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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. 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.






2. numbers 8-10 - are attached to the sternum by cartilage






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






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






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






6. Cheekbone






7. Is defined as a doctor of medicine or osteopathy - dental medicine - dental surgery - podiatric medicine - optometry - or chiropractic medicine legally authorized to practice by the state in which he/she performs.






8. 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






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






10. 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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11. Is an insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.






12. open sore on the skin or mucous






13. 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






14. Discolored - flat lesion (freckles - tattoo marks)






15. Are temporary codes for emerging technology - services and procedures. If a Category III code is available - it is reported instead of a Category I unlisted code.






16. Absence of hair from areas where it normally grows






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. Groove or crack like sore






19. Absence of hair from areas where it normally grows






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






21. 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






22.






23. are composed of a group of three-digit categories representing a group of conditions or related conditions; they are divided into categories. e.g. . - Disorders of Thyroid Gland (240 - 246).






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






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






26. 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....






27. Further classified as to primary - secondary - or carcinoma in situ.






28. 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






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






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






31. major skin pigment






32. 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






33. Is a regionally managed healthcare program for active duty and retired members of the armed forces - their families - and survivors. It is a service benefit program and contains no premium. TRICARE is the new title for the CHAMPUS program (Civilian H






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






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






36. 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






37. is a federal program administered by state governments to provide medical assistance to the needy. Each state sets its own guidelines for eligibility and services - therefore benefits and coverage may vary widely from state to state.






38. 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






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






40. Number assigned by the insurance company to a physician who renders services to patients.






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






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






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. 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.






45. 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.






46. Identifies code pairs that - for clinical reason - are unlikely to be performed on the same patient on the same day.






47. Is to determine coverage for a specific treatment such as surgery - hospitalization or tests - under the insured's policy.






48. 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.






49. Discolored - flat lesion (freckles - tattoo marks)






50. Smooth - slightly elevated - edematous(swollen) area that is redder or paler than the surrounding skin.