Test your basic knowledge |

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. All patients have a right to privacy and all information should remain privileged. Discuss patient information only with the patient's physician or office personnel that need certain information to do their job. Obtain a signed consent form to releas






2. Provide a four-digit code (one digit after the decimal point) which is more specific than category code (3-digit) in terms of cause - site - or manifestation of the condition. This must be used if available. From subcategory - specificity moves to an






3. 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






4. This is an alternative to paper claims submitted to the third-party payer directly by the physician or through a clearinghouse. Electronic claims are usually paid faster than paper claims and most electronic claims software have self-editing features






5. is a traumatic injury to a joint involving the soft tissue.






6. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.






7. This modifier is used when the same procedure is performed on a mirror-image part of the body..






8. 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






9. the bone is crushed and or shattered.






10. 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






11. requires investigation and needs further clarification.






12. This is located in the Index under the main term 'Neoplasm' and is organized by anatomic site. Each site has six columns with six possible codes determined by whether the neoplasm is malignant - benign - of uncertain behavior - or of unspecified natu






13. 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.






14. Eccrine sweat glands are the most common and the apocrine sweat glands that secrete an odorless sweat.






15. 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






16. uncertain whether benign or malignant; borderline malignancy






17. Most billing-related cases are based on HIPAA and False Claims Act.






18. 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'.






19. The bone is partially bent and partially broken; this is a common fracture in children because their bones are still soft.






20. 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






21. The original cancer site. Malignant tumors are considered primary unless documented as secondary or metastatic.






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






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






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






25. 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






26. 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






27. 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






28. 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.






29. anterior to the temporal bones.






30. Are composed of three-digit codes representing a single disease or condition.






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






32. Is the cost of insurance coverage paid annually - semi-annually or monthly to keep a policy in effect.






33. This modifier is used to report a procedure or service that has more than one Modifier but the third-party payer does not allow the addition of multiple modifiers to the code. Modifier -99 is attached to the procedure code and the multiple Modifiers






34. Bacterial inflammatory skin disease characterized by lesion - pustules and vesicles.






35. is a federal program administered by state governments to provide medical assistance to the needy. Each state sets its own guidelines for eligibility and services - therefore benefits and coverage may vary widely from state to state.






36. Is the qualifying factor or factors that must be met before a patient receives benefits.






37. 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.






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






39. 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.






40. The moon like white area at the base of the nail.






41. 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






42. Identifies code pairs that should not be billed together because one code (Column 1) includes all the services described by another code (Column 2).






43. The original cancer site. Malignant tumors are considered primary unless documented as secondary or metastatic.






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






45. A minor fracture appears as a thin line on x-ray and may not extend completely through the bone.






46. forms the roof of the nasal cavity.






47. Absence of hair from areas where it normally grows






48. Under this schedule - a procedure's relative value is the sum total of three elements: Work: represents the amount of time - intensity of effort - and medical skill required of the physician. Overhead: practice costs related to the performing of the

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


49. Was developed to promote the interests and well being of the patients and residents of the healthcare facility. This bill has still not become a law.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


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