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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. The lower anterior part of the bone






2. The main term in the index may by followed by terms within parenthesis.






3. 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






4. forms the two lower sides of the cranium.






5. 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






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






7. make up part of the roof of the mouth






8. A fat cell






9. 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






10. Structural protein found in the skin and connective tissue






11. A fat cell






12. Are small - rounded bones that resemble a sesame seed. They are found near joints and increase the efficiency of muscles near a joint. An example of sesamoid bone is the knee cap.






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






14. 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.






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






16. Unlike the RBRVS - the RVP has no geographic adjustment factor or individual RVU component to calculate. However - for each category of procedures - a separate conversion factor must be developed....






17. Indicates add-on codes






18. Are conditions - situations - and services not covered by the insurance carrier.






19. Is to determine coverage for a specific treatment such as surgery - hospitalization or tests - under the insured's policy.






20. Was created to provide medical benefits to spouses and children of veterans with total - permanent service related disabilities or for surviving spouses and children of a veteran who died as a result of service-related disability. It is a service ben






21. cancer that is localized and has not spread to adjacent tissues or distant parts of the body






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






23. 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).






24. 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






25. Further classified as to primary - secondary - or carcinoma in situ.






26. Make up part of the interior of the nose.






27. Is a term used when a patient is admitted to the hospital with the expectation that the patient will stay for a period of 24 hours or more.






28. Is the federal government's health insurance program created by the Social Security Act of 1965 titled 'Health Insurance for the Aged and Disabled'. It is administered by the Centers for Medicare and Medicaid Services (CMS) - formerly known as Health






29. Is an entity that receives transmissions of claims from physicians' offices - separates the claims by carriers and performs software edits on each claim to check for errors. Once this process is complete - the claim is then sent to the proper insuran






30. Any fracture occurring spontaneously as a result of disease.






31. requires investigation and needs further clarification.






32. Developed by the CMS to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment of Part B health insurance claims.






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






34. 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.






35. forms the two lower sides of the cranium.






36. Lower portion of the pelvic bone






37. 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.






38. Knowingly and intentionally deceiving or misrepresenting information that may result in unauthorized benefits is known as fraud.. Common forms of fraud are billing for services not furnished - unbundling - and misrepresenting diagnosis to justify pay






39. numbers 8-10 - are attached to the sternum by cartilage






40. Numbers 1-7 - attach directly to the sternum in the front of the body.






41. Identifies code pairs that - for clinical reason - are unlikely to be performed on the same patient on the same day.






42. Used for procedures that is always performed during the same operative session as another surgery in addition to the primary service/procedure and is never performed separately.






43. requires investigation and needs further clarification.






44. The break of the distal end of the radius at the epiphysis often occurs when the patient has attempted to break his or her fall.






45. most synarthroses are immovable joints held together by fibrous tissue.






46. 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






47. Poisoning cannot be determined whether intentional or accidental.






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






49. 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






50. .. lower jaw bone.