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Medical Coding Basics

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. Temporal Bones
Lower medial arm bone
Major skin pigment
Enlargement
Forms the two lower sides of the cranium

2. Cervical
All
Forms the sides of the cranium
Neck Bones
4. (ex 311.0)

3. cardi/
Heart
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bone that forms the wall between the nostrils
No.

4. Who developed HCPCs codes?
Lower Back
CMS
Movement toward the midline
Visual Examination

5. Maxilla
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Upper Jawbone
Above
Enlargement

6. What are the 2 types of glands on the skin?
Abnormal condition
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Forms the roof of the nasal cavity
Below

7. -emia
Lower arm bone in line with the thumb
Moving backward
Forms the roof of the nasal cavity
Blood Condition

8. gastro/
Epinephrine and Steriods
Cartilage
Liver
Stomach

9. How is Usual - Customary and Reasonable pricing calculated?

10. What is the moon like white area at the base of the nail called?
In front of the temporal bones
No.
Strong - broad and have large surfaces for muscles to attach to.
Lunula

11. Short Bones
Vulva
Small with irregular shapes (ie wrist and ankle)
Record
Out - out of

12. Frontal Bone
Four
Forms the front part of the skull and the forehead.
Lunula
Surgical Fixation

13. What is Assignment of Benefits?
5. (ex 311.56)
Reimbursement is sent directly from payer to the provider.
Fallopian tubes
Liver

14. When are V codes used?
When a person who is not sick/injured seeks health services for a specific thing (immunizations - organ donors) -When a person with a chronic condition presents for specific treatment of that condition (diabtetes) -When a circumstance influences the
Hind foot bone
Four
Side

15. -ectomy
Gall bladder
Four
Bursting forth blood
Removal - Excision - Resection

16. What is a Qualified Diagnosis
Pain
Vagina
Cartilage
A working diagnosis that has not yet been established.

17. ex
Active - retired - survivors and their families of the Armed Forces.
Half
The fractured area of the bone collapses on itself.
Out - out of

18. per
Surgical Procedure Performed -Local infiltration/metatarsal/digit block/anesthesia -Pre-Op E/M services on day before surgery -Immediate Post-Op care -Normal - uncomplicated Post-Op care
Through
Hardening
Active - retired - survivors and their families of the Armed Forces.

19. Coccygeal
Bone that forms the wall between the nostrils
Coccyx (Tailbone)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
When a person who is not sick/injured seeks health services for a specific thing (immunizations - organ donors) -When a person with a chronic condition presents for specific treatment of that condition (diabtetes) -When a circumstance influences the

20. chondro/
Lower medial arm bone
Cartilage
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Bones at the corner of each eye that cradle the tearducts

21. -sclerosis
Strong - broad and have large surfaces for muscles to attach to.
Under
Hardening
Surgical Puncture

22. pseudo
Turning Outward
Turning the palm or foot upward
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
False

23. Sacral
Sacrum
Forms the back of the skull
Front part of the body.
Surgical Fixation

24. Metacarpals
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Half
Ovary
Bones the palm of the hand

25. Lipocyte
Surgical Puncture
Fat cell
A new procedure or service since the previous edition.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

26. When billing an insurance company - what information must be included?
Bursting forth blood
Disease Condition
Bones the palm of the hand
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

27. What is Carcinoma in situ?
A pregnant woman who has had at least one pregnancy.
Toe Bones
Bones at the corner of each eye that cradle the tearducts
Cancer that has localized and not spread at all.

28. Malleolus
Cancer that has spread to a secondary site.
New
Measure
Ankle

29. Frontal - Coronal
Removal - Excision - Resection
Shin
Lower Back
Vertical plane dividing the body into Anterior and Posterior sections.

30. Occipital Bone
Horizontal plane dividing the upper and lower parts of the body.
A break at the distal end of the bone - usually when someone tries to break their fall.
Small with irregular shapes (ie wrist and ankle)
Forms the back of the skull

31. Phalanges
Finger Bones
Horizontal plane dividing the upper and lower parts of the body.
Far from the point of attachment of the trunk.
CMS-1500

32. Phalanges
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Noninvasive - non-spreading - nonmalignant.
Stomach
Finger Bones

33. What is the National Correct Coding Initiative (NCCI)?
Many
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Active - retired - survivors and their families of the Armed Forces.
A pregnant woman who has had at least one pregnancy.

34. Collagen
Absence of hair
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Structural protein found in skin and connective tissue.
Mouth

35. stomat/
Mouth
Moving backward
Wrist bones
Stone

36. -plasty
All
Surgical Repair
Reimbursement is sent directly from payer to the provider.
Stomach

37. hemi
Four
Painful - difficult
Half
1. The provider's usual charge for the service 2. The average charge of all the other providers in the same geographical area 3. The actual charge submitted on the claim The lowest amount is used as basis for the payment.

38. cephal/
Against
Stomach
Head
Turning Outward

39. When are E codes used?
Record
Forms the roof of the nasal cavity
In the cause of injury - poisoning - accidents or other adverse effects.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

40. Alopecia
Standards of conduct based on moral principals.
Below
Vertical plane dividing the body to the left and the right sides.
Absence of hair

41. What is hair made of?
Before - in front of
Forms the front part of the skull and the forehead.
A new procedure or service since the previous edition.
Karatin

42. What are bursae?
1. Column 1/ Column 2; identified unbundled codes.2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

43. dys
Vagina
Painful - difficult
The Axial Skeleton and the Appendicular Skeleton
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

44. -lysis
1. The provider's usual charge for the service 2. The average charge of all the other providers in the same geographical area 3. The actual charge submitted on the claim The lowest amount is used as basis for the payment.
Separation - Breakdown
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Free moving joints that are surrounded by joint capsules.

45. a - an
Epinephrine and Steriods
Bones at the corner of each eye that cradle the tearducts
No.
Without

46. Thoracic
Discolored - flat lesion
Forms the back of the skull
Upper Back
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

47. Wheal
Toe Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Birth
1. For treatment (discussing the case with another professional)2.Payment (When providers submit claims on the patient's behalf).3. Operations: Staff training and Quality Improvement.

48. What is a Complicated Fracture?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
The bone is broken and pierces an organ.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

49. What are the 2 types of sweat glands?
Middle of the foot bone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
1. Column 1/ Column 2; identified unbundled codes.2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day.
Birth

50. oste/
Bone
Shoulder - collar - pelvic - arms and legs.
Treatment
Painful - difficult