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Medical Billing And Coding Vocab

Instructions:
  • Answer 50 questions in 15 minutes.
  • If you are not ready to take this test, you can study here.
  • Match each statement with the correct term.
  • Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Is a policy that covers losses to a third party caused by the insured - by an object owned by the insured - or on premises owned by the insured. Liability insurance claims are made to cover the cost of medical care for traumatic injuries - lost wages






2. Is a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.






3. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.






4. found in the Index under the main term 'Hypertension' - and it contains a list of conditions that are due to or associated with hypertension. The table classifies the conditions as:






5. Is when two insurance companies work together to coordinate payment of the benefits.






6. When a group of employees and their dependents are insured under one (1) group policy issued to the employer. Generally - the employer pays the premium or a portion of the premium and the employee pays the difference. This all depends on the type of






7. Superior and widest bone






8. Is a service performed by a physician whose opinion or advice is requested by another physician in the evaluation or treatment of a patient's illness or suspected problem. The consultant does not assume responsibility for the patient's care and must






9. Is a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.






10. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)






11. The E&M section includes codes that pertain to the nature of the physicians' work. The codes depend on type of service - patient status - and place where service was rendered. The E&M section is divided into broad categories such as office visits - h






12. Are small - rounded bones that resemble a sesame seed. They are found near joints and increase the efficiency of muscles near a joint. An example of sesamoid bone is the knee cap.






13. make up part of the roof of the mouth






14. Medically indigent low-income individuals and families ;Low-income persons losing employer health insurance coverage ( Medicaid purchase of COBRA coverage)






15. Is a service performed by a physician whose opinion or advice is requested by another physician in the evaluation or treatment of a patient's illness or suspected problem. The consultant does not assume responsibility for the patient's care and must






16. This is a set of information the physician gathers from the patient regarding the following:






17. HCPCS Reference Manual The CMS assigns a standard unique identifier known as the National Provider Identifier (NPI) The CMS also developed a two-part coding system called the Healthcare Common Procedure Coding System ( HCPCS ) which is a collection o






18. The break of the distal end of the radius at the epiphysis often occurs when the patient has attempted to break his or her fall.






19. This is not specified as benign or malignant in the diagnosis or medical record.






20. The bone is broken and pierces an internal organ






21. Represent services and procedures widely used by many health care professionals in clinical practice in multiple locations and have been approved by the FDA.






22. This is the inventory of the constitutional symptoms regarding the various body systems.






23. Identifies code pairs that - for clinical reason - are unlikely to be performed on the same patient on the same day.






24. This is the traditional method used by providers for submission of charges to insurance companies. The most commonly used form is the CMS-1500. Few plans still accept the physician's encounter form or superbill and Medicare will only accept claims on






25. Is the qualifying factor or factors that must be met before a patient receives benefits.






26. Provide a four-digit code (one digit after the decimal point) which is more specific than category code (3-digit) in terms of cause - site - or manifestation of the condition. This must be used if available. From subcategory - specificity moves to an






27. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.






28. Benign growth extending from the surface of the mucous membrane






29. Small collection of clear fluid;blister






30. Are codes formulated thru the joint efforts of the CMS - the Health Insurance Association of America - and the Blue Cross and Blue Shield Association. Level II contains five position alpha-numeric codes for physician and non-physician services not fo






31. Is a document provided to a Medicare beneficiary by a provider prior to service being rendered letting the beneficiary know of his/her responsibility to pay if Medicare denies the claim.






32. The epidermis - the dermis - and the subcutaneous layer. The epidermis is a thin - cellular membrane layer that contains keratin. The dermis is a dense - fibrous - connective tissue that contains collagen. The subcutaneous layer is a thicker and fatt






33. Also called the Hospital Insurance for the Aged and Disabled. It covers institutional providers for inpatient - hospice - and home health services - such as the






34. This is defined as incidents or practices - not usually considered fraudulent - that are inconsistent with the accepted medical business or fiscal practices in the industry. Examples of abuse are submitting a claim for a service or procedure performe






35. The musculoskeletal system includes the bones - muscles - and joints The musculoskeletal system acts as a framework for the organs - protects many of those organs - and also provides the organism the ability to move..






36. Groove or crack like sore






37. Hair fibers are composed of tightly fused meshwork of cells filled with hard protein called






38. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.






39. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.






40. most synarthroses are immovable joints held together by fibrous tissue.






41. Is a fee that is charged for each procedure or service performed by the physician. This fee is obtained from a fee schedule - which is a list of charges or allowance that have accepted for specific medical services. The system in which fee schedules






42. uncertain whether benign or malignant; borderline malignancy






43. Produce secretions that allow the body to be moisturized or cooled.






44. is defined as reimbursement for income lost as a result of a temporary or permanent illness or injury. When patients are treated for disability diagnoses and other medical problems - separate patient records must be maintained. Disability insurance






45. the bone is broken and the ends are driven into each other.






46. Contains complete - necessary information - but is incorrect or illogical in some way.






47. is defined as reimbursement for income lost as a result of a temporary or permanent illness or injury. When patients are treated for disability diagnoses and other medical problems - separate patient records must be maintained. Disability insurance






48. open sore on the skin or mucous






49. Numbers 1-7 - attach directly to the sternum in the front of the body.






50. Is a cost-sharing requirement for the insured to pay at the time of service. This amount is usually a specific dollar amount (e.g.. $15 - $20 - $25)