SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
Medical Billing And Coding Vocab
Start Test
Study First
Subject
:
medical-transcription
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. Further classified as to primary - secondary - or carcinoma in situ.
Medicare
Malignant
Health practitioner
Compression fracture
2. The skin and its accessory organs.Integument means covering. The skin covers over an area of 22 square feet ( an average adult). It is a complex system of specialized tissues containing glands - nerves and blood vessels. The main function of the skin
Rejected claim
Medical Records
The Universal Claim Form
The Integumentary System
3. A pregnant woman who has had at least one previous pregnancy.
Multigravida
Malignant
Fee-for-Service
Social Security Number
4. Superior and widest bone
Pelvis
eponychium
Sphenoid Bones
Ethmoid Bone
5. Cheekbone
Surgical Package
Unlisted Procedures Procedures
Zygoma
Medical Records
6. 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.
-90 - Reference (Outside) Laboratory
phalanges (phalanx.s)
Parietal Bones
Provider Identification Number (PIN)
7. Absence of hair from areas where it normally grows
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Unspecified nature
Column 1/Column 2 (previously called Comprehensive/Component) Edits
Alopecia
8. Numbers 1-7 - attach directly to the sternum in the front of the body.
true ribs
Advance Beneficiary Notice
HCPCS Level II codes (National Codes)
Unique Provider Identification Number (UPIN)
9. is referred to as Supplementary Medical Insurance (SMI). This coverage is a supplement to Part A - which covers medical expenses - clinical laboratory services - home health care - outpatient hospital treatment - blood - and ambulatory surgical serv
itemized statement
The Integumentary System
Mutually Exclusive Edits
MEDICARE Part B
10. Are located in the dermal layer of the skin over the entire body - except for the palms of the hands and soles of the feet. The sebaceous glands secrete an oily substance called sebum. Sebum contains lipids that help lubricate the skin and minimize w
Unspecified nature
Sebaceous glands
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
Pre-paid Health Plan
11. Forms the anterior part of the skull and the forehead
Collagen
Provider Identification Number (PIN)
Frontal Bone
No ROM
12. This is not specified as benign or malignant in the diagnosis or medical record.
Unspecified (hypertension)
Provider Identification Number (PIN)
Group Provider Number
Malignant
13. This modifier is used when the same procedure is performed on a mirror-image part of the body..
There are three layers to the skin
Pubic bone
-50 - Bilateral Procedure
MEDICARE Part D
14. Deals with the prevention of healthcare fraud and abuse of patients on Medicare and Medicaid.
stand-alone codes
Occipital Bone
Health Insurance Portability and Accountability Act (HIPAA)
Multigravida
15. Is to determine the patient's benefits and the maximum dollar amount that the insurance company will pay. Often the first step of the insurance verification process - it is completed prior to the first visit.
Comminuted fracture
Category III Codes CPT
circle with a line through it)
Pre-determination
16. the bone is broken and the ends are driven into each other.
Impacted
appendicular skeleton .
bullet (a
Macule
17. Medicaid is the payer of last resort. If the patient has Medicare and Medicaid - Medicaid usually pays for the Medicare Part B deductible - coinsurance - and monthly premium amounts. Some of the services covered by Medicaid include the following: Inp
Liability insurance
A plus sign (+)
Fee-for-Service
MEDICAID COVERAGE
18. Represents a change in the code description since the last edition. The change may be minor or significant and it could be an addition - deletion or revision.
triangle (a
The Universal Claim Form
-51 - Multiple Procedures
Sub classification
19. Provide the means by which the reporting physician can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.
Clearinghouse
Group Insurance
Modifiers
ulna
20. Is the cost of insurance coverage paid annually - semi-annually or monthly to keep a policy in effect.
premium
Fiscal Intermediary
Deductible
Employee Liability
21. Structural protein found in the skin and connective tissue
Parietal Bones
-99 - Multiple Modifiers
Collagen
Medicare
22. Also called the Hospital Insurance for the Aged and Disabled. It covers institutional providers for inpatient - hospice - and home health services - such as the
Disability insurance
Abuse
MEDICARE Part A
Eligibility
23. Used for procedures that is always performed during the same operative session as another surgery in addition to the primary service/procedure and is never performed separately.
Reasons for Documentation
Add-on codes
Clearinghouse
Sub classification
24. Represents a change in the code description since the last edition. The change may be minor or significant and it could be an addition - deletion or revision.
Sebaceous glands
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
triangle (a
Fee-for-Service
25. Is one who has received professional services from the physician or another physician of the same specialty in the same group within the past three (3) years....
Established patient
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Medicare
Inferior nasal conchae
26. This is a set of information the physician gathers from the patient regarding the following:
Keratin
Provider Identification Number (PIN)
axial skeleton
History
27. Developed by the CMS to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment of Part B health insurance claims.
National Correct Coding Initiative (NCCI)
Ulcermembranes
Employer Identification Number (EIN)
Hairline
28. Bone that forms posterior/inferior part of the nasal septal wall between the nostrils.
Vomer
Physician
HCPCS Level I codes
False ribs
29. 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
Employer Identification Number (EIN)
Malignant
Health Insurance Portability and Accountability Act (HIPAA)
There are three layers to the skin
30. 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:
Health Insurance Portability and Accountability Act (HIPAA)
Hypertension Table
Category II Codes CPT
Mandible
31. Also known as Federal tax identification number. This is issued by the Internal Revenue Service
Workers Compensation
Unlisted Procedures Procedures
Uncertain behavior
Employer Identification Number (EIN)
32. Represent changes in the text or definition between the triangles.
There are two types of sweat glands
Undetermined
Two triangular symbols (a
premium
33. is a federal program administered by state governments to provide medical assistance to the needy. Each state sets its own guidelines for eligibility and services - therefore benefits and coverage may vary widely from state to state.
Benign (hypertension)
Medicaid
Health Insurance Portability and Accountability Act (HIPAA)
Chief complaint
34. All patients have a right to privacy and all information should remain privileged. Discuss patient information only with the patient's physician or office personnel that need certain information to do their job. Obtain a signed consent form to releas
Patient Confidentiality
encounter form
Melanin
MEDICARE Part B
35. Retention of medical records is governed by state and local laws and may vary from state-to-state. Most physicians are required to retain records indefinitely; deceased patient records should be kept for at least five (5) years.
Clearinghouse
Health practitioner
Ischium
Retention of Medical Records
36. This is used to indicate that the service provided was required by a third-party payer - governmental - legislative - or regulatory body. This does not include second opinion requested by a patient - family member - or another physician.
circle with a line through it)
Capitated Rates
-32 - Mandated Services
Unique Provider Identification Number (UPIN)
37. Was developed to protect healthcare professionals from liability of any civil damages as a result of rendering emergency care.
Coordination of Benefits (COB)
The Good Samaritan Act
Categorically needy -MEDICAID
Mutually Exclusive Edits
38. 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
Paper Claim
Column 1/Column 2 (previously called Comprehensive/Component) Edits
New patient
The Integumentary System
39. The moon like white area at the base of the nail.
nonessential modifiers
Review of Systems (ROS)
lunula
premium
40. Indicates add-on codes
-99 - Multiple Modifiers
Deductible
Gangrene
A plus sign (+)
41. death of tissue associated with loss of blood supply
Reasons for Documentation
Gangrene
Employer Identification Number (EIN)
Short bones
42. This modifier is used when the same procedure is performed on a mirror-image part of the body..
Rib Cage
Hypertension Table
TRICARE
-50 - Bilateral Procedure
43. Is made up of the shoulder - collar - pelvic and arms and legs
appendicular skeleton .
Birthday rule
Rib Cage
Unique Provider Identification Number (UPIN)
44. A fracture of the epiphyseal plate in children.
sebaceous(oil) glands and the suddoriferous (sweat) glands
Explanation of Benefits (EOB)
Salter-Harris
New Patient
45. Considered experimental - newly approved - or seldom used may not be listed in the CPT manual. These codes can be coded as unlisted procedures. They are located at the end of the subsections or subheadings. When an unlisted procedure code is reported
Unlisted Procedures Procedures
Accident
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
Medigap (Medicare Supplemental Insurance)
46. This modifier is used to explain that the procedure or service done during a postoperative period was planned at the time of the original procedure. This is also used if a therapeutic procedure is performed because of the findings from a diagnostic p
Alphabetic Index (Volume 2)
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
Hairline
47. 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
Fee-for-Service
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
ligaments
Personal Insurance
48. Prescription Drugs The Medicare Prescription Drug - Improvement - and Modernization Act enacted in December 2003 and began implementation in January 2006 where Medicare beneficiaries can enroll in the Medicare prescription drug plan. The beneficiari
Commercial Carriers
Chapters
MEDICARE Part D
Electronic Claim
49. Eccrine sweat glands are the most common and the apocrine sweat glands that secrete an odorless sweat.
Abuse
Pre-determination
Evaluation and Management Review
There are two types of sweat glands
50. requires investigation and needs further clarification.
stand-alone codes
Fraud
Rejected claim
Section 3 Index to External Causes of Injury (E codes)