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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. This is the inventory of the constitutional symptoms regarding the various body systems.






2. This is a set of information the physician gathers from the patient regarding the following:






3. 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.






4. Are located in the dermal layer of the skin over the entire body - except for the palms of the hands and soles of the feet. The sebaceous glands secrete an oily substance called sebum. Sebum contains lipids that help lubricate the skin and minimize w






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






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






7. Superior and widest bone






8. The poisoning was self-inflicted.






9. 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.






10. The plan of the parent whose birthday falls earlier in the year (month and day - not year) is primary to that whose birthday falls later in the year. If both parents have the same birthday - then the plan of the parent who has had the longest coverag






11. 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






12. The poisoning was self-inflicted.






13. .. lower jaw bone.






14. make up part of the roof of the mouth






15. Groove or crack like sore






16. 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.






17. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)






18. male of household is primary payer






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






20. 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.






21. Is a group of two or more physicians and non-physician practitioners legally organized in a partnership - professional corporation - foundation - not-for-profit corporation - faculty practice plan - or similar association.






22. This number is used instead of the individual physician's number for the performing provider who is a member of a group practice that submits claims to insurance companies under the group name.






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






24. Hair fibers are composed of tightly fused meshwork of cells filled with hard protein called






25. 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






26. Physicians are legally responsible for their own conduct and any actions of their employees (their designee) performed within the context of their employment. This is referred to as 'vicarious liability -' also known as 'respondent superior -' which






27. 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.






28. Is a state based group of physicians working under government guideline to review cases and determine their appropriateness and quality of professional care.






29. Number assigned to the physician by Medicare program.






30. Are typically very strong - are broad at the ends and have large surfaces for muscle attachment.






31. Is one who has received professional services from the physician or another physician of the same specialty in the same group within the past three (3) years....






32. Absence of hair from areas where it normally grows






33. Prescription Drugs The Medicare Prescription Drug - Improvement - and Modernization Act enacted in December 2003 and began implementation in January 2006 where Medicare beneficiaries can enroll in the Medicare prescription drug plan. The beneficiari






34. 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






35. The reason the patient came to see the physician.






36. Is a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.






37. Lower portion of the pelvic bone






38. Is defined as someone who has received medical services with in the last 3 years from the physician or another physician of the same specialty who belongs to the same group practice.






39. The spinal /vertebral column is divided into five regions from the neck to the tailbone. There are 26 bones in the spine and they are referred to as the vertebrae. The following list explains the bones of the spine: Cervical -Neck Bones -Thoracic -U






40. anterior to the temporal bones.






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






42. Is a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.






43. uncertain whether benign or malignant; borderline malignancy






44. Upper jaw bone






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






46. This modifier is used to explain that the procedure or service done during a postoperative period was planned at the time of the original procedure. This is also used if a therapeutic procedure is performed because of the findings from a diagnostic p






47. Are wrist bones. There are 2 rows of four bones in the wrist. The metacarpals are the five radiating bones in the fingers. These are the bones in the palm of the hand.






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






49. Is an insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.






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