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Test your basic knowledge |
Medical Billing And Coding Vocab
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Subject
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medical-transcription
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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.
Two triangular symbols (a
Salter-Harris
Melanin
Unspecified (hypertension)
2. is defined as one who has not received any medical services within the last three years.
triangle (a
Employee Liability
-78 - Return to the Operating Room for a Related Procedure During the Postoperative Period
New Patient
3. The poisoning was self-inflicted.
Suicide Attempt
Modifiers
Chapters
Keratin
4. Was developed to protect healthcare professionals from liability of any civil damages as a result of rendering emergency care.
The Good Samaritan Act
Coordination of Benefits (COB)
Chief complaint
Consultation
5. Forms the anterior part of the skull and the forehead
Clearinghouse
-32 - Mandated Services
Frontal Bone
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
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.
Coding
Review of Systems (ROS)
lunula
Retention of Medical Records
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....
The Current Procedural Terminology (CPT)
Established patient
Coding
Lipocyte
8. Represents a new procedure or service code added since the previous edition of the manual.
bullet (a
Vomer
MEDICARE Part A
premium
9. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.
Contracted Rates with MCOs
Social Security Number
Vomer
Deductible
10. This is a set of information the physician gathers from the patient regarding the following:
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
Tabular List (Volume 1)...
-90 - Reference (Outside) Laboratory
History
11. A minor fracture appears as a thin line on x-ray and may not extend completely through the bone.
Sebaceous glands
Hairline
appendicular skeleton .
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
12. A chronological account of the development of the complaint from the first sign or symptom that the patient experienced to the present
Chief complaint
History of present illness (HPI)
The Universal Claim Form
Provider Identification Number (PIN)
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
MEDICARE Part B
Column 1/Column 2 (previously called Comprehensive/Component) Edits
Evaluation and Management Review
TRICARE PLANS
14. forms the two lower sides of the cranium.
Workers Compensation
Macule
stand-alone codes
Temporal Bone
15. Cheekbone
Group Provider Number
-99 - Multiple Modifiers
Performing Provider Identification Number (PPIN)
Zygoma
16. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.
Contracted Rates with MCOs
Fiscal Intermediary
Reasons for Documentation
HCPCS Level II codes (National Codes)
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
MEDICARE Part D
Categorically needy -MEDICAID
Clean claim
Patient Confidentiality
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
Palatine bones
The Integumentary System
Sub classification
Limited ROM
19. Groove or crack like sore
Palatine bones
Established Patient
MEDICARE Part C
Fissure
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
Secondary malignancy
Workers Compensation
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
Outpatient
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.
-26 - Professional Component
Physician
Indemnity Insurance
premium
22. is a traumatic injury to a joint involving the soft tissue.
sprain
Paper Claim
New Patient
Impacted
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
Medical Records
circle with a line through it)
MEDICARE Part C
CPT SECTIONS.
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).
Wheal
Medicare's Resource Based Relative Value Scale (RBRVS) Payment Schedule
sebaceous(oil) glands and the suddoriferous (sweat) glands
Column 1/Column 2 (previously called Comprehensive/Component) Edits
25. Eccrine sweat glands are the most common and the apocrine sweat glands that secrete an odorless sweat.
There are two types of sweat glands
Mandible
Liability insurance
MEDICARE Part A
26. This modifier is used when the same procedure is performed on a mirror-image part of the body..
-50 - Bilateral Procedure
upper appendicular skeleton
Surgical Package
Dirty claim
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.
Birthday rule
The Integumentary System
False Claims Act (FCA)
Impetigo
28. Benign growth extending from the surface of the mucous membrane
Pre-paid Health Plan
The Universal Claim Form
Polyp
Impacted
29. uncertain whether benign or malignant; borderline malignancy
Surgical Package
Alphabetic Index (Volume 2)
Assault
Uncertain behavior
30. A pregnant woman who has had at least one previous pregnancy.
Outpatient
Evaluation and Management Review
Physician
Multigravida
31. solid - round or oval elevated lesion more than 1 cm in diameter
Full ROM
Medigap (Medicare Supplemental Insurance)
Dirty claim
Nodule
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.
Benign (hypertension)
Inferior nasal conchae
Group practice
The Patient Care Partnership (Patient's Bill of Rights)
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.
Non-covered benefit
Personal Insurance
Patient Confidentiality
Sebaceous glands
34. Is a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.
Peer Review Organization (PRO)
Chief complaint
Salter-Harris
Accident
35. A fracture of the epiphyseal plate in children.
Carpals
Salter-Harris
Inpatient
Coding
36. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.
Unspecified nature
Outpatient
Gender rule
Impacted
37. Is the lateral lower arm bone (in line with the thumb).
axial skeleton
Radius
Remittance Advice
History of present illness (HPI)
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.
-58 - Staged or Related Procedure or Service by the same Physician during the Postoperative Period
Unauthorized benefit
Blue Cross/Blue Shield Plans
Two triangular symbols (a
39. Is a state based group of physicians working under government guideline to review cases and determine their appropriateness and quality of professional care.
Section 3 Index to External Causes of Injury (E codes)
Peer Review Organization (PRO)
Category III Codes CPT
Unlisted Procedures Procedures
40. requires investigation and needs further clarification.
essential modifiers
Alopecia
Pubic bone
Rejected claim
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
Accept assignment
Dirty claim
Health Care Financing Administration Common Procedure Coding System
Health practitioner
42. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.
Chapters
Uncertain behavior
Coding
Malignant
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
Unique Provider Identification Number (UPIN)
Pre-certification
Add-on codes
Relative Value Payment Schedules Method
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
Liability insurance
Unspecified (hypertension)
Alopecia
eponychium
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
Compliance Regulations
Contracted Rates with MCOs
Liability insurance
Carpals
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:
Hypertension Table
sprain
Sesamoid bones
stand-alone codes
47. The fractured area of bone collapses on itself.
Pre-determination
co-payment
Workers Compensation
Compression fracture
48. Forms the sides of the cranium
New patient
Medicare Claim Status
Lipocyte
Parietal Bones
49. Bacterial inflammatory skin disease characterized by lesion - pustules and vesicles.
Impetigo
Section 3 Index to External Causes of Injury (E codes)
There are three layers to the skin
Gangrene
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
Category III Codes CPT
Tabular List (Volume 1)...
Hypertension Table
MEDICARE Part D