Neuro
Nerve
Non-
No, not
Oculo
Eye
-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
Oto
Ear
-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
Poly-
Much,many
Post-
After
Procto
Rectum
Pre-
Before
-ptosis
Falling
Pyelo
Pelvis of kidney
Pyo
Pus
Pyro
Heat, temperature
Renal
Kidney
Retro-
Behind, backward
-rrhage
Hemorrhage, flow
Salpingo
Oviduct
Semi-
Half
Septic
Poison, infection
Stomato
Mouth
Sub-
Under
Super-
Above
-therapy
Treatment
-thermy
Heat
Thoraco
Chest
Thrombo
Clot
Thyro
Thyroid gland
Trans-
Across
Uro
Urine
-uria, -uric
Condition of, presence in urine
Uni
One
Vaso
Blood vessel
Where is the great saphenous vein located?
Leg.
What is the function of the pancreas?
Supplies digestive enzymes.
Sebaceous glands are part of which anatomical system?
Integumentary.
What causes refraction function in eye?
Lens.
Myocardium is thickest arount which chamber of the heart?
Left ventricle.
Tunica vaginalis is part of which system?
Male reproductive.
Compete this series: Incus, stapes, ?
Malleus.
Hemiplegia is a disorder caused by a defect in which anatomical system?
Nervous.
What is the result of a ureteral blockage?
Urine will not be able to flow from the kidney to the bladder.
Renal calculus is?
Nephrolithiasis.
What is Part A?
Medicares's Hospital Insurance; covers hospital/facility care.
What is Part B?
Medicare's Supplemental Medical Insurance; covers physician services and durable medical equipment that are not paid for under Part A.
What is Part C?
Medicare's Advantage is a set of health care options from which beneficiaries choose health care providers.
What is Part D?
Medicare's prescription drug program.
What is WHO?
World Health Organization. A group that deals with health care issues on a global basis.
Volume 1 of ICD-9-CM contains what?
Tabular List: Diagonosis codes organized in order by code.
Volume 2 of ICD-9-CM contains what?
Index to Diseases: Diagnosis codes organized in an alphabetic index.
Volume 3 of ICD-9-VM contains what?
Alphabetic Index and Tabular Index of Procedures: Procedures performed in the inpatient setting.
Acute
A condition with a rapid onset with a short course.
Chronic
A condition that develops slowly and lasts a long period of time.
Closed Fracture
A fractured bone that does not pierce the skin.
E Codes
Codes reported to indentify how an injury occurred and the location when it occurred. Never sequenced first.
First Degree Burn
Superficial burns through only the epidermis.
Late Effect
An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed.
Open Fracture
A fracture bone that pierces the skin.
Second Degree Burn
A partial-thickness burn involving the epidermis and the dermis.
Specticemia
A systemic disease that is associated with microorganisms or toxins in the blood. These toxins are caused by bacteria, viruses, fungi, or other organisms.
Systemic Inflammatory Response Syndrome (SIRS)
Sytemic response to infection, burns, trauma, or cancer.
Severe Sepsis
Sepis with associated acute organ dysfunction.
Sepsis
Whole body inflammatory state. It generally refers to SIRS that is due to an infection.
Third Degree Burn
A full-thickness burns that involve the epidermis, dermis, and varying levels of the subcutaneous and underlying structures.
V codes
Codes used to describe circumstances or condition that could influence patient care.