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Medical Billing And Coding Vocab

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  • Answer 50 questions in 15 minutes.
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  • Match each statement with the correct term.
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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. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)






2. contains errors or omissions. Usually - these claims do not pass front-end edits. They are either processed manually for resolving problems - or rejected for payment.






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






4. This modifier is used to report a procedure or service that has more than one Modifier but the third-party payer does not allow the addition of multiple modifiers to the code. Modifier -99 is attached to the procedure code and the multiple Modifiers






5. 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






6. Upper jaw bone






7. Mild or controlled hypertension and no damage to the vascular system or organs.






8. Is the federal government's health insurance program created by the Social Security Act of 1965 titled 'Health Insurance for the Aged and Disabled'. It is administered by the Centers for Medicare and Medicaid Services (CMS) - formerly known as Health






9. Was developed to protect healthcare professionals from liability of any civil damages as a result of rendering emergency care.






10. poisoning was inflicted by another person with intent to kill or injure






11. Deals with the prevention of healthcare fraud and abuse of patients on Medicare and Medicaid.






12. is one who has not received professional services from the physician or another physician of the same specialty in the same group within the past three (3) years.






13. 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.






14. forms the two lower sides of the cranium.






15. 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






16. The reason the patient came to see the physician.






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






18. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.






19. make up part of the roof of the mouth






20. Is also called the superbill; it is a listing of the diagnoses - procedures - and charges for a patient's visit.






21. 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






22. There are 12 pairs of ribs. The first 7 pairs join the sternum anteriorly through cartilaginous attachments called costal cartilages.






23. Contain the full description of the procedure for the code indented codes: these are codes listed under associated stand-alone codes. To complete the description for indented codes - one must refer to the portion of the stand alone code description b






24. .. lower jaw bone.






25. A fat cell






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






27. are composed of a group of three-digit categories representing a group of conditions or related conditions; they are divided into categories. e.g. . - Disorders of Thyroid Gland (240 - 246).






28. 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.






29. Various terms are used to describe the state of submitted forms. The following are some of the terms that are typically used by insurance carriers.






30. 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






31. Is the lateral lower arm bone (in line with the thumb).






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






33. This involves the use of relative value scales which assign a relative weight to individual services according to the basis for the scale. Services that are more difficult - time consuming - or resource intensive to perform typically have higher rela






34. Lower portion of the pelvic bone






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






36. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.






37. An insurance plan issued to an individual. Premium rates are usually higher than group rates and service availability is lessened with this type of coverage.






38. 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.






39. The lower anterior part of the bone






40. 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.






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






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






43. The bones are connected to one another by fibrous bands of tissue . Muscles are attached to the bone by tendons. The fibrous covering of the muscles is called the fascia






44. The CPT Index is arranged in alphabetical order by main terms which are further divided by subterms. There are five location methods: 1. Service or Procedure 2. Anatomic site 3. Condition or Disease 4. Synonym/Eponym 5. Abbreviation






45. Is a managed care benefits plan that provides a wide range of medical services to individuals that have been enrolled into the program. It is generally the least costly but at the same time also the most restrictive. This plan uses a gatekeeper physi






46. Superior and widest bone






47. Physicians are legally responsible for their own conduct and any actions of their employees (their designee) performed within the context of their employment. This is referred to as 'vicarious liability -' also known as 'respondent superior -' which






48. - To pay for medical services and items that Medicare does not cover and Medicare's coinsurance and deductibles - beneficiaries may purchase a supplemental insurance. Medigap is a private insurance designed to help pay for those amounts that are typ






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






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







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