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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. Deficient in pigment (melanin)






2. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.






3. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.






4. death of tissue associated with loss of blood supply






5. To report a circumstance in which the physician returns to the operating room to address a complication stemming from the initial procedure - modifier -78 is attached to the subsequent procedure code.






6. 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






7. Are composed of three-digit codes representing a single disease or condition.






8. A medical record is documentation on the patient's social and medical history - family history - physical examination findings - progress notes - radiology and lab results - consultation reports and correspondence to patient.






9. 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.






10. is a traumatic injury to a joint involving the soft tissue.






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.






12. Is a requirement for some health insurance plans to obtain permission for a service or procedure before it is done. It indicates that a specific procedure or service is deemed 'medically necessary'.






13. Is the lower medial arm bone.






14. Contains complete - necessary information - but is incorrect or illogical in some way.






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. Any fracture occurring spontaneously as a result of disease.






17. 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:






18. 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






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






20. anterior to the temporal bones.






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






22. Medically indigent low-income individuals and families ;Low-income persons losing employer health insurance coverage ( Medicaid purchase of COBRA coverage)






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






24. includes the shoulder girdle which is made up of the scapula - clavicle and upper extremities. The scapula - or shoulder blades are flat bones that help support the arms. The clavicle - or collarbone - is curved horizontal bones that attach to the u






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






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






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






28. An accelerated - severe form of hypertension with vascular damage and a diastolic pressure of 130mmHg or greater.






29. requires investigation and needs further clarification.






30. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.






31. Number assigned to the physician by Medicare program.






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






33. Is when two insurance companies work together to coordinate payment of the benefits.






34. represents Exemption from the use of modifier -51






35. Includes - but is not limited to - physician assistant - certified nurse-midwife - qualified psychologist - nurse practitioner - clinical social worker - physical therapist - occupational therapist - respiratory therapist - certified registered nurse






36. 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.






37. This is defined as incidents or practices - not usually considered fraudulent - that are inconsistent with the accepted medical business or fiscal practices in the industry. Examples of abuse are submitting a claim for a service or procedure performe






38. 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






39. Includes - but is not limited to - physician assistant - certified nurse-midwife - qualified psychologist - nurse practitioner - clinical social worker - physical therapist - occupational therapist - respiratory therapist - certified registered nurse






40. 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.






41. A fracture of the epiphyseal plate in children.






42. is defined as one who has not received any medical services within the last three years.






43. Benign growth extending from the surface of the mucous membrane






44. 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






45. Is made up of the shoulder - collar - pelvic and arms and legs






46. Indicates add-on codes






47. The bone is broken and pierces an internal organ






48. 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.






49. death of tissue associated with loss of blood supply






50. 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