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






2. is defined as one who has not received any medical services within the last three years.






3. The poisoning was self-inflicted.






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






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






6. 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.






7. 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....






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






9. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.






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






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






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






13. 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






14. forms the two lower sides of the cranium.






15. Cheekbone






16. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.






17. 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






18. 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






19. Groove or crack like sore






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






21. Most procedures have both professional (physician) and technical components. This modifier is attached to the procedure to indicate that the physician provided only the professional component.






22. is a traumatic injury to a joint involving the soft tissue.






23. 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






24. Identifies code pairs that should not be billed together because one code (Column 1) includes all the services described by another code (Column 2).






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






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






27. Federal law that prohibits submitting a fraudulent claim or making a false statement or representation in connection with a claim. It also protects and rewards persons involved in whistle-blower cases.






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






29. uncertain whether benign or malignant; borderline malignancy






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






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






32. 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.






33. This is any procedure or service reported on the insurance claim that is not listed in the payer's master benefit list. This will result in the denial of the claim. Providers may be able to recover the charges from the patient.






34. Is a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.






35. A fracture of the epiphyseal plate in children.






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






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






38. - is a procedure or service provided without proper authorization or was not covered by a current authorization. The claim is denied and the provider cannot bill the patient for the charges.






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






40. requires investigation and needs further clarification.






41. Includes - but is not limited to - physician assistant - certified nurse-midwife - qualified psychologist - nurse practitioner - clinical social worker - physical therapist - occupational therapist - respiratory therapist - certified registered nurse






42. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.






43. This involves the use of relative value scales which assign a relative weight to individual services according to the basis for the scale. Services that are more difficult - time consuming - or resource intensive to perform typically have higher rela






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. 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






46. 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:






47. The fractured area of bone collapses on itself.






48. Forms the sides of the cranium






49. Bacterial inflammatory skin disease characterized by lesion - pustules and vesicles.






50. 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