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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.
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. Lower portion of the pelvic bone
Ischium
Rib Cage
Short bones
upper appendicular skeleton
2. The bone is partially bent and partially broken; this is a common fracture in children because their bones are still soft.
TRICARE PLANS
Zygoma
Greenstick
Unique Provider Identification Number (UPIN)
3. An insurance plan issued to an individual. Premium rates are usually higher than group rates and service availability is lessened with this type of coverage.
axial skeleton
Personal Insurance
-90 - Reference (Outside) Laboratory
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
4. Is the lateral lower arm bone (in line with the thumb).
Ulcermembranes
Wheal
Radius
Preferred Provider plan
5. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)
Full ROM
There are two types of sweat glands
Rib Cage
Lipocyte
6. 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.
Fissure
-99 - Multiple Modifiers
Modifiers
Benign
7. 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
Frontal Bone
-51 - Multiple Procedures
Point-of-Service plan (POS)
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
8. amphiathroses are joints joined together by cartilage that is slightly moveable - such as the vertebrae of the spine or the pubic bone.
Explanation of Benefits (EOB)
Uncertain behavior
Limited ROM
Performing Provider Identification Number (PPIN)
9. Small collection of clear fluid;blister
Vesicle
Medicare Claim Status
Group practice
Non-covered benefit
10. 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.
-32 - Mandated Services
Surgical Package
Category II Codes CPT
Evaluation and Management Review
11. Is a term used when a patient is admitted to the hospital with the expectation that the patient will stay for a period of 24 hours or more.
ulna
Established Patient
Medically needy
Inpatient
12. This is the index for the E codes.It classifies - in alphabetical order - environmental events and other conditions as the cause of injury and other adverse effects.
MEDICARE Part C
Section 3 Index to External Causes of Injury (E codes)
Categories
Health Insurance Portability and Accountability Act (HIPAA)
13. 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
Primary malignancy
Coinsurance
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Gangrene
14. 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
Medicaid
CHAMPVA (Civilian Health and Medical Program of the Veterans Affairs)
History of present illness (HPI)
Accept assignment
15. amphiathroses are joints joined together by cartilage that is slightly moveable - such as the vertebrae of the spine or the pubic bone.
Limited ROM
Suicide Attempt
Health Maintenance Organization (HMO)
Disability insurance
16. are found covering soft body parts. These are the shoulder blades - ribs - and pelvic bones.
Social Security Number
Fee-for-Service
Flat bones
Mutually Exclusive Edits
17. 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:
Fiscal Intermediary
Sebaceous glands
Hypertension Table
Collagen
18. The bone is broken and pierces an internal organ
Health Care Financing Administration Common Procedure Coding System
Complicated
Unlisted Procedures Procedures
MEDICARE Part B
19. 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
Birthday rule
Social Security Number
Past - family and social history (PFSH)
Coinsurance
20. means the provider agrees to accept what the insurance company approves as payment in full for the claim.
Preferred Provider plan
Hairline
Alopecia
Accept assignment
21. 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
appendicular skeleton .
Palatine bones
Evaluation and Management Review
Unlisted Procedures Procedures
22. 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..
Add-on codes
Physician
Complicated
Musculoskeletal System
23. Any fracture occurring spontaneously as a result of disease.
Pathologic
Medicare's Resource Based Relative Value Scale (RBRVS) Payment Schedule
Greenstick
History of present illness (HPI)
24. There are 12 pairs of ribs. The first 7 pairs join the sternum anteriorly through cartilaginous attachments called costal cartilages.
Modifiers
Rib Cage
Unauthorized benefit
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
25. A medical record is documentation on the patient's social and medical history - family history - physical examination findings - progress notes - radiology and lab results - consultation reports and correspondence to patient.
Carcinoma (Ca) in situ
Medical Records
Impacted
Greenstick
26. Is the upper arm bone.
Modifiers
Humerus
triangle (a
Electronic Claim
27. forms the two lower sides of the cranium.
Temporal Bone
No ROM
Deductible
The Patient Care Partnership (Patient's Bill of Rights)
28. 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
CPT SECTIONS.
Eligibility
Salter-Harris
HCPCS Level II codes (National Codes)
29. Hair fibers are composed of tightly fused meshwork of cells filled with hard protein called
sprain
Keratin
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
Gender rule
30. A pregnant woman who has had at least one previous pregnancy.
Multigravida
The Patient Care Partnership (Patient's Bill of Rights)
TRICARE
The Patient Care Partnership (Patient's Bill of Rights)
31. Noninvasive - non-spreading - nonmalignant
eponychium
Macule
There are three layers to the skin
Benign
32. Standard - fee-for-service - cost-sharing plan ; Extra - preferred provider organization ;Prime - health maintenance organization plan with a point-of-service option All of the above-mentioned plans covered under TRICARE - with the exception of Prime
Health Care Financing Administration Common Procedure Coding System
Nonparticipating physician
Complicated
TRICARE PLANS
33. 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.
Fee Schedule
Established Patient
Vomer
No ROM
34. Law passed by the federal government to prosecute cases of Medicaid fraud.
The Patient Care Partnership (Patient's Bill of Rights)
Civil Monetary Penalties Law (CMPL)
Unspecified (hypertension)
Personal Insurance
35. The main term in the index may by followed by terms within parenthesis.
Alphabetic Index (Volume 2)
Maxilla
Deductible
Gender rule
36. 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.
Exclusions and Limitations
sebaceous(oil) glands and the suddoriferous (sweat) glands
Pathologic
Established Patient
37. Cancer that has metastasized (spread) to a secondary site either adjacent or remote region of the body
Suicide Attempt
Medicaid
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Secondary malignancy
38. Families - pregnant women - and children ;Aid to Families with Dependent Children (AFDC)-related groups ;Non-AFDC pregnant women and children;Aged and disabled persons ;Supplemental Security Income (SSI)-related groups ;Qualified Medicare Beneficiari
Social Security Number
Clean claim
Categorically needy -MEDICAID
Explanation of Benefits (EOB)
39. 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
Categorically needy -MEDICAID
Exclusions and Limitations
The Universal Claim Form
Chapters
40. anterior to the temporal bones.
Humerus
Fissure
Participating physician
Sphenoid Bones
41. Developed by the CMS to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment of Part B health insurance claims.
Consultation
National Correct Coding Initiative (NCCI)
False ribs
Pathologic
42. This is also known as fee-for-service. Under this plan - the services that are paid for are listed in the policy and payments are based on the fees physicians charge for the service. Each year - the beneficiary must meet a deductible - after which -
Indemnity Insurance
appendicular skeleton .
Sphenoid Bones
Inferior nasal conchae
43. Is a cumulative out-of-pocket amount that must be paid annually by the policyholder before benefits will be paid by the insurance company.
Malignant
Eligibility
Deductible
Non-covered benefit
44. 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.
-26 - Professional Component
ligaments
Patient Confidentiality
Colles
45. Pre-determined set of benefits covered under one set annual fee.
Pre-paid Health Plan
Maxilla
Liability insurance
Point-of-Service plan (POS)
46. Is made up of the shoulder - collar - pelvic and arms and legs
Pre-paid Health Plan
Add-on codes
appendicular skeleton .
Abuse
47. The cuticle at the lower part of the nail and this is sometimes referred to as the
Wheal
Humerus
eponychium
Temporal Bone
48. Is the process of converting diagnoses - procedures - and services into numeric and alphanumeric characters.
Patient Confidentiality
Colles
Coding
Fissure
49. numbers 8-10 - are attached to the sternum by cartilage
False ribs
CPT SECTIONS.
Category III Codes CPT
MEDICARE Part B
50. Bacterial inflammatory skin disease characterized by lesion - pustules and vesicles.
Contracted Rates with MCOs
Qualified diagnosis
MEDICAID COVERAGE
Impetigo