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Test your basic knowledge |
Medical Billing And Coding Vocab
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Subject
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medical-transcription
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
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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.
Provider Identification Number (PIN)
Comminuted fracture
Occipital Bone
-50 - Bilateral Procedure
2. Law passed by the federal government to prosecute cases of Medicaid fraud.
Patient Confidentiality
MEDICARE Part C
Chief complaint
Civil Monetary Penalties Law (CMPL)
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
Indemnity Insurance
Spinal/Vertebral Column
CPT SECTIONS.
MEDICARE Part C
4. Is an insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Group practice
Category II Codes CPT
Fiscal Intermediary
phalanges (phalanx.s)
5. numbers 8-10 - are attached to the sternum by cartilage
Contracted Rates with MCOs
The Patient Care Partnership (Patient's Bill of Rights)
False ribs
upper appendicular skeleton
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.
TRICARE
Group practice
Lipocyte
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
7. Produce secretions that allow the body to be moisturized or cooled.
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
There are three layers to the skin
Outpatient
sebaceous(oil) glands and the suddoriferous (sweat) glands
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
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
MEDICARE Part C
Suicide Attempt
Commercial Carriers
9. Are typically very strong - are broad at the ends and have large surfaces for muscle attachment.
Lipocyte
Unique Provider Identification Number (UPIN)
HCPCS Level II codes (National Codes)
Long bones
10. Bone that forms posterior/inferior part of the nasal septal wall between the nostrils.
Contracted Rates with MCOs
Outpatient
MEDICARE Part D
Vomer
11. Indicates add-on codes
Employer Identification Number (EIN)
Physician
eponychium
A plus sign (+)
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
Fee-for-Service
Invalid claim
Group Provider Number
Preferred Provider Organization (PPO)
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.
Lipocyte
CPT SECTIONS.
phalanges (phalanx.s)
Reasons for Documentation
14. Is an electronic or paper-based report of payment sent by the payer to the provider.
Remittance Advice
Rejected claim
MEDICARE Part A
Group Insurance
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.
Ethmoid Bone
Liability insurance
Preferred Provider plan
Modifiers
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
Disability insurance
Medicaid
Group practice
Tabular List (Volume 1)...
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
Group Insurance
Sphenoid Bones
Preferred Provider plan
Sub classification
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.
Category III Codes CPT
Medical Records
TRICARE PLANS
Column 1/Column 2 (previously called Comprehensive/Component) Edits
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.
Fraud
Category II Codes CPT
Preferred Provider plan
ligaments
20. Is one who has no contract with the health insurance plan.
There are three layers to the skin
Group practice
Nonparticipating physician
Chief complaint (CC)
21. The original cancer site. Malignant tumors are considered primary unless documented as secondary or metastatic.
Unspecified nature
History
Primary malignancy
Advance Beneficiary Notice
22. open sore on the skin or mucous
Ulcermembranes
HCPCS Level II codes (National Codes)
Categorically needy -MEDICAID
Fee Schedule
23. Eccrine sweat glands are the most common and the apocrine sweat glands that secrete an odorless sweat.
-99 - Multiple Modifiers
Ischium
ulna
There are two types of sweat glands
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
lunula
Established patient
Neoplasm Table
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
25. Lower portion of the pelvic bone
Preferred Provider Organization (PPO)
axial skeleton
Ischium
Alopecia
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
Physician
MEDICARE Part A
Gangrene
Humerus
27. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.
Tabular List (Volume 1)...
CPT SECTIONS.
Unspecified nature
upper appendicular skeleton
28. The cuticle at the lower part of the nail and this is sometimes referred to as the
Primary malignancy
Consultation
eponychium
Parietal Bones
29. Absence of hair from areas where it normally grows
Paper Claim
bullet (a
encounter form
Alopecia
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
Pelvis
Commercial Carriers
CPT SECTIONS.
MEDICAID COVERAGE
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..
Employee Liability
Musculoskeletal System
Health Care Financing Administration Common Procedure Coding System
Blue Cross/Blue Shield Plans
32. death of tissue associated with loss of blood supply
Keratin
Greenstick
Gangrene
Melanin
33. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.
Coding
Contracted Rates with MCOs
Comminuted fracture
Electronic Claim
34. Is one who has a contract with a health insurance plan and accepts whatever the plan pays for procedures or services rendered.
Ischium
Physician
Participating physician
Invalid claim
35. Absence of hair from areas where it normally grows
upper appendicular skeleton
eponychium
Benign (hypertension)
Alopecia
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.
-26 - Professional Component
Parietal Bones
Category III Codes CPT
Group practice
37. Smooth - slightly elevated - edematous(swollen) area that is redder or paler than the surrounding skin.
triangle (a
Medical Records
Wheal
phalanges (phalanx.s)
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.
Established patient
Uncertain behavior
Long bones
Carpals
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
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
Contracted Rates with MCOs
Preferred Provider plan
The St. Anthony Relative Value for Physicians (RVP)
40. Are typically very strong - are broad at the ends and have large surfaces for muscle attachment.
Long bones
co-payment
Inferior nasal conchae
Undetermined
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
encounter form
itemized statement
Category I Codes CPT
Point-of-Service plan (POS)
42. are small with irregular shapes. They are found in the wrist and ankle.
Health Care Financing Administration Common Procedure Coding System
Paper Claim
Short bones
Paper Claim
43. The physician must obtain this number in order to practice within a state.
State License Number
Collagen
Rib Cage
Employee Liability
44. solid - round or oval elevated lesion more than 1 cm in diameter
Medicaid
Column 1/Column 2 (previously called Comprehensive/Component) Edits
-26 - Professional Component
Nodule
45. Number assigned by the insurance company to a physician who renders services to patients.
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
Medicare's Resource Based Relative Value Scale (RBRVS) Payment Schedule
Provider Identification Number (PIN)
Established patient
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
Rejected claim
Albino
Liability insurance
Secondary malignancy
47. A fracture of the epiphyseal plate in children.
TRICARE
Salter-Harris
Undetermined
Employer Liability
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.
MEDICARE Part A
lunula
itemized statement
-99 - Multiple Modifiers
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
Performing Provider Identification Number (PPIN)
-51 - Multiple Procedures
Sub classification
Fissure
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).
Uncertain behavior
Pelvis
Chapters
Alopecia