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. 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
ligaments
Full ROM
appendicular skeleton .
State License Number
2. uncertain whether benign or malignant; borderline malignancy
Pelvis
False ribs
Uncertain behavior
Colles
3. 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.
Abuse
Flat bones
Gangrene
itemized statement
4. Produce secretions that allow the body to be moisturized or cooled.
sebaceous(oil) glands and the suddoriferous (sweat) glands
Unauthorized benefit
Consultation
Neoplasm Table
5. Is the lateral lower arm bone (in line with the thumb).
TRICARE
Compliance Regulations
Indemnity Insurance
Radius
6. Describes the services billed and includes a breakdown of how the payment is determined
Explanation of Benefits (EOB)
Temporal Bone
Sections
Indemnity Insurance
7. the bone is broken and the ends are driven into each other.
Hairline
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Compliance Regulations
Impacted
8. 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
Employer Liability
Neoplasm Table
Dirty claim
Malignant
9. Make up part of the interior of the nose.
Wheal
Zygoma
Inferior nasal conchae
premium
10.
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Occipital Bone
Chief complaint (CC)
No ROM
11. 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.
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
phalanges (phalanx.s)
Employee Liability
Impacted
12. 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
Point-of-Service plan (POS)
Fiscal Intermediary
Temporal Bone
Consultation
13. 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.
Exclusions and Limitations
The Good Samaritan Act
Retention of Medical Records
Albino
14. Deficient in pigment (melanin)
Disability insurance
Albino
Sesamoid bones
No ROM
15. 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.
Colles
Category II Codes CPT
TRICARE PLANS
Two triangular symbols (a
16. 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.
Group practice
History
HCPCS Level I codes
Social Security Number
17. Is defined as a doctor of medicine or osteopathy - dental medicine - dental surgery - podiatric medicine - optometry - or chiropractic medicine legally authorized to practice by the state in which he/she performs.
Physician
premium
Health Care Financing Administration Common Procedure Coding System
Review of Systems (ROS)
18. Families - pregnant women - and children ;Aid to Families with Dependent Children (AFDC)-related groups ;Non-AFDC pregnant women and children;Aged and disabled persons ;Supplemental Security Income (SSI)-related groups ;Qualified Medicare Beneficiari
Categorically needy -MEDICAID
Impacted
sprain
Participating physician
19. 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
Evaluation and Management Review
Rejected claim
Alphabetic Index (Volume 2)
Comminuted fracture
20. is defined as one who has not received any medical services within the last three years.
nonessential modifiers
Employer Identification Number (EIN)
New Patient
triangle (a
21. 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....
Pre-paid Health Plan
Malignant
MEDICARE Part D
Established patient
22. Poisoning was due to: Accidental overdose; Wrong substance taken; Accidents in use of drugs and biologicals; External causes of poisonings classifiable to 980-989 Therapeutic Use: instances when a correct substance properly taken is the cause of adve
Location Methods
Retention of Medical Records
Accident
nonessential modifiers
23. 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.
Ulcermembranes
Personal Insurance
Unspecified (hypertension)
The Integumentary System
24. major skin pigment
MEDICARE Part B
Category I Codes CPT
Melanin
Accident
25. Any fracture occurring spontaneously as a result of disease.
Medical necessity
Parietal Bones
Fee-for-Service
Pathologic
26. The moon like white area at the base of the nail.
Primary malignancy
Fraud
lunula
Chapters
27. This is the inventory of the constitutional symptoms regarding the various body systems.
Nodule
Ulcermembranes
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Review of Systems (ROS)
28. 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
Carcinoma (Ca) in situ
Neoplasm Table
Primary malignancy
premium
29. Medically indigent low-income individuals and families ;Low-income persons losing employer health insurance coverage ( Medicaid purchase of COBRA coverage)
There are two types of sweat glands
HCPCS Level II codes (National Codes)
Medically needy
sprain
30. 'Errors and omissions insurance' is protection against loss of monies caused by failure through error or unintentional omission on the part of the individual or service submitting the insurance claim. Some physicians' contract with a billing service
Category I Codes CPT
Employee Liability
Vomer
upper appendicular skeleton
31. Are composed of three-digit codes representing a single disease or condition.
Categories
Medicaid
Eligibility
Capitated Rates
32. 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
ulna
Sebaceous glands
Fee-for-Service
-32 - Mandated Services
33. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.
Health Care Financing Administration Common Procedure Coding System
Tabular List (Volume 1)...
Medicaid
Add-on codes
34. death of tissue associated with loss of blood supply
Preferred Provider Organization (PPO)
Remittance Advice
Gender rule
Gangrene
35. 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
Health Care Financing Administration Common Procedure Coding System
Radius
Categories
Gender rule
36. numbers 8-10 - are attached to the sternum by cartilage
False ribs
Remittance Advice
Preferred Provider plan
lunula
37. requires investigation and needs further clarification.
Rejected claim
False ribs
Gangrene
Established Patient
38. Consists of the skull - rib cage - and spine
Palatine bones
Pelvis
axial skeleton
New patient
39. open sore on the skin or mucous
Health Insurance Portability and Accountability Act (HIPAA)
Hairline
Ulcermembranes
Contracted Rates with MCOs
40. - 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
Pathologic
Multigravida
The Good Samaritan Act
Medigap (Medicare Supplemental Insurance)
41. Make up part of the interior of the nose.
The Universal Claim Form
Inferior nasal conchae
Qualified diagnosis
Medicare
42. 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.
Preferred Provider plan
Rejected claim
Physician
Liability insurance
43. Is the upper arm bone.
Disability insurance
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Nodule
Humerus
44. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.
Radius
Malignant
Eligibility
Flat bones
45. Is a percentage of the cost of covered services that a policyholder or a secondary insurance pays. A common payment percentage for coinsurance is 80/20 which indicates that 20% is the coinsurance for which the beneficiary or secondary insurance is re
Past - family and social history (PFSH)
Modifiers
Coinsurance
Assault
46. A pregnant woman who has had at least one previous pregnancy.
Multigravida
Point-of-Service plan (POS)
essential modifiers
Category III Codes CPT
47. Also known as Federal tax identification number. This is issued by the Internal Revenue Service
Outpatient
Ethmoid Bone
Health Care Financing Administration Common Procedure Coding System
Employer Identification Number (EIN)
48. This modifier is used to indicate that the procedure or service provided during the postoperative period was not associated with the initial procedure. Payment for the full fee of the subsequent procedure is requested and a new global period starts.
History
Fraud
Electronic Claim
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
49. Is defined as someone who has received medical services with in the last 3 years from the physician or another physician of the same specialty who belongs to the same group practice.
Medicaid
Two triangular symbols (a
Established Patient
Occipital Bone
50. Identifies code pairs that - for clinical reason - are unlikely to be performed on the same patient on the same day.
Flat bones
Albino
Mutually Exclusive Edits
Polyp