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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. Also called the Hospital Insurance for the Aged and Disabled. It covers institutional providers for inpatient - hospice - and home health services - such as the






2. There are 12 pairs of ribs. The first 7 pairs join the sternum anteriorly through cartilaginous attachments called costal cartilages.






3. Provide the means by which the reporting physician can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.






4. 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.






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






6. amphiathroses are joints joined together by cartilage that is slightly moveable - such as the vertebrae of the spine or the pubic bone.






7. 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.






8. 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






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






10. poisoning was inflicted by another person with intent to kill or injure






11. Is the lower medial arm bone.






12. Codes from the CPT codebook are used to report services and procedures by physicians. It is published and updated annually by the American Medical Association (AMA) with a new one coming out each November and becoming effective on January 1st of the






13.






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






15. 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.






16. death of tissue associated with loss of blood supply






17. 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.






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






19. 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.






20. Medicaid is the payer of last resort. If the patient has Medicare and Medicaid - Medicaid usually pays for the Medicare Part B deductible - coinsurance - and monthly premium amounts. Some of the services covered by Medicaid include the following: Inp






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






22. Indicates add-on codes






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.






24. are small with irregular shapes. They are found in the wrist and ankle.






25. the bone is broken and the ends are driven into each other.






26. Discolored - flat lesion (freckles - tattoo marks)






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






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






29. forms the back of the skull. There is a large hole at the ventral surface in this bone - called the foramen magnum - which allows the brain communication with the spinal cord






30. In July 2001 - the Health Care Financing Administration (HCFA) became the Centers for Medicare & Medicaid Services (CMS) - and the universal claim form HCFA-1500 became the CMS-1500.Virtually all third-party payers will accept it - and Medicare requ






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






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






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






34. open sore on the skin or mucous






35. 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






36. The epidermis - the dermis - and the subcutaneous layer. The epidermis is a thin - cellular membrane layer that contains keratin. The dermis is a dense - fibrous - connective tissue that contains collagen. The subcutaneous layer is a thicker and fatt






37. There are 12 pairs of ribs. The first 7 pairs join the sternum anteriorly through cartilaginous attachments called costal cartilages.






38. Has all required fields accurately filled out - contains no deficiencies and passes all edits. The carrier does not require investigation outside of the carrier's operation before paying the claim.






39. requires investigation and needs further clarification.






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






41. Pre-determined set of benefits covered under one set annual fee.






42. Is one who has no contract with the health insurance plan.






43. Is a working diagnosis which is not yet established.






44. Standard - fee-for-service - cost-sharing plan ; Extra - preferred provider organization ;Prime - health maintenance organization plan with a point-of-service option All of the above-mentioned plans covered under TRICARE - with the exception of Prime






45. 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






46. 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






47. Also known as Federal tax identification number. This is issued by the Internal Revenue Service






48. Groove or crack like sore






49. The poisoning was self-inflicted.






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