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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.
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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. Deficient in pigment (melanin)
Albino
Performing Provider Identification Number (PPIN)
Pre-determination
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
2. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.
Hypertension Table
Flat bones
The Patient Care Partnership (Patient's Bill of Rights)
Hypertension Table
3. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.
Macule
Flat bones
Category I Codes CPT
Review of Systems (ROS)
4. death of tissue associated with loss of blood supply
MEDICARE Part C
Pre-paid Health Plan
Gangrene
Radius
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.
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
Column 1/Column 2 (previously called Comprehensive/Component) Edits
Two triangular symbols (a
Sebaceous glands
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
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Consultation
Chief complaint
ligaments
7. Are composed of three-digit codes representing a single disease or condition.
Categories
Suicide Attempt
MEDICAID COVERAGE
Zygoma
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.
Polyp
Unauthorized benefit
Medical Records
Ischium
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.
-32 - Mandated Services
Fiscal Intermediary
Greenstick
Benign (hypertension)
10. is a traumatic injury to a joint involving the soft tissue.
Employer Liability
sprain
Employer Identification Number (EIN)
Accident
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.
stand-alone codes
Pre-certification
phalanges (phalanx.s)
Disability insurance
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'.
Melanin
Pre-authorization
Electronic Claim
Spinal/Vertebral Column
13. Is the lower medial arm bone.
Secondary malignancy
ulna
Column 1/Column 2 (previously called Comprehensive/Component) Edits
Remittance Advice
14. Contains complete - necessary information - but is incorrect or illogical in some way.
Surgical Package
Invalid claim
History of present illness (HPI)
Pelvis
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.
Impacted
New patient
Fissure
Preferred Provider plan
16. Any fracture occurring spontaneously as a result of disease.
Subcategories
Pathologic
Paper Claim
Sections
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:
Hypertension Table
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
Contracted Rates with MCOs
Chapters
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
Categorically needy -MEDICAID
Unspecified nature
Rib Cage
MEDICARE Part B
19. Law passed by the federal government to prosecute cases of Medicaid fraud.
False ribs
Civil Monetary Penalties Law (CMPL)
Commercial Carriers
Patient Confidentiality
20. anterior to the temporal bones.
Past - family and social history (PFSH)
Sphenoid Bones
Assault
Occipital Bone
21. This is not specified as benign or malignant in the diagnosis or medical record.
Ulcermembranes
Outpatient
Unspecified (hypertension)
Spinal/Vertebral Column
22. Medically indigent low-income individuals and families ;Low-income persons losing employer health insurance coverage ( Medicaid purchase of COBRA coverage)
Zygoma
Wheal
Health practitioner
Medically needy
23. Produce secretions that allow the body to be moisturized or cooled.
Wheal
Short bones
Group Insurance
sebaceous(oil) glands and the suddoriferous (sweat) glands
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
eponychium
sebaceous(oil) glands and the suddoriferous (sweat) glands
Impacted
upper appendicular skeleton
25. The physician must obtain this number in order to practice within a state.
Clearinghouse
Electronic Claim
State License Number
Medically needy
26. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.
Coding
-32 - Mandated Services
New Patient
Inferior nasal conchae
27. Is also called the superbill; it is a listing of the diagnoses - procedures - and charges for a patient's visit.
encounter form
Explanation of Benefits (EOB)
Macule
eponychium
28. An accelerated - severe form of hypertension with vascular damage and a diastolic pressure of 130mmHg or greater.
Alphabetic Index (Volume 2)
Malignant
Vomer
Civil Monetary Penalties Law (CMPL)
29. requires investigation and needs further clarification.
Review of Systems (ROS)
Performing Provider Identification Number (PPIN)
appendicular skeleton .
Rejected claim
30. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.
Sub classification
Mandible
Hypertension Table
Tabular List (Volume 1)...
31. Number assigned to the physician by Medicare program.
Maxilla
Provider Identification Number (PIN)
Clean claim
Unique Provider Identification Number (UPIN)
32. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.
Personal Insurance
Unspecified nature
Add-on codes
Alphabetic Index (Volume 2)
33. Is when two insurance companies work together to coordinate payment of the benefits.
New Patient
MEDICARE Part C
Short bones
Coordination of Benefits (COB)
34. represents Exemption from the use of modifier -51
Advance Beneficiary Notice
circle with a line through it)
bullet (a
Medicare's Resource Based Relative Value Scale (RBRVS) Payment Schedule
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
Lacrimal bones
Pre-paid Health Plan
Uncertain behavior
Health practitioner
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.
Medical Records
Abuse
eponychium
New patient
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
itemized statement
Abuse
The Integumentary System
Sebaceous glands
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
Pre-authorization
Exclusions and Limitations
Employer Liability
Health Care Financing Administration Common Procedure Coding System
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
stand-alone codes
Medicare Claim Status
Health practitioner
Category III Codes CPT
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.
No ROM
itemized statement
Mandible
Abuse
41. A fracture of the epiphyseal plate in children.
Rejected claim
Collagen
Salter-Harris
Mutually Exclusive Edits
42. is defined as one who has not received any medical services within the last three years.
New Patient
Medically needy
Disability insurance
-50 - Bilateral Procedure
43. Benign growth extending from the surface of the mucous membrane
-90 - Reference (Outside) Laboratory
Medical necessity
Parietal Bones
Polyp
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
Accident
Multigravida
Health practitioner
-99 - Multiple Modifiers
45. Is made up of the shoulder - collar - pelvic and arms and legs
appendicular skeleton .
Benign (hypertension)
Disability insurance
TRICARE PLANS
46. Indicates add-on codes
Social Security Number
CPT SECTIONS.
Nonparticipating physician
A plus sign (+)
47. The bone is broken and pierces an internal organ
Complicated
Musculoskeletal System
Sub classification
Point-of-Service plan (POS)
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.
Two triangular symbols (a
Neoplasm Table
Dirty claim
Pelvis
49. death of tissue associated with loss of blood supply
Gangrene
-51 - Multiple Procedures
Qualified diagnosis
Alopecia
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
MEDICARE Part B
true ribs
Subcategories
The Patient Care Partnership (Patient's Bill of Rights)