SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
Medical Billing And Coding Vocab
Start Test
Study First
Subject
:
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. Poisoning cannot be determined whether intentional or accidental.
Undetermined
Preferred Provider Organization (PPO)
Flat bones
Sesamoid bones
2. The main term in the index may by followed by terms within parenthesis.
Tabular List (Volume 1)...
Alphabetic Index (Volume 2)
Nonparticipating physician
Column 1/Column 2 (previously called Comprehensive/Component) Edits
3. 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
HCPCS Level II codes (National Codes)
Gender rule
Medically needy
CPT SECTIONS.
4. The bones are connected to one another by fibrous bands of tissue . Muscles are attached to the bone by tendons. The fibrous covering of the muscles is called the fascia
Fee-for-Service
Fissure
Comminuted fracture
ligaments
5. Is a managed care plan that gives beneficiaries the option whom to see for services. If the beneficiary goes to see a physician within the network - s/he will receive benefits similar to an HMO. But if the beneficiary chooses to see a physician from
Fraud
Parietal Bones
Point-of-Service plan (POS)
Health practitioner
6. The moon like white area at the base of the nail.
lunula
MEDICARE Part C
Commercial Carriers
MEDICARE Part D
7. forms the back of the skull. There is a large hole at the ventral surface in this bone - called the foramen magnum - which allows the brain communication with the spinal cord
Occipital Bone
Greenstick
Coordination of Benefits (COB)
HCPCS Level I codes
8. This is any procedure or service reported on the insurance claim that is not listed in the payer's master benefit list. This will result in the denial of the claim. Providers may be able to recover the charges from the patient.
Non-covered benefit
ligaments
Pelvis
Contracted Rates with MCOs
9. 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
Sebaceous glands
Established patient
Undetermined
Indemnity Insurance
10. 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.
Lipocyte
Unspecified nature
Sphenoid Bones
Personal Insurance
11. Benign growth extending from the surface of the mucous membrane
Benign
The Good Samaritan Act
Tabular List (Volume 1)...
Polyp
12. most synarthroses are immovable joints held together by fibrous tissue.
Primary malignancy
Gangrene
There are three layers to the skin
No ROM
13. A neoplasm is identified; however - no nature of the tumor is documented in the diagnosis or medical record.
Health Care Financing Administration Common Procedure Coding System
The Patient Care Partnership (Patient's Bill of Rights)
Unspecified nature
Clearinghouse
14. Number assigned by the insurance company to a physician who renders services to patients.
The Patient Care Partnership (Patient's Bill of Rights)
Neoplasm Table
Spinal/Vertebral Column
Provider Identification Number (PIN)
15. 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
Colles
Accident
Employer Identification Number (EIN)
Fiscal Intermediary
16. .. lower jaw bone.
Medigap (Medicare Supplemental Insurance)
Vesicle
Advance Beneficiary Notice
Mandible
17. Produce secretions that allow the body to be moisturized or cooled.
New patient
sebaceous(oil) glands and the suddoriferous (sweat) glands
There are two types of sweat glands
essential modifiers
18. This number is used instead of the individual physician's number for the performing provider who is a member of a group practice that submits claims to insurance companies under the group name.
-32 - Mandated Services
Remittance Advice
Group Provider Number
MEDICARE Part B
19. 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
Spinal/Vertebral Column
Hypertension Table
Abuse
Group Provider Number
20. Is the type of plan a patient may have where they can see providers outside their plan. The patient is responsible to pay the higher portion of the fee.
CPT SECTIONS.
-51 - Multiple Procedures
Preferred Provider plan
Lipocyte
21. 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.
Surgical Package
Inferior nasal conchae
Health Care Financing Administration Common Procedure Coding System
nonessential modifiers
22. 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.
Medicaid
Disability insurance
Gangrene
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
23. The main term in the index may by followed by terms within parenthesis.
Alphabetic Index (Volume 2)
CPT SECTIONS.
79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
Social Security Number
24. Is also called the superbill; it is a listing of the diagnoses - procedures - and charges for a patient's visit.
History
Retention of Medical Records
Chapters
encounter form
25. Forms the anterior part of the skull and the forehead
Frontal Bone
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Pubic bone
Pelvis
26. 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
Health practitioner
Commercial Carriers
Contracted Rates with MCOs
MEDICARE Part B
27. 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
Collagen
Impetigo
Rib Cage
upplementary Classification of Factors Influencing Health Status and Contact with Health Services (V Codes)
28. Is the qualifying factor or factors that must be met before a patient receives benefits.
Location Methods
Eligibility
Benign (hypertension)
TRICARE
29. The CPT manual is composed of eight sections. Each section begins with guidelines that provide specific coding rules for that section. Guidelines at the beginning of the section are applicable to all codes in the section - while notes that pertain t
CPT SECTIONS.
Ethmoid Bone
Pelvis
upper appendicular skeleton
30. anterior to the temporal bones.
Floating ribs Ribs 11 and 12 are - because they are not attached at all.
Workers Compensation
Sphenoid Bones
-50 - Bilateral Procedure
31. Is a brief statement describing the symptom - problem - diagnosis - or condition that is the reason a patient seeks medical care.
Chief complaint
triangle (a
Workers Compensation
Compression fracture
32. Is the type of plan a patient may have where they can see providers outside their plan. The patient is responsible to pay the higher portion of the fee.
Flat bones
Preferred Provider plan
Unlisted Procedures Procedures
Medigap (Medicare Supplemental Insurance)
33. This consists of the patient's personal experiences with illnesses - surgeries and injuries. It also contains information of illnesses predominant in the family. It contains the patient's educational background - occupation - marital status - and oth
Pre-authorization
Retention of Medical Records
Alopecia
Past - family and social history (PFSH)
34. This is not specified as benign or malignant in the diagnosis or medical record.
Unspecified (hypertension)
Outpatient
Chief complaint
Vesicle
35. Is a service performed by a physician whose opinion or advice is requested by another physician in the evaluation or treatment of a patient's illness or suspected problem. The consultant does not assume responsibility for the patient's care and must
Consultation
Civil Monetary Penalties Law (CMPL)
Review of Systems (ROS)
Chief complaint
36. Is a working diagnosis which is not yet established.
Qualified diagnosis
CPT SECTIONS.
Health Care Financing Administration Common Procedure Coding System
MEDICARE Part C
37. This is the traditional method used by providers for submission of charges to insurance companies. The most commonly used form is the CMS-1500. Few plans still accept the physician's encounter form or superbill and Medicare will only accept claims on
Commercial Carriers
Occipital Bone
lunula
Paper Claim
38. 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.
Ethmoid Bone
Inferior nasal conchae
Medicaid
Unspecified (hypertension)
39. provides a five-digit code which gives the highest specificity of description to a condition. Use of it is mandatory if it is available. A code not reported to the full number of digits required is invalid. e.g. 240.01 Toxic diffuse goiter with thyr
Sub classification
sebaceous(oil) glands and the suddoriferous (sweat) glands
Occipital Bone
Colles
40. Are supplementary classification codes used to describe the reason or external cause of injury - poisoning and other adverse effects. These codes can be found in both Volumes I and II. E codes are used to classify environmental events - circumstances
Inferior nasal conchae
Explanation of Benefits (EOB)
Assault
Supplementary Classification of External Causes of Injury and Poisoning (E Codes)
41. Under this schedule - a procedure's relative value is the sum total of three elements: Work: represents the amount of time - intensity of effort - and medical skill required of the physician. Overhead: practice costs related to the performing of the
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
42. Was developed to protect healthcare professionals from liability of any civil damages as a result of rendering emergency care.
The Good Samaritan Act
Unspecified (hypertension)
Alphabetic Index (Volume 2)
Disability insurance
43. Is the lateral lower arm bone (in line with the thumb).
Suicide Attempt
Contracted Rates with MCOs
The Universal Claim Form
Radius
44. solid - round or oval elevated lesion more than 1 cm in diameter
Liability insurance
Provider Identification Number (PIN)
Consultation
Nodule
45. Diathroses are joints that have free movement. Ball-and-socket joints (hip) and hinge joints (knees) are common diathroses joints. (synovial joints)
Contracted Rates with MCOs
The Good Samaritan Act
Patient Confidentiality
Full ROM
46. A fat cell
Lipocyte
essential modifiers
Unique Provider Identification Number (UPIN)
-51 - Multiple Procedures
47. A fat cell
Medicare
The Universal Claim Form
Pelvis
Lipocyte
48. is a traumatic injury to a joint involving the soft tissue.
co-payment
sprain
Zygoma
Participating physician
49. There are also terms indented two spaces to the right below the main term called subterms. These subterms are because they have bearing in the selection of the right code. Everything in the Index is listed by condition - that is - diagnosis - signs -
Social Security Number
Explanation of Benefits (EOB)
essential modifiers
Comminuted fracture
50. Noninvasive - non-spreading - nonmalignant
Frontal Bone
-24 - Unrelated E/M Service by the Same Physician During a Postoperative Period
Ulcermembranes
Benign
Can you answer 50 questions in 15 minutes?
Let me suggest you:
Browse all subjects
Browse all tests
Most popular tests
Major Subjects
Tests & Exams
AP
CLEP
DSST
GRE
SAT
GMAT
Certifications
CISSP go to https://www.isc2.org/
PMP
ITIL
RHCE
MCTS
More...
IT Skills
Android Programming
Data Modeling
Objective C Programming
Basic Python Programming
Adobe Illustrator
More...
Business Skills
Advertising Techniques
Business Accounting Basics
Business Strategy
Human Resource Management
Marketing Basics
More...
Soft Skills
Body Language
People Skills
Public Speaking
Persuasion
Job Hunting And Resumes
More...
Vocabulary
GRE Vocab
SAT Vocab
TOEFL Essential Vocab
Basic English Words For All
Global Words You Should Know
Business English
More...
Languages
AP German Vocab
AP Latin Vocab
SAT Subject Test: French
Italian Survival
Norwegian Survival
More...
Engineering
Audio Engineering
Computer Science Engineering
Aerospace Engineering
Chemical Engineering
Structural Engineering
More...
Health Sciences
Basic Nursing Skills
Health Science Language Fundamentals
Veterinary Technology Medical Language
Cardiology
Clinical Surgery
More...
English
Grammar Fundamentals
Literary And Rhetorical Vocab
Elements Of Style Vocab
Introduction To English Major
Complete Advanced Sentences
Literature
Homonyms
More...
Math
Algebra Formulas
Basic Arithmetic: Measurements
Metric Conversions
Geometric Properties
Important Math Facts
Number Sense Vocab
Business Math
More...
Other Major Subjects
Science
Economics
History
Law
Performing-arts
Cooking
Logic & Reasoning
Trivia
Browse all subjects
Browse all tests
Most popular tests