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






2. The plan of the parent whose birthday falls earlier in the year (month and day - not year) is primary to that whose birthday falls later in the year. If both parents have the same birthday - then the plan of the parent who has had the longest coverag






3. 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.






4. 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.






5. Deficient in pigment (melanin)






6. These parenthetic terms are called because their presence or absence does not have an effect on the selection of the code listed for the main term.






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






8. paired bones at the corner of each eye that cradle the tear ducts.






9. Represent services and procedures widely used by many health care professionals in clinical practice in multiple locations and have been approved by the FDA.






10. Is when two insurance companies work together to coordinate payment of the benefits.






11. major skin pigment






12. Is defined as someone who has received medical services with in the last 3 years from the physician or another physician of the same specialty who belongs to the same group practice.






13. Cheekbone






14. Various terms are used to describe the state of submitted forms. The following are some of the terms that are typically used by insurance carriers.






15. This is a set of information the physician gathers from the patient regarding the following:






16. 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).






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






18. Is a working diagnosis which is not yet established.






19. is defined as one who has not received any medical services within the last three years.






20. 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






21. 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






22. Also known as Federal tax identification number. This is issued by the Internal Revenue Service






23. .. lower jaw bone.






24. 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.






25. Typically not used on the claim form unless the provider does not have an EIN.






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






27. 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






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






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






30. Is a statement of the patient's account history - showing dates of service - detailed charges - payments (i.e. deductibles and co-pays) - the date the insurance claim was submitted - applicable adjustments and account balance.






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






32. paired bones at the corner of each eye that cradle the tear ducts.






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






34. requires investigation and needs further clarification.






35. requires investigation and needs further clarification.






36. In July 2001 - the Health Care Financing Administration (HCFA) became the Centers for Medicare & Medicaid Services (CMS) - and the universal claim form HCFA-1500 became the CMS-1500.Virtually all third-party payers will accept it - and Medicare requ






37. Is defined as someone who has received medical services with in the last 3 years from the physician or another physician of the same specialty who belongs to the same group practice.






38. Poisoning cannot be determined whether intentional or accidental.






39. forms the two lower sides of the cranium.






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






41. Mild or controlled hypertension and no damage to the vascular system or organs.






42. make up part of the roof of the mouth






43. 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).






44. 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






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






46. 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






47. The cuticle at the lower part of the nail and this is sometimes referred to as the






48. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.






49. represents Exemption from the use of modifier -51






50. Consists of the skull - rib cage - and spine