SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
Medical Billing And Coding Vocab
Start Test
Study First
Subject
:
medical-transcription
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 a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.
Chief complaint
Commercial Carriers
A plus sign (+)
-51 - Multiple Procedures
2. Produce secretions that allow the body to be moisturized or cooled.
Rejected claim
sebaceous(oil) glands and the suddoriferous (sweat) glands
Chief complaint (CC)
Sections
3. This modifier is used to explain that the procedure or service done during a postoperative period was planned at the time of the original procedure. This is also used if a therapeutic procedure is performed because of the findings from a diagnostic p
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
Pre-paid Health Plan
Health Care Financing Administration Common Procedure Coding System
Fissure
4. When a group of employees and their dependents are insured under one (1) group policy issued to the employer. Generally - the employer pays the premium or a portion of the premium and the employee pays the difference. This all depends on the type of
Group Insurance
Physician
MEDICARE Part C
Deductible
5. The lower anterior part of the bone
Pubic bone
The Current Procedural Terminology (CPT)
Pre-paid Health Plan
true ribs
6. contains errors or omissions. Usually - these claims do not pass front-end edits. They are either processed manually for resolving problems - or rejected for payment.
Parietal Bones
Non-covered benefit
Dirty claim
Zygoma
7. poisoning was inflicted by another person with intent to kill or injure
Qualified diagnosis
Sub classification
Medicare
Assault
8. HCPCS Reference Manual The CMS assigns a standard unique identifier known as the National Provider Identifier (NPI) The CMS also developed a two-part coding system called the Healthcare Common Procedure Coding System ( HCPCS ) which is a collection o
Health Care Financing Administration Common Procedure Coding System
Coinsurance
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
Outpatient
9. 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.
Group Provider Number
Polyp
premium
Personal Insurance
10. Poisoning cannot be determined whether intentional or accidental.
Preferred Provider Organization (PPO)
Medicare Claim Status
-99 - Multiple Modifiers
Undetermined
11. 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....
Employee Liability
The St. Anthony Relative Value for Physicians (RVP)
Benign (hypertension)
Radius
12. Is a cost-sharing requirement for the insured to pay at the time of service. This amount is usually a specific dollar amount (e.g.. $15 - $20 - $25)
Coinsurance
co-payment
Patient Confidentiality
Polyp
13. is a traumatic injury to a joint involving the soft tissue.
sprain
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
-26 - Professional Component
lunula
14. 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.
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
Pathologic
Pre-determination
15. Was developed to protect healthcare professionals from liability of any civil damages as a result of rendering emergency care.
true ribs
The Good Samaritan Act
Clearinghouse
Undetermined
16. Is the lateral lower arm bone (in line with the thumb).
Consultation
There are three layers to the skin
Lipocyte
Radius
17. 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
Consultation
ligaments
essential modifiers
-90 - Reference (Outside) Laboratory
18. 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.
Deductible
Group Provider Number
Point-of-Service plan (POS)
Subcategories
19. 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.
nonessential modifiers
Mandible
Secondary malignancy
Sesamoid bones
20. 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.
Compression fracture
Nonparticipating physician
Category II Codes CPT
A plus sign (+)
21. 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.
Suicide Attempt
Colles
Ulcermembranes
phalanges (phalanx.s)
22. 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
Rib Cage
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
Coinsurance
Group practice
23. represents Exemption from the use of modifier -51
circle with a line through it)
Chief complaint (CC)
Two triangular symbols (a
Medical necessity
24. Forms the sides of the cranium
Sebaceous glands
Lacrimal bones
appendicular skeleton .
Parietal Bones
25. Is a state-required insurance plan - the coverage of which provides benefits to employees and their dependents for work related injury - illness or death. Each state has an established minimum number of employees required before this law comes into e
Civil Monetary Penalties Law (CMPL)
Workers Compensation
Section 3 Index to External Causes of Injury (E codes)
Column 1/Column 2 (previously called Comprehensive/Component) Edits
26. 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
ligaments
itemized statement
MEDICARE Part B
Medical necessity
27. Is the cost of insurance coverage paid annually - semi-annually or monthly to keep a policy in effect.
essential modifiers
premium
Outpatient
Group practice
28. The bone is broken and pierces an internal organ
Suicide Attempt
Complicated
The St. Anthony Relative Value for Physicians (RVP)
Remittance Advice
29. 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.
Gangrene
Electronic Claim
Group Provider Number
Musculoskeletal System
30. Hair fibers are composed of tightly fused meshwork of cells filled with hard protein called
Keratin
essential modifiers
Collagen
-51 - Multiple Procedures
31. solid - round or oval elevated lesion more than 1 cm in diameter
Melanin
Nodule
phalanges (phalanx.s)
Pre-certification
32. Structural protein found in the skin and connective tissue
Employee Liability
Collagen
Malignant
No ROM
33. is defined as one who has not received any medical services within the last three years.
Remittance Advice
New Patient
Relative Value Payment Schedules Method
Deductible
34. the bone is broken and the ends are driven into each other.
Compliance Regulations
Benign (hypertension)
Impacted
Category I Codes CPT
35. 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
Accident
Medicare
Long bones
Commercial Carriers
36. This modifier is used when: more than one procedure is performed during the same surgical episode; one code does not describe all of the procedures performed; and the secondary procedure is not minor or incidental to the major procedure. The followin
-51 - Multiple Procedures
Vomer
Blue Cross/Blue Shield Plans
Retention of Medical Records
37. Mild or controlled hypertension and no damage to the vascular system or organs.
Outpatient
Benign (hypertension)
Surgical Package
Polyp
38. Created the Health Care Fraud and Abuse Control Program enacted to check for fraud and abuse in the Medicare and Medicaid programs - and private payers.
Collagen
-26 - Professional Component
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Radius
39. This modifier is used when the same procedure is performed on a mirror-image part of the body..
-50 - Bilateral Procedure
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
Comminuted fracture
Evaluation and Management Review
40. - 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
Review of Systems (ROS)
Mutually Exclusive Edits
Malignant
Medigap (Medicare Supplemental Insurance)
41. This is a set of information the physician gathers from the patient regarding the following:
Unauthorized benefit
Explanation of Benefits (EOB)
History
Categorically needy -MEDICAID
42. death of tissue associated with loss of blood supply
Group practice
Mandible
Gangrene
Consultation
43. Absence of hair from areas where it normally grows
circle with a line through it)
Alopecia
-50 - Bilateral Procedure
appendicular skeleton .
44. When a group of employees and their dependents are insured under one (1) group policy issued to the employer. Generally - the employer pays the premium or a portion of the premium and the employee pays the difference. This all depends on the type of
Group Insurance
Ethmoid Bone
encounter form
Keratin
45. numbers 8-10 - are attached to the sternum by cartilage
False ribs
Advance Beneficiary Notice
-26 - Professional Component
-90 - Reference (Outside) Laboratory
46. 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.
MEDICARE Part B
Medical Records
Greenstick
Malignant
47. Structural protein found in the skin and connective tissue
The Patient Care Partnership (Patient's Bill of Rights)
Collagen
Pre-authorization
TRICARE PLANS
48. 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.
Add-on codes
co-payment
Exclusions and Limitations
Section 3 Index to External Causes of Injury (E codes)
49. The original cancer site. Malignant tumors are considered primary unless documented as secondary or metastatic.
Chapters
Surgical Package
Primary malignancy
Nodule
50. the bone is crushed and or shattered.
sebaceous(oil) glands and the suddoriferous (sweat) glands
Lacrimal bones
National Correct Coding Initiative (NCCI)
Comminuted fracture