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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 bone is broken and the ends are driven into each other.
Modifiers
Impacted
Add-on codes
Section 3 Index to External Causes of Injury (E codes)
2. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.
Flat bones
Medicare Claim Status
Unauthorized benefit
Sesamoid bones
3. Is an insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Sections
Fiscal Intermediary
Full ROM
Lacrimal bones
4. The bone is partially bent and partially broken; this is a common fracture in children because their bones are still soft.
The St. Anthony Relative Value for Physicians (RVP)
Greenstick
Impacted
Primary malignancy
5. Groove or crack like sore
Chief complaint
Deductible
Fissure
There are three layers to the skin
6. solid - round or oval elevated lesion more than 1 cm in diameter
Hairline
Medical Records
Nodule
The Integumentary System
7. 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
ligaments
Wheal
stand-alone codes
Ischium
8. These parenthetic terms are called because their presence or absence does not have an effect on the selection of the code listed for the main term.
nonessential modifiers
Remittance Advice
Vesicle
Chief complaint (CC)
9. solid - round or oval elevated lesion more than 1 cm in diameter
Collagen
Review of Systems (ROS)
Nodule
Limited ROM
10. 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
ulna
Patient Confidentiality
The Integumentary System
Benign (hypertension)
11. Also called 'global surgery' - includes a variety of services rendered by a surgeon which includes the following: Surgical procedure performed Local infiltration - metacarpal/metatarsal/digital block - or topical anesthesia Preoperative E/M services
Birthday rule
Personal Insurance
Unique Provider Identification Number (UPIN)
Surgical Package
12. Is one who has a contract with a health insurance plan and accepts whatever the plan pays for procedures or services rendered.
A plus sign (+)
State License Number
Participating physician
Peer Review Organization (PRO)
13. requires investigation and needs further clarification.
Peer Review Organization (PRO)
Rejected claim
Nodule
Compression fracture
14. Is an electronic or paper-based report of payment sent by the payer to the provider.
Limited ROM
HCPCS Level II codes (National Codes)
MEDICAID COVERAGE
Remittance Advice
15. 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
stand-alone codes
Add-on codes
Nonparticipating physician
Benign
16. This is a set of information the physician gathers from the patient regarding the following:
Employer Liability
Secondary malignancy
History
Civil Monetary Penalties Law (CMPL)
17. 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
HCPCS Level I codes
Evaluation and Management Review
Unspecified nature
MEDICARE Part C
18. 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.
Dirty claim
-26 - Professional Component
ulna
The Integumentary System
19. 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
Carpals
Abuse
Primary malignancy
Liability insurance
20. most synarthroses are immovable joints held together by fibrous tissue.
False Claims Act (FCA)
No ROM
ligaments
Salter-Harris
21. A pregnant woman who has had at least one previous pregnancy.
Hypertension Table
Multigravida
Colles
Indemnity Insurance
22. This modifier is used when the same procedure is performed on a mirror-image part of the body..
-50 - Bilateral Procedure
Salter-Harris
Evaluation and Management Review
Location Methods
23. Benign growth extending from the surface of the mucous membrane
Polyp
Compression fracture
Chief complaint (CC)
Limited ROM
24. Lower portion of the pelvic bone
Impacted
Short bones
Spinal/Vertebral Column
Ischium
25. A physician has a separate PPIN for each group office/clinic in which he or she practices. In the Medicare program - in addition to a group number - each member of a group is issued an 8-character performing provider identification number.
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
State License Number
Impetigo
Performing Provider Identification Number (PPIN)
26. 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
Complicated
Fiscal Intermediary
Relative Value Payment Schedules Method
TRICARE PLANS
27. Medicare Managed Care Plans (Formerly Medicare Plus (+) Choice Plan) was created to offer a number of healthcare services in addition to those available under Part A and Part B. The CMS contracts with managed care plans or provider service organizati
MEDICARE Part C
Radius
Ethmoid Bone
Sections
28. 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.
Wheal
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
Medicare's Resource Based Relative Value Scale (RBRVS) Payment Schedule
Pre-authorization
29. 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
Melanin
Unique Provider Identification Number (UPIN)
Mandible
30. Are conditions - situations - and services not covered by the insurance carrier.
Exclusions and Limitations
Capitated Rates
Eligibility
MEDICARE Part B
31. A chronological account of the development of the complaint from the first sign or symptom that the patient experienced to the present
Pre-determination
Wheal
History of present illness (HPI)
Column 1/Column 2 (previously called Comprehensive/Component) Edits
32. 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.
Retention of Medical Records
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Lipocyte
Long bones
33. Is a service performed by a physician whose opinion or advice is requested by another physician in the evaluation or treatment of a patient's illness or suspected problem. The consultant does not assume responsibility for the patient's care and must
premium
Consultation
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
Keratin
34. 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
Pre-paid Health Plan
TRICARE
Abuse
Employee Liability
35. Also called the Hospital Insurance for the Aged and Disabled. It covers institutional providers for inpatient - hospice - and home health services - such as the
Frontal Bone
MEDICARE Part A
New Patient
Retention of Medical Records
36. numbers 8-10 - are attached to the sternum by cartilage
Alphabetic Index (Volume 2)
False ribs
phalanges (phalanx.s)
-26 - Professional Component
37. 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 Organization (PPO)
Preferred Provider plan
Sections
Frontal Bone
38. Numbers 1-7 - attach directly to the sternum in the front of the body.
Blue Cross/Blue Shield Plans
true ribs
stand-alone codes
Secondary malignancy
39. A minor fracture appears as a thin line on x-ray and may not extend completely through the bone.
ulna
Compression fracture
Hairline
Dirty claim
40. Deficient in pigment (melanin)
Past - family and social history (PFSH)
Suicide Attempt
Preferred Provider Organization (PPO)
Albino
41. Is a regionally managed healthcare program for active duty and retired members of the armed forces - their families - and survivors. It is a service benefit program and contains no premium. TRICARE is the new title for the CHAMPUS program (Civilian H
TRICARE
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
Surgical Package
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
42. the bone is crushed and or shattered.
Category I Codes CPT
Comminuted fracture
TRICARE
Chapters
43. Is a cost-sharing requirement for the insured to pay at the time of service. This amount is usually a specific dollar amount (e.g.. $15 - $20 - $25)
Suicide Attempt
Ethmoid Bone
co-payment
Chief complaint
44. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.
Secondary malignancy
sebaceous(oil) glands and the suddoriferous (sweat) glands
Coding
-99 - Multiple Modifiers
45. 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.
Add-on codes
Peer Review Organization (PRO)
phalanges (phalanx.s)
Medically needy
46. Contains complete - necessary information - but is incorrect or illogical in some way.
nonessential modifiers
Indemnity Insurance
Greenstick
Invalid claim
47. Are codes formulated thru the joint efforts of the CMS - the Health Insurance Association of America - and the Blue Cross and Blue Shield Association. Level II contains five position alpha-numeric codes for physician and non-physician services not fo
Liability insurance
HCPCS Level II codes (National Codes)
Categories
Group Insurance
48. .. lower jaw bone.
Mandible
Coinsurance
Compliance Regulations
Secondary malignancy
49. requires investigation and needs further clarification.
Rejected claim
Primary malignancy
bullet (a
Unspecified (hypertension)
50. Discolored - flat lesion (freckles - tattoo marks)
circle with a line through it)
Macule
Coding
premium