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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. the bone is crushed and or shattered.






2. Law passed by the federal government to prosecute cases of Medicaid fraud.






3. The CPT manual is composed of eight sections. Each section begins with guidelines that provide specific coding rules for that section. Guidelines at the beginning of the section are applicable to all codes in the section - while notes that pertain t






4. Is an insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.






5. numbers 8-10 - are attached to the sternum by cartilage






6. Is a group of two or more physicians and non-physician practitioners legally organized in a partnership - professional corporation - foundation - not-for-profit corporation - faculty practice plan - or similar association.






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






8. This is attached to the code of the E/M service provided to a patient during the postoperative period to indicate that that service is not part of the postoperative care which is usually part of a package of services of the surgery performed. Major s






9. Are typically very strong - are broad at the ends and have large surfaces for muscle attachment.






10. Bone that forms posterior/inferior part of the nasal septal wall between the nostrils.






11. Indicates add-on codes






12. is basically the same as HMO in the sense that the health care provider enters into contract with the MCOs to render services to the beneficiaries. However - PPO's charge a higher premium than HMO's in exchange for more flexibility and more options






13. Are the finger bones. Each finger has three phalanges - except for the thumb. The three phalanges are the proximal - middle and a distal phalanx. The thumb has a proximal and distal.






14. Is an electronic or paper-based report of payment sent by the payer to the provider.






15. Is the type of plan a patient may have where they can see providers outside their plan. The patient is responsible to pay the higher portion of the fee.






16. 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






17. provides a five-digit code which gives the highest specificity of description to a condition. Use of it is mandatory if it is available. A code not reported to the full number of digits required is invalid. e.g. 240.01 Toxic diffuse goiter with thyr






18. Are temporary codes for emerging technology - services and procedures. If a Category III code is available - it is reported instead of a Category I unlisted code.






19. Are supplemental codes used for performance measurements. Although these codes are intended to facilitate data collection about the quality of care - their use is optional. Category II codes are published twice a year: January 1st and July 1st.






20. Is one who has no contract with the health insurance plan.






21. The original cancer site. Malignant tumors are considered primary unless documented as secondary or metastatic.






22. open sore on the skin or mucous






23. Eccrine sweat glands are the most common and the apocrine sweat glands that secrete an odorless sweat.






24. This is located in the Index under the main term 'Neoplasm' and is organized by anatomic site. Each site has six columns with six possible codes determined by whether the neoplasm is malignant - benign - of uncertain behavior - or of unspecified natu






25. Lower portion of the pelvic bone






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






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






28. The cuticle at the lower part of the nail and this is sometimes referred to as the






29. Absence of hair from areas where it normally grows






30. The CPT manual is composed of eight sections. Each section begins with guidelines that provide specific coding rules for that section. Guidelines at the beginning of the section are applicable to all codes in the section - while notes that pertain t






31. 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..






32. death of tissue associated with loss of blood supply






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






34. Is one who has a contract with a health insurance plan and accepts whatever the plan pays for procedures or services rendered.






35. Absence of hair from areas where it normally grows






36. Are temporary codes for emerging technology - services and procedures. If a Category III code is available - it is reported instead of a Category I unlisted code.






37. Smooth - slightly elevated - edematous(swollen) area that is redder or paler than the surrounding skin.






38. Are wrist bones. There are 2 rows of four bones in the wrist. The metacarpals are the five radiating bones in the fingers. These are the bones in the palm of the hand.






39. Are supplementary classification codes used to describe the reason or external cause of injury - poisoning and other adverse effects. These codes can be found in both Volumes I and II. E codes are used to classify environmental events - circumstances






40. Are typically very strong - are broad at the ends and have large surfaces for muscle attachment.






41. Is a managed care plan that gives beneficiaries the option whom to see for services. If the beneficiary goes to see a physician within the network - s/he will receive benefits similar to an HMO. But if the beneficiary chooses to see a physician from






42. are small with irregular shapes. They are found in the wrist and ankle.






43. The physician must obtain this number in order to practice within a state.






44. solid - round or oval elevated lesion more than 1 cm in diameter






45. Number assigned by the insurance company to a physician who renders services to patients.






46. 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






47. A fracture of the epiphyseal plate in children.






48. Is a statement of the patient's account history - showing dates of service - detailed charges - payments (i.e. deductibles and co-pays) - the date the insurance claim was submitted - applicable adjustments and account balance.






49. provides a five-digit code which gives the highest specificity of description to a condition. Use of it is mandatory if it is available. A code not reported to the full number of digits required is invalid. e.g. 240.01 Toxic diffuse goiter with thyr






50. Are the main division in the ICD-9-CM; they are divided into sections. e.g.. - 3. Endocrine - Nutritional and Metabolic Diseases - and Immunity Disorders (240-279).