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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. 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.






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






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






4. A chronological account of the development of the complaint from the first sign or symptom that the patient experienced to the present






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






6. Deals with the prevention of healthcare fraud and abuse of patients on Medicare and Medicaid.






7. Noninvasive - non-spreading - nonmalignant






8. 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.






9. 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






10. Is when two insurance companies work together to coordinate payment of the benefits.






11. Structural protein found in the skin and connective tissue






12. Represent services and procedures widely used by many health care professionals in clinical practice in multiple locations and have been approved by the FDA.






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






14. Most procedures have both professional (physician) and technical components. This modifier is attached to the procedure to indicate that the physician provided only the professional component.






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






16. is one who has not received professional services from the physician or another physician of the same specialty in the same group within the past three (3) years.






17. Was developed to protect healthcare professionals from liability of any civil damages as a result of rendering emergency care.






18. Is to determine the patient's benefits and the maximum dollar amount that the insurance company will pay. Often the first step of the insurance verification process - it is completed prior to the first visit.






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






20. Consists of the skull - rib cage - and spine






21. 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






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






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






24. Describes the services billed and includes a breakdown of how the payment is determined






25. Is the lateral lower arm bone (in line with the thumb).






26. A physician has a separate PPIN for each group office/clinic in which he or she practices. In the Medicare program - in addition to a group number - each member of a group is issued an 8-character performing provider identification number.






27. The physician must obtain this number in order to practice within a state.






28. 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






29. the bone is crushed and or shattered.






30.






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






32. 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






33. 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.






34. The physician must obtain this number in order to practice within a state.






35. 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....






36. Lower portion of the pelvic bone






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






38. Is a managed care benefits plan that provides a wide range of medical services to individuals that have been enrolled into the program. It is generally the least costly but at the same time also the most restrictive. This plan uses a gatekeeper physi






39. found in the Index under the main term 'Hypertension' - and it contains a list of conditions that are due to or associated with hypertension. The table classifies the conditions as:






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






41. 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.






42. Cheekbone






43. Indicates add-on codes






44. 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






45. Benign growth extending from the surface of the mucous membrane






46. Is the lower medial arm bone.






47. 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.






48. 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






49. Number assigned by the insurance company to a physician who renders services to patients.






50. 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.