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Test your basic knowledge |
Medical Billing And Coding Vocab
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Subject
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medical-transcription
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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 lower anterior part of the bone
Pubic bone
Suicide Attempt
Sphenoid Bones
MEDICAID COVERAGE
2. The main term in the index may by followed by terms within parenthesis.
Zygoma
Alphabetic Index (Volume 2)
Palatine bones
Social Security Number
3. 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
Parietal Bones
Evaluation and Management Review
Preferred Provider Organization (PPO)
Sections
4. forms the two lower sides of the cranium.
MEDICARE Part D
Fraud
Temporal Bone
Physician
5. 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
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
Full ROM
Consultation
Ischium
6. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.
Birthday rule
Liability insurance
Flat bones
New Patient
7. make up part of the roof of the mouth
Palatine bones
Lacrimal bones
Carcinoma (Ca) in situ
Past - family and social history (PFSH)
8. A fat cell
Vesicle
sebaceous(oil) glands and the suddoriferous (sweat) glands
Inferior nasal conchae
Lipocyte
9. 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
Sub classification
bullet (a
TRICARE PLANS
Lacrimal bones
10. Structural protein found in the skin and connective tissue
Collagen
Blue Cross/Blue Shield Plans
upper appendicular skeleton
There are three layers to the skin
11. A fat cell
MEDICARE Part A
Personal Insurance
Coding
Lipocyte
12. 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.
False ribs
Health Care Financing Administration Common Procedure Coding System
Established Patient
Sesamoid bones
13. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.
Unspecified nature
Radius
-51 - Multiple Procedures
Patient Confidentiality
14. Are supplemental codes used for performance measurements. Although these codes are intended to facilitate data collection about the quality of care - their use is optional. Category II codes are published twice a year: January 1st and July 1st.
Category II Codes CPT
Unlisted Procedures Procedures
Chapters
bullet (a
15. Is made up of the shoulder - collar - pelvic and arms and legs
Sesamoid bones
The Current Procedural Terminology (CPT)
appendicular skeleton .
Birthday rule
16. 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....
Multigravida
triangle (a
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
The St. Anthony Relative Value for Physicians (RVP)
17. Indicates add-on codes
Advance Beneficiary Notice
A plus sign (+)
circle with a line through it)
Carpals
18. Are conditions - situations - and services not covered by the insurance carrier.
Exclusions and Limitations
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
Categories
Polyp
19. Is to determine coverage for a specific treatment such as surgery - hospitalization or tests - under the insured's policy.
Sections
Pre-certification
False Claims Act (FCA)
Vesicle
20. 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
Unauthorized benefit
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
Pubic bone
Maxilla
21. cancer that is localized and has not spread to adjacent tissues or distant parts of the body
Long bones
Health Maintenance Organization (HMO)
Location Methods
Carcinoma (Ca) in situ
22. This is not specified as benign or malignant in the diagnosis or medical record.
Categories
Retention of Medical Records
Unspecified (hypertension)
Multigravida
23. Are the main division in the ICD-9-CM; they are divided into sections. e.g.. - 3. Endocrine - Nutritional and Metabolic Diseases - and Immunity Disorders (240-279).
Exclusions and Limitations
Unique Provider Identification Number (UPIN)
Blue Cross/Blue Shield Plans
Chapters
24. 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
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Fiscal Intermediary
Qualified diagnosis
TRICARE
25. Further classified as to primary - secondary - or carcinoma in situ.
Malignant
Medigap (Medicare Supplemental Insurance)
Humerus
Collagen
26. Make up part of the interior of the nose.
Inferior nasal conchae
Past - family and social history (PFSH)
nonessential modifiers
Polyp
27. 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.
Inferior nasal conchae
Pre-certification
MEDICARE Part C
Inpatient
28. Is the federal government's health insurance program created by the Social Security Act of 1965 titled 'Health Insurance for the Aged and Disabled'. It is administered by the Centers for Medicare and Medicaid Services (CMS) - formerly known as Health
Consultation
Short bones
Medicare
Medigap (Medicare Supplemental Insurance)
29. 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
Flat bones
Categories
Clearinghouse
Parietal Bones
30. Any fracture occurring spontaneously as a result of disease.
Collagen
Pathologic
MEDICARE Part C
bullet (a
31. requires investigation and needs further clarification.
Radius
Birthday rule
Deductible
Rejected claim
32. 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.
Liability insurance
Medicaid
Medically needy
National Correct Coding Initiative (NCCI)
33. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.
Unspecified nature
Impetigo
Health Care Financing Administration Common Procedure Coding System
Categorically needy -MEDICAID
34. 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.
Indemnity Insurance
Eligibility
phalanges (phalanx.s)
Coinsurance
35. forms the two lower sides of the cranium.
Benign (hypertension)
Retention of Medical Records
-90 - Reference (Outside) Laboratory
Temporal Bone
36. Lower portion of the pelvic bone
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
Categorically needy -MEDICAID
National Correct Coding Initiative (NCCI)
Ischium
37. 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.
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
Vomer
Health practitioner
Unspecified nature
38. Knowingly and intentionally deceiving or misrepresenting information that may result in unauthorized benefits is known as fraud.. Common forms of fraud are billing for services not furnished - unbundling - and misrepresenting diagnosis to justify pay
Categorically needy -MEDICAID
Health Care Financing Administration Common Procedure Coding System
Fraud
Electronic Claim
39. numbers 8-10 - are attached to the sternum by cartilage
Sphenoid Bones
Frontal Bone
False ribs
eponychium
40. Numbers 1-7 - attach directly to the sternum in the front of the body.
Dirty claim
Pre-authorization
Greenstick
true ribs
41. Identifies code pairs that - for clinical reason - are unlikely to be performed on the same patient on the same day.
Maxilla
Mutually Exclusive Edits
Consultation
Fiscal Intermediary
42. 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.
MEDICARE Part C
Keratin
The Integumentary System
Add-on codes
43. requires investigation and needs further clarification.
Rejected claim
Section 3 Index to External Causes of Injury (E codes)
History of present illness (HPI)
Group practice
44. The break of the distal end of the radius at the epiphysis often occurs when the patient has attempted to break his or her fall.
Benign (hypertension)
Unlisted Procedures Procedures
Colles
Preferred Provider Organization (PPO)
45. most synarthroses are immovable joints held together by fibrous tissue.
Malignant
-32 - Mandated Services
No ROM
Category II Codes CPT
46. is defined as reimbursement for income lost as a result of a temporary or permanent illness or injury. When patients are treated for disability diagnoses and other medical problems - separate patient records must be maintained. Disability insurance
Malignant
Frontal Bone
Disability insurance
Column 1/Column 2 (previously called Comprehensive/Component) Edits
47. Poisoning cannot be determined whether intentional or accidental.
Subcategories
Musculoskeletal System
Undetermined
Point-of-Service plan (POS)
48. This is not specified as benign or malignant in the diagnosis or medical record.
Complicated
Undetermined
Unspecified (hypertension)
Frontal Bone
49. is defined as reimbursement for income lost as a result of a temporary or permanent illness or injury. When patients are treated for disability diagnoses and other medical problems - separate patient records must be maintained. Disability insurance
Pelvis
Disability insurance
Sphenoid Bones
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
50. .. lower jaw bone.
Chief complaint
Malignant
Mandible
Long bones