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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. Deficient in pigment (melanin)






2. 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.






3. The epidermis - the dermis - and the subcutaneous layer. The epidermis is a thin - cellular membrane layer that contains keratin. The dermis is a dense - fibrous - connective tissue that contains collagen. The subcutaneous layer is a thicker and fatt






4. Is the cost of insurance coverage paid annually - semi-annually or monthly to keep a policy in effect.






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






6. forms the roof of the nasal cavity.






7. represents Exemption from the use of modifier -51






8. 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.






9. open sore on the skin or mucous






10. Upper jaw bone






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






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






13. 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.






14. Is one who has no contract with the health insurance plan.






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






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






17. Is an electronic or paper-based report of payment sent by the payer to the provider.






18. the bone is broken and the ends are driven into each other.






19. .. lower jaw bone.






20. anterior to the temporal bones.






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






22. Is one who has received professional services from the physician or another physician of the same specialty in the same group within the past three (3) years....






23. 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






24. is referred to as Supplementary Medical Insurance (SMI). This coverage is a supplement to Part A - which covers medical expenses - clinical laboratory services - home health care - outpatient hospital treatment - blood - and ambulatory surgical serv






25. The CPT Index is arranged in alphabetical order by main terms which are further divided by subterms. There are five location methods: 1. Service or Procedure 2. Anatomic site 3. Condition or Disease 4. Synonym/Eponym 5. Abbreviation






26. 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.






27. Number assigned to the physician by Medicare program.






28. 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






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






30. Created the Health Care Fraud and Abuse Control Program enacted to check for fraud and abuse in the Medicare and Medicaid programs - and private payers.






31. 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:






32. is referred to as Supplementary Medical Insurance (SMI). This coverage is a supplement to Part A - which covers medical expenses - clinical laboratory services - home health care - outpatient hospital treatment - blood - and ambulatory surgical serv






33. Upper jaw bone






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






35. 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






36. 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






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






38. Further classified as to primary - secondary - or carcinoma in situ.






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






40. Is a requirement for some health insurance plans to obtain permission for a service or procedure before it is done. It indicates that a specific procedure or service is deemed 'medically necessary'.






41. 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






42. This is located in the Index under the main term 'Neoplasm' and is organized by anatomic site. Each site has six columns with six possible codes determined by whether the neoplasm is malignant - benign - of uncertain behavior - or of unspecified natu






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






44. Considered experimental - newly approved - or seldom used may not be listed in the CPT manual. These codes can be coded as unlisted procedures. They are located at the end of the subsections or subheadings. When an unlisted procedure code is reported






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. Represents a change in the code description since the last edition. The change may be minor or significant and it could be an addition - deletion or revision.






47. 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.






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






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






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