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. Produce secretions that allow the body to be moisturized or cooled.
Uncertain behavior
New Patient
sebaceous(oil) glands and the suddoriferous (sweat) glands
Ischium
2. It is important that every patient seen by the physician has comprehensive legible documentation about the patient's illness - treatment and plans for the following reasons Avoidance of denied or delayed payments by insurance carriers investigating t
Blue Cross/Blue Shield Plans
Reasons for Documentation
Patient Confidentiality
Qualified diagnosis
3. 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:
true ribs
Medicaid
Hypertension Table
Lacrimal bones
4. 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.
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
-90 - Reference (Outside) Laboratory
State License Number
Colles
5. The bones are connected to one another by fibrous bands of tissue . Muscles are attached to the bone by tendons. The fibrous covering of the muscles is called the fascia
ligaments
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
Two triangular symbols (a
Secondary malignancy
6. The main term in the index may by followed by terms within parenthesis.
Wheal
Alphabetic Index (Volume 2)
Point-of-Service plan (POS)
Malignant
7. 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.
No ROM
Deductible
Contracted Rates with MCOs
Preferred Provider plan
8. 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
Nonparticipating physician
Non-covered benefit
Health practitioner
Blue Cross/Blue Shield Plans
9. 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
Health Maintenance Organization (HMO)
History of present illness (HPI)
Unspecified (hypertension)
Workers Compensation
10. 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
Exclusions and Limitations
A plus sign (+)
Nonparticipating physician
Patient Confidentiality
11. Represents a change in the code description since the last edition. The change may be minor or significant and it could be an addition - deletion or revision.
Pre-determination
Salter-Harris
Undetermined
triangle (a
12. Are supplementary classification codes used to identify health care encounters that occur for reasons other than illness or injury or to identify patients whose illness is influenced by special circumstances or problems. The codes can be found in bot
Group Provider Number
Secondary malignancy
Uncertain behavior
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
13. This is the traditional method used by providers for submission of charges to insurance companies. The most commonly used form is the CMS-1500. Few plans still accept the physician's encounter form or superbill and Medicare will only accept claims on
Remittance Advice
Benign (hypertension)
Group practice
Paper Claim
14. Eccrine sweat glands are the most common and the apocrine sweat glands that secrete an odorless sweat.
Coinsurance
Qualified diagnosis
There are two types of sweat glands
Medicaid
15. 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.
Dirty claim
Polyp
Frontal Bone
-32 - Mandated Services
16. 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).
Mutually Exclusive Edits
Chapters
Section 3 Index to External Causes of Injury (E codes)
Coinsurance
17. 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)
co-payment
Unspecified nature
Medicaid
Nonparticipating physician
18. There are also terms indented two spaces to the right below the main term called subterms. These subterms are because they have bearing in the selection of the right code. Everything in the Index is listed by condition - that is - diagnosis - signs -
Past - family and social history (PFSH)
essential modifiers
Add-on codes
Column 1/Column 2 (previously called Comprehensive/Component) Edits
19. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)
Liability insurance
Comminuted fracture
Full ROM
Sub classification
20. death of tissue associated with loss of blood supply
Gangrene
Sebaceous glands
Melanin
Wheal
21. Is the upper arm bone.
Pelvis
Unlisted Procedures Procedures
Rejected claim
Humerus
22. Medically indigent low-income individuals and families ;Low-income persons losing employer health insurance coverage ( Medicaid purchase of COBRA coverage)
Medically needy
Retention of Medical Records
Macule
encounter form
23. The Usual - Customary - and Reasonable: The UCR method is used mostly in reference to fee-for-service reimbursement. To arrive at a payment amount for a claim - the carrier compares: The physician's most frequent charge for a given service (the usual
Point-of-Service plan (POS)
There are two types of sweat glands
Short bones
Fee Schedule
24. 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.
Health Maintenance Organization (HMO)
Comminuted fracture
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
axial skeleton
25. Make up part of the interior of the nose.
Modifiers
Provider Identification Number (PIN)
Inferior nasal conchae
Sesamoid bones
26. solid - round or oval elevated lesion more than 1 cm in diameter
Health Insurance Portability and Accountability Act (HIPAA)
Nodule
circle with a line through it)
Provider Identification Number (PIN)
27. 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
sprain
Established patient
HCPCS Level I codes
28. 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
MEDICARE Part B
Coinsurance
Remittance Advice
Group Insurance
29. 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
Spinal/Vertebral Column
Evaluation and Management Review
nonessential modifiers
Group practice
30. the bone is crushed and or shattered.
The Universal Claim Form
essential modifiers
Established patient
Comminuted fracture
31. The bones are connected to one another by fibrous bands of tissue . Muscles are attached to the bone by tendons. The fibrous covering of the muscles is called the fascia
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
ligaments
Unlisted Procedures Procedures
Clean claim
32. Is a cumulative out-of-pocket amount that must be paid annually by the policyholder before benefits will be paid by the insurance company.
Deductible
Electronic Claim
Sub classification
Patient Confidentiality
33. 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
Add-on codes
Pelvis
State License Number
Spinal/Vertebral Column
34. Is an electronic or paper-based report of payment sent by the payer to the provider.
History of present illness (HPI)
Pathologic
Remittance Advice
Qualified diagnosis
35. This is an alternative to paper claims submitted to the third-party payer directly by the physician or through a clearinghouse. Electronic claims are usually paid faster than paper claims and most electronic claims software have self-editing features
Electronic Claim
MEDICAID COVERAGE
Paper Claim
Location Methods
36. make up part of the roof of the mouth
true ribs
Category III Codes CPT
The Integumentary System
Palatine bones
37. Contain the full description of the procedure for the code indented codes: these are codes listed under associated stand-alone codes. To complete the description for indented codes - one must refer to the portion of the stand alone code description b
Frontal Bone
Category II Codes CPT
The Good Samaritan Act
stand-alone codes
38. Bacterial inflammatory skin disease characterized by lesion - pustules and vesicles.
eponychium
Established Patient
Impetigo
Parietal Bones
39. Also called the Hospital Insurance for the Aged and Disabled. It covers institutional providers for inpatient - hospice - and home health services - such as the
MEDICARE Part A
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
Flat bones
Surgical Package
40. 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
Commercial Carriers
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
Malignant
Zygoma
41. The moon like white area at the base of the nail.
lunula
Unspecified nature
Nodule
Chief complaint
42. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.
Musculoskeletal System
Neoplasm Table
Unspecified nature
Humerus
43. 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
co-payment
MEDICARE Part D
Comminuted fracture
eponychium
44. This is a set of information the physician gathers from the patient regarding the following:
History
Pathologic
Provider Identification Number (PIN)
Surgical Package
45. Most billing-related cases are based on HIPAA and False Claims Act.
Surgical Package
Collagen
-32 - Mandated Services
Compliance Regulations
46. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.
Flat bones
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
Medical necessity
eponychium
47. Physicians are legally responsible for their own conduct and any actions of their employees (their designee) performed within the context of their employment. This is referred to as 'vicarious liability -' also known as 'respondent superior -' which
Location Methods
HCPCS Level II codes (National Codes)
Employer Liability
Alopecia
48. Bone that forms posterior/inferior part of the nasal septal wall between the nostrils.
Ulcermembranes
Vomer
Employer Liability
Health Care Financing Administration Common Procedure Coding System
49. forms the back of the skull. There is a large hole at the ventral surface in this bone - called the foramen magnum - which allows the brain communication with the spinal cord
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
Occipital Bone
Collagen
Nonparticipating physician
50. 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.
Subcategories
New patient
Accident
Add-on codes