Test your basic knowledge |

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. Represent changes in the text or definition between the triangles.






2. 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






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






4. 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)






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






6. 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






7. forms the roof of the nasal cavity.






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






9. 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






10. Is one who has a contract with a health insurance plan and accepts whatever the plan pays for procedures or services rendered.






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






12. 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






13. 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.






14. Describes the services billed and includes a breakdown of how the payment is determined






15. Are codes formulated thru the joint efforts of the CMS - the Health Insurance Association of America - and the Blue Cross and Blue Shield Association. Level II contains five position alpha-numeric codes for physician and non-physician services not fo






16. 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.






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






18. 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.






19. A minor fracture appears as a thin line on x-ray and may not extend completely through the bone.






20. Groove or crack like sore






21. An accelerated - severe form of hypertension with vascular damage and a diastolic pressure of 130mmHg or greater.






22. 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






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






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






25. The musculoskeletal system includes the bones - muscles - and joints The musculoskeletal system acts as a framework for the organs - protects many of those organs - and also provides the organism the ability to move..






26. 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






27. Forms the sides of the cranium






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






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






30. Also called the Hospital Insurance for the Aged and Disabled. It covers institutional providers for inpatient - hospice - and home health services - such as the






31. forms the two lower sides of the cranium.






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






33. Medically indigent low-income individuals and families ;Low-income persons losing employer health insurance coverage ( Medicaid purchase of COBRA coverage)






34. 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






35. 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






36. Is the lateral lower arm bone (in line with the thumb).






37. The fractured area of bone collapses on itself.






38. 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






39. 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.






40. Are typically very strong - are broad at the ends and have large surfaces for muscle attachment.






41. The musculoskeletal system includes the bones - muscles - and joints The musculoskeletal system acts as a framework for the organs - protects many of those organs - and also provides the organism the ability to move..






42. The fractured area of bone collapses on itself.






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






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






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






46. anterior to the temporal bones.






47. Number assigned to the physician by Medicare program.






48. 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






49. Medicare Managed Care Plans (Formerly Medicare Plus (+) Choice Plan) was created to offer a number of healthcare services in addition to those available under Part A and Part B. The CMS contracts with managed care plans or provider service organizati






50. 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