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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. Further classified as to primary - secondary - or carcinoma in situ.






2. 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






3. A pregnant woman who has had at least one previous pregnancy.






4. Superior and widest bone






5. Cheekbone






6. 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.






7. Absence of hair from areas where it normally grows






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






9. is referred to as Supplementary Medical Insurance (SMI). This coverage is a supplement to Part A - which covers medical expenses - clinical laboratory services - home health care - outpatient hospital treatment - blood - and ambulatory surgical serv






10. 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






11. Forms the anterior part of the skull and the forehead






12. This is not specified as benign or malignant in the diagnosis or medical record.






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






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






15. 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.






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






17. 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






18. Represents a change in the code description since the last edition. The change may be minor or significant and it could be an addition - deletion or revision.






19. 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.






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






21. Structural protein found in the skin and connective tissue






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






23. Used for procedures that is always performed during the same operative session as another surgery in addition to the primary service/procedure and is never performed separately.






24. Represents a change in the code description since the last edition. The change may be minor or significant and it could be an addition - deletion or revision.






25. 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....






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






27. Developed by the CMS to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment of Part B health insurance claims.






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






29. 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






30. 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:






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






32. Represent changes in the text or definition between the triangles.






33. 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.






34. 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






35. 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.






36. 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.






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






38. This is the traditional method used by providers for submission of charges to insurance companies. The most commonly used form is the CMS-1500. Few plans still accept the physician's encounter form or superbill and Medicare will only accept claims on






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






40. Indicates add-on codes






41. death of tissue associated with loss of blood supply






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






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






44. A fracture of the epiphyseal plate in children.






45. 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






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. Is a fee that is charged for each procedure or service performed by the physician. This fee is obtained from a fee schedule - which is a list of charges or allowance that have accepted for specific medical services. The system in which fee schedules






48. 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






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






50. requires investigation and needs further clarification.