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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. solid - round or oval elevated lesion more than 1 cm in diameter






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






3. Are conditions - situations - and services not covered by the insurance carrier.






4. Cancer that has metastasized (spread) to a secondary site either adjacent or remote region of the body






5. Bacterial inflammatory skin disease characterized by lesion - pustules and vesicles.






6. Forms the anterior part of the skull and the forehead






7. 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






8. is a traumatic injury to a joint involving the soft tissue.






9. Is a managed care plan that gives beneficiaries the option whom to see for services. If the beneficiary goes to see a physician within the network - s/he will receive benefits similar to an HMO. But if the beneficiary chooses to see a physician from






10. Cheekbone






11. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)






12. Superior and widest bone






13. Poisoning cannot be determined whether intentional or accidental.






14. Knowingly and intentionally deceiving or misrepresenting information that may result in unauthorized benefits is known as fraud.. Common forms of fraud are billing for services not furnished - unbundling - and misrepresenting diagnosis to justify pay






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






16. 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.






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






18. The poisoning was self-inflicted.






19. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.






20. 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.






21. 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






22. 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






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






24. 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






25. 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.






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






27. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)






28. Pre-determined set of benefits covered under one set annual fee.






29. uncertain whether benign or malignant; borderline malignancy






30. Eccrine sweat glands are the most common and the apocrine sweat glands that secrete an odorless sweat.






31. 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






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






33. forms the roof of the nasal cavity.






34. Codes from the CPT codebook are used to report services and procedures by physicians. It is published and updated annually by the American Medical Association (AMA) with a new one coming out each November and becoming effective on January 1st of the






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






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






37. Make up part of the interior of the nose.






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






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






40. Under capitation - the physician provides a full range of contracted services to covered patients for a fixed amount on a periodic basis. While guaranteed a fixed amount - the physician assumes the risk that the cost of providing the care to the pati






41. 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.






42. Is the lower medial arm bone.






43. is one who has not received professional services from the physician or another physician of the same specialty in the same group within the past three (3) years.






44. consists of 17 chapters based on either body system or cause or type of disease. The codes range from 001-999.






45. Numbers 1-7 - attach directly to the sternum in the front of the body.






46. major skin pigment






47. Is a state based group of physicians working under government guideline to review cases and determine their appropriateness and quality of professional care.






48. 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.






49. means the provider agrees to accept what the insurance company approves as payment in full for the claim.






50. 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.