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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 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....






2. Is defined as someone who has received medical services with in the last 3 years from the physician or another physician of the same specialty who belongs to the same group practice.






3. The musculoskeletal system includes the bones - muscles - and joints The musculoskeletal system acts as a framework for the organs - protects many of those organs - and also provides the organism the ability to move..






4. 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






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






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






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






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






9. represents Exemption from the use of modifier -51






10. 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






11. 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






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






13. death of tissue associated with loss of blood supply






14. Under capitation - the physician provides a full range of contracted services to covered patients for a fixed amount on a periodic basis. While guaranteed a fixed amount - the physician assumes the risk that the cost of providing the care to the pati






15. The original cancer site. Malignant tumors are considered primary unless documented as secondary or metastatic.






16. Is one who has no contract with the health insurance plan.






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






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






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






20. The spinal /vertebral column is divided into five regions from the neck to the tailbone. There are 26 bones in the spine and they are referred to as the vertebrae. The following list explains the bones of the spine: Cervical -Neck Bones -Thoracic -U






21. Also called 'global surgery' - includes a variety of services rendered by a surgeon which includes the following: Surgical procedure performed Local infiltration - metacarpal/metatarsal/digital block - or topical anesthesia Preoperative E/M services






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






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






24. 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.






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






26. poisoning was inflicted by another person with intent to kill or injure






27. 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






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






29. 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






30. forms the two lower sides of the cranium.






31. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.






32. Is the lower medial arm bone.






33. 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.






34. uncertain whether benign or malignant; borderline malignancy






35. Is a percentage of the cost of covered services that a policyholder or a secondary insurance pays. A common payment percentage for coinsurance is 80/20 which indicates that 20% is the coinsurance for which the beneficiary or secondary insurance is re






36. 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....






37. 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.






38. Is defined as someone who has received medical services with in the last 3 years from the physician or another physician of the same specialty who belongs to the same group practice.






39. Is one who has a contract with a health insurance plan and accepts whatever the plan pays for procedures or services rendered.






40. 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






41. Is a state based group of physicians working under government guideline to review cases and determine their appropriateness and quality of professional care.






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






43. This is the index for the E codes.It classifies - in alphabetical order - environmental events and other conditions as the cause of injury and other adverse effects.






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






45. Was developed to promote the interests and well being of the patients and residents of the healthcare facility. This bill has still not become a law.


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






47. 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.






48. 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.






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






50. This number is used instead of the individual physician's number for the performing provider who is a member of a group practice that submits claims to insurance companies under the group name.