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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. Absence of hair from areas where it normally grows






2. 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.






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






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






5. Cheekbone






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






7. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.






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






9. 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






10. The CPT Index is arranged in alphabetical order by main terms which are further divided by subterms. There are five location methods: 1. Service or Procedure 2. Anatomic site 3. Condition or Disease 4. Synonym/Eponym 5. Abbreviation






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






12. Are temporary codes for emerging technology - services and procedures. If a Category III code is available - it is reported instead of a Category I unlisted code.






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






14. 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






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






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






17. A fracture of the epiphyseal plate in children.






18. - To pay for medical services and items that Medicare does not cover and Medicare's coinsurance and deductibles - beneficiaries may purchase a supplemental insurance. Medigap is a private insurance designed to help pay for those amounts that are typ






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






20. Is also called the superbill; it is a listing of the diagnoses - procedures - and charges for a patient's visit.






21. Groove or crack like sore






22. 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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23. The Usual - Customary - and Reasonable: The UCR method is used mostly in reference to fee-for-service reimbursement. To arrive at a payment amount for a claim - the carrier compares: The physician's most frequent charge for a given service (the usual






24. A fracture of the epiphyseal plate in children.






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






26. 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.






27. The reason the patient came to see the physician.






28. anterior to the temporal bones.






29. 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






30. Represents a new procedure or service code added since the previous edition of the manual.






31. open sore on the skin or mucous






32. An insurance plan issued to an individual. Premium rates are usually higher than group rates and service availability is lessened with this type of coverage.






33. 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).






34. They are for profit organizations that operate in the private sector selling different health insurance benefits plans to groups or individuals. Most commercial plans have predefined patient yearly deductibles and coinsurance generally based on 80/2






35. 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






36. 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






37. 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.






38. The CPT manual is composed of eight sections. Each section begins with guidelines that provide specific coding rules for that section. Guidelines at the beginning of the section are applicable to all codes in the section - while notes that pertain t






39. Is a managed care plan that gives beneficiaries the option whom to see for services. If the beneficiary goes to see a physician within the network - s/he will receive benefits similar to an HMO. But if the beneficiary chooses to see a physician from






40. forms the roof of the nasal cavity.






41. death of tissue associated with loss of blood supply






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






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






44. 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






45. make up part of the roof of the mouth






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






47. 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






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






49. includes the shoulder girdle which is made up of the scapula - clavicle and upper extremities. The scapula - or shoulder blades are flat bones that help support the arms. The clavicle - or collarbone - is curved horizontal bones that attach to the u






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