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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. Is a cumulative out-of-pocket amount that must be paid annually by the policyholder before benefits will be paid by the insurance company.






2. major skin pigment






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






4. Bone that forms posterior/inferior part of the nasal septal wall between the nostrils.






5. 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

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6. 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






7. Considered experimental - newly approved - or seldom used may not be listed in the CPT manual. These codes can be coded as unlisted procedures. They are located at the end of the subsections or subheadings. When an unlisted procedure code is reported






8. Groove or crack like sore






9. 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






10. Forms the sides of the cranium






11. To report a circumstance in which the physician returns to the operating room to address a complication stemming from the initial procedure - modifier -78 is attached to the subsequent procedure code.






12. Cancer that has metastasized (spread) to a secondary site either adjacent or remote region of the body






13. 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.






14. Lower portion of the pelvic bone






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






16. Is the type of plan a patient may have where they can see providers outside their plan. The patient is responsible to pay the higher portion of the fee.






17. 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






18. Are small - rounded bones that resemble a sesame seed. They are found near joints and increase the efficiency of muscles near a joint. An example of sesamoid bone is the knee cap.






19. The cuticle at the lower part of the nail and this is sometimes referred to as the






20. Is made up of the shoulder - collar - pelvic and arms and legs






21. paired bones at the corner of each eye that cradle the tear ducts.






22. Poisoning was due to: Accidental overdose; Wrong substance taken; Accidents in use of drugs and biologicals; External causes of poisonings classifiable to 980-989 Therapeutic Use: instances when a correct substance properly taken is the cause of adve






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






24. are composed of a group of three-digit categories representing a group of conditions or related conditions; they are divided into categories. e.g. . - Disorders of Thyroid Gland (240 - 246).






25. provides a five-digit code which gives the highest specificity of description to a condition. Use of it is mandatory if it is available. A code not reported to the full number of digits required is invalid. e.g. 240.01 Toxic diffuse goiter with thyr






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






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






28. uncertain whether benign or malignant; borderline malignancy






29. 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






30. forms the roof of the nasal cavity.






31. 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






32. Noninvasive - non-spreading - nonmalignant






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






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






35. 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.






36. Mild or controlled hypertension and no damage to the vascular system or organs.






37. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.






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






39. Are small - rounded bones that resemble a sesame seed. They are found near joints and increase the efficiency of muscles near a joint. An example of sesamoid bone is the knee cap.






40. 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.






41. Is a state-required insurance plan - the coverage of which provides benefits to employees and their dependents for work related injury - illness or death. Each state has an established minimum number of employees required before this law comes into e






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






43. solid - round or oval elevated lesion more than 1 cm in diameter






44. HCPCS Reference Manual The CMS assigns a standard unique identifier known as the National Provider Identifier (NPI) The CMS also developed a two-part coding system called the Healthcare Common Procedure Coding System ( HCPCS ) which is a collection o






45. 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.






46. The lower anterior part of the bone






47. Structural protein found in the skin and connective tissue






48. 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....






49. Is an electronic or paper-based report of payment sent by the payer to the provider.






50. A fat cell