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






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






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






4. The Usual - Customary - and Reasonable: The UCR method is used mostly in reference to fee-for-service reimbursement. To arrive at a payment amount for a claim - the carrier compares: The physician's most frequent charge for a given service (the usual






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






6. Poisoning was due to: Accidental overdose; Wrong substance taken; Accidents in use of drugs and biologicals; External causes of poisonings classifiable to 980-989 Therapeutic Use: instances when a correct substance properly taken is the cause of adve






7. This is attached to the code of the E/M service provided to a patient during the postoperative period to indicate that that service is not part of the postoperative care which is usually part of a package of services of the surgery performed. Major s






8. Indicates add-on codes






9. This is attached to the code of the E/M service provided to a patient during the postoperative period to indicate that that service is not part of the postoperative care which is usually part of a package of services of the surgery performed. Major s






10. Superior and widest bone






11. Any fracture occurring spontaneously as a result of disease.






12. Bone that forms posterior/inferior part of the nasal septal wall between the nostrils.






13. Is the federal government's health insurance program created by the Social Security Act of 1965 titled 'Health Insurance for the Aged and Disabled'. It is administered by the Centers for Medicare and Medicaid Services (CMS) - formerly known as Health






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






15. Is a document provided to a Medicare beneficiary by a provider prior to service being rendered letting the beneficiary know of his/her responsibility to pay if Medicare denies the claim.






16. 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






17. 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)






18. Is the lower medial arm bone.






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






20. This modifier is used when the same procedure is performed on a mirror-image part of the body..






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






22. 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






23. forms the roof of the nasal cavity.






24. 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






25. Lower portion of the pelvic bone






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






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






28. 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).






29. 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






30. the bone is crushed and or shattered.






31. Consist of codes found in the CPT manual. They are five position numeric codes used to report physician services rendered to patients






32. Produce secretions that allow the body to be moisturized or cooled.






33. 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.






34. Lower portion of the pelvic bone






35. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.






36. Is a cumulative out-of-pocket amount that must be paid annually by the policyholder before benefits will be paid by the insurance company.






37. Are supplementary classification codes used to identify health care encounters that occur for reasons other than illness or injury or to identify patients whose illness is influenced by special circumstances or problems. The codes can be found in bot






38. Physicians agree to provide services at a discount of their usual fee in return for a pool of existing patients.






39. 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.






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






41. male of household is primary payer






42. Small collection of clear fluid;blister






43. Benign growth extending from the surface of the mucous membrane






44. requires investigation and needs further clarification.






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






46. 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.






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






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






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






50. 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