CPC Exam 1 Answers

1 . ANS: B 

Rationale: Physician Assistants are licensed to practice medicine with physician supervision. A PA program takes approximately months after completion of a bachelor’s degree. PTS: 1 DIF: Moderate 

2. ANS: C 

Rationale: Health Insurance Portability and Accountability Act (HIPAA) PTS: 1 DIF: Moderate

3. ANS: B

4. ANS: C 

Rationale: The scope of a compliance program will depend on the size and resources of the provider practice. PTS: 1 DIF: Moderate 

5. ANS: D 

Rationale: The definition of health plan in the HIPAA regulations excludes any policy, plan or program that provides or pays for the cost of excepted benefits. Excepted benefits include: • Coverage only for accident or disability income insurance, or any combination thereof; • Coverage issued as a supplement to liability insurance; • Liability insurance, including general liability insurance and automobile liability insurance; • Workers’ compensation or similar insurance; • Automobile medical payment insurance; • Credit-only insurance; • Coverage for on-site medical clinics; 

6. ANS: A 

Rationale: For the CPT® code, hemi- means half or partial and colectomy is the removal of the colon. Look in the CPT® Index for Colectomy/Partial directing you to code 44140. Next, look in the ICD-10-CM Alphabetic Index for Carcinoma, directing you to see also, Neoplasm, by site, malignant. Go to the Table of Neoplasms and look for Neoplasm, neoplastic/colon directing you to see also Neoplasm/intestine/large and report code C18.9 under the Malignant Primary column. There is no documentation the cancer is secondary or had metastasized from another site, it is considered primary.