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






2. Contains complete - necessary information - but is incorrect or illogical in some way.






3. 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.






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






5. 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






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






7. Produce secretions that allow the body to be moisturized or cooled.






8. Is a working diagnosis which is not yet established.






9. Structural protein found in the skin and connective tissue






10. 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:






11. 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.






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






13. 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.






14. Medically indigent low-income individuals and families ;Low-income persons losing employer health insurance coverage ( Medicaid purchase of COBRA coverage)






15. most synarthroses are immovable joints held together by fibrous tissue.






16. 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.






17. 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






18. Any fracture occurring spontaneously as a result of disease.






19. This is located in the Index under the main term 'Neoplasm' and is organized by anatomic site. Each site has six columns with six possible codes determined by whether the neoplasm is malignant - benign - of uncertain behavior - or of unspecified natu






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






21. Are composed of three-digit codes representing a single disease or condition.






22. Are composed of three-digit codes representing a single disease or condition.






23. This is also known as fee-for-service. Under this plan - the services that are paid for are listed in the policy and payments are based on the fees physicians charge for the service. Each year - the beneficiary must meet a deductible - after which -






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






25. 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






26. The fractured area of bone collapses on itself.






27. 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.






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






29. There are 12 pairs of ribs. The first 7 pairs join the sternum anteriorly through cartilaginous attachments called costal cartilages.






30. 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.

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31. Noninvasive - non-spreading - nonmalignant






32. are small with irregular shapes. They are found in the wrist and ankle.






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






34. Most billing-related cases are based on HIPAA and False Claims Act.






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






36. 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






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






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






39. A medical record is documentation on the patient's social and medical history - family history - physical examination findings - progress notes - radiology and lab results - consultation reports and correspondence to patient.






40. cancer that is localized and has not spread to adjacent tissues or distant parts of the body






41. 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....






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






43. 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






44. Standard - fee-for-service - cost-sharing plan ; Extra - preferred provider organization ;Prime - health maintenance organization plan with a point-of-service option All of the above-mentioned plans covered under TRICARE - with the exception of Prime






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






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






47. 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.






48. Groove or crack like sore






49. - 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






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