SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
Medical Billing And Coding Vocab
Start Test
Study First
Subject
:
medical-transcription
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 moon like white area at the base of the nail.
Macule
Rejected claim
lunula
Temporal Bone
2. The bone is partially bent and partially broken; this is a common fracture in children because their bones are still soft.
Fiscal Intermediary
Greenstick
MEDICARE Part C
Health Maintenance Organization (HMO)
3. 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.
Fraud
Pubic bone
Inpatient
Location Methods
4. Are a group of independently licensed local companies - usually nonprofit that contracts with physicians and other health entities to provide services to their insured companies and individuals. Most BC/BS plans offer HMO's - PPO's and POS plans. Blu
axial skeleton
Blue Cross/Blue Shield Plans
Radius
Malignant
5. represents Exemption from the use of modifier -51
-51 - Multiple Procedures
circle with a line through it)
Pre-paid Health Plan
Gender rule
6. 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
The Good Samaritan Act
Pathologic
Occipital Bone
Clearinghouse
7. Families - pregnant women - and children ;Aid to Families with Dependent Children (AFDC)-related groups ;Non-AFDC pregnant women and children;Aged and disabled persons ;Supplemental Security Income (SSI)-related groups ;Qualified Medicare Beneficiari
Unlisted Procedures Procedures
Undetermined
-99 - Multiple Modifiers
Categorically needy -MEDICAID
8. The physician must obtain this number in order to practice within a state.
Pathologic
Ethmoid Bone
State License Number
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
9. 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
Abuse
Gangrene
Chief complaint
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
10. Indicates add-on codes
Abuse
Zygoma
A plus sign (+)
Unspecified nature
11. Created the Health Care Fraud and Abuse Control Program enacted to check for fraud and abuse in the Medicare and Medicaid programs - and private payers.
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
The Universal Claim Form
Pubic bone
encounter form
12. The skin and its accessory organs.Integument means covering. The skin covers over an area of 22 square feet ( an average adult). It is a complex system of specialized tissues containing glands - nerves and blood vessels. The main function of the skin
Invalid claim
The Integumentary System
Pelvis
Albino
13. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.
Contracted Rates with MCOs
Categories
Group practice
Clearinghouse
14. There are also terms indented two spaces to the right below the main term called subterms. These subterms are because they have bearing in the selection of the right code. Everything in the Index is listed by condition - that is - diagnosis - signs -
essential modifiers
Ethmoid Bone
Secondary malignancy
Limited ROM
15. Produce secretions that allow the body to be moisturized or cooled.
Group Provider Number
sebaceous(oil) glands and the suddoriferous (sweat) glands
Pre-certification
ulna
16. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.
Chief complaint
No ROM
circle with a line through it)
Tabular List (Volume 1)...
17. Numbers 1-7 - attach directly to the sternum in the front of the body.
Mandible
true ribs
Flat bones
Palatine bones
18. Small collection of clear fluid;blister
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
Indemnity Insurance
Vesicle
axial skeleton
19. This is also known as fee-for-service. Under this plan - the services that are paid for are listed in the policy and payments are based on the fees physicians charge for the service. Each year - the beneficiary must meet a deductible - after which -
Palatine bones
Liability insurance
Indemnity Insurance
Surgical Package
20. Are conditions - situations - and services not covered by the insurance carrier.
Uncertain behavior
Exclusions and Limitations
Pre-determination
Unspecified (hypertension)
21. Is a patient who receives treatment in any of the following settings: physician's office ;hospital clinic - emergency department - hospital same-day surgery unit - ambulatory surgical center ( patient is released within 23 hours) ;hospital admission
Health Insurance Portability and Accountability Act (HIPAA)
upper appendicular skeleton
premium
Outpatient
22. This modifier is used to indicate that the procedure was done by an outside laboratory and not by the reporting facility or clinic.
Unlisted Procedures Procedures
essential modifiers
-90 - Reference (Outside) Laboratory
Impacted
23. Structural protein found in the skin and connective tissue
Past - family and social history (PFSH)
Collagen
No ROM
Clean claim
24. This is attached to the code of the E/M service provided to a patient during the postoperative period to indicate that that service is not part of the postoperative care which is usually part of a package of services of the surgery performed. Major s
Abuse
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
Medigap (Medicare Supplemental Insurance)
Lipocyte
25. Under capitation - the physician provides a full range of contracted services to covered patients for a fixed amount on a periodic basis. While guaranteed a fixed amount - the physician assumes the risk that the cost of providing the care to the pati
Disability insurance
False ribs
Capitated Rates
Medigap (Medicare Supplemental Insurance)
26. 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'.
Pre-authorization
Unspecified nature
eponychium
TRICARE
27. Is when two insurance companies work together to coordinate payment of the benefits.
Coordination of Benefits (COB)
Preferred Provider Organization (PPO)
Subcategories
co-payment
28. Deals with the prevention of healthcare fraud and abuse of patients on Medicare and Medicaid.
Nonparticipating physician
Dirty claim
Health Insurance Portability and Accountability Act (HIPAA)
Impetigo
29. Number assigned by the insurance company to a physician who renders services to patients.
Point-of-Service plan (POS)
Pelvis
Provider Identification Number (PIN)
History of present illness (HPI)
30. Was developed to protect healthcare professionals from liability of any civil damages as a result of rendering emergency care.
Keratin
Fraud
Fraud
The Good Samaritan Act
31. The reason the patient came to see the physician.
essential modifiers
Chief complaint (CC)
Civil Monetary Penalties Law (CMPL)
Greenstick
32. is basically the same as HMO in the sense that the health care provider enters into contract with the MCOs to render services to the beneficiaries. However - PPO's charge a higher premium than HMO's in exchange for more flexibility and more options
Inferior nasal conchae
true ribs
Unspecified nature
Preferred Provider Organization (PPO)
33. 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
34. Consists of the skull - rib cage - and spine
premium
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
Impacted
axial skeleton
35. Are supplementary classification codes used to describe the reason or external cause of injury - poisoning and other adverse effects. These codes can be found in both Volumes I and II. E codes are used to classify environmental events - circumstances
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
The Universal Claim Form
Two triangular symbols (a
-51 - Multiple Procedures
36. Smooth - slightly elevated - edematous(swollen) area that is redder or paler than the surrounding skin.
Unauthorized benefit
encounter form
Wheal
Medically needy
37. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)
Sebaceous glands
Electronic Claim
Peer Review Organization (PRO)
Full ROM
38. 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
Comminuted fracture
upper appendicular skeleton
Categories
TRICARE
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
The Current Procedural Terminology (CPT)
Primary malignancy
A plus sign (+)
Health practitioner
40. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.
Tabular List (Volume 1)...
Accept assignment
Gangrene
State License Number
41. 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
Alphabetic Index (Volume 2)
Electronic Claim
There are three layers to the skin
Health Maintenance Organization (HMO)
42. 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.
phalanges (phalanx.s)
Short bones
Peer Review Organization (PRO)
Collagen
43. 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
sprain
Nodule
Consultation
Lacrimal bones
44. The lower anterior part of the bone
Coding
Pubic bone
Column 1/Column 2 (previously called Comprehensive/Component) Edits
circle with a line through it)
45. This modifier is used when the same procedure is performed on a mirror-image part of the body..
-50 - Bilateral Procedure
Medical necessity
Polyp
Mandible
46. cancer that is localized and has not spread to adjacent tissues or distant parts of the body
Performing Provider Identification Number (PPIN)
Carcinoma (Ca) in situ
Vesicle
Blue Cross/Blue Shield Plans
47. An accelerated - severe form of hypertension with vascular damage and a diastolic pressure of 130mmHg or greater.
Wheal
Retention of Medical Records
Personal Insurance
Malignant
48. Is a cost-sharing requirement for the insured to pay at the time of service. This amount is usually a specific dollar amount (e.g.. $15 - $20 - $25)
Disability insurance
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
co-payment
Health Insurance Portability and Accountability Act (HIPAA)
49. This is a set of information the physician gathers from the patient regarding the following:
Preferred Provider Organization (PPO)
Accept assignment
History
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
50. 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.
Malignant
Group Provider Number
Category II Codes CPT
Employer Identification Number (EIN)
Sorry!:) No result found.
Can you answer 50 questions in 15 minutes?
Let me suggest you:
Browse all subjects
Browse all tests
Most popular tests
Major Subjects
Tests & Exams
AP
CLEP
DSST
GRE
SAT
GMAT
Certifications
CISSP go to https://www.isc2.org/
PMP
ITIL
RHCE
MCTS
More...
IT Skills
Android Programming
Data Modeling
Objective C Programming
Basic Python Programming
Adobe Illustrator
More...
Business Skills
Advertising Techniques
Business Accounting Basics
Business Strategy
Human Resource Management
Marketing Basics
More...
Soft Skills
Body Language
People Skills
Public Speaking
Persuasion
Job Hunting And Resumes
More...
Vocabulary
GRE Vocab
SAT Vocab
TOEFL Essential Vocab
Basic English Words For All
Global Words You Should Know
Business English
More...
Languages
AP German Vocab
AP Latin Vocab
SAT Subject Test: French
Italian Survival
Norwegian Survival
More...
Engineering
Audio Engineering
Computer Science Engineering
Aerospace Engineering
Chemical Engineering
Structural Engineering
More...
Health Sciences
Basic Nursing Skills
Health Science Language Fundamentals
Veterinary Technology Medical Language
Cardiology
Clinical Surgery
More...
English
Grammar Fundamentals
Literary And Rhetorical Vocab
Elements Of Style Vocab
Introduction To English Major
Complete Advanced Sentences
Literature
Homonyms
More...
Math
Algebra Formulas
Basic Arithmetic: Measurements
Metric Conversions
Geometric Properties
Important Math Facts
Number Sense Vocab
Business Math
More...
Other Major Subjects
Science
Economics
History
Law
Performing-arts
Cooking
Logic & Reasoning
Trivia
Browse all subjects
Browse all tests
Most popular tests