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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. Alopecia
Skin
Absence of hair
CMS
Bones at the corner of each eye that cradle the tearducts

2. Transverse/Cross Sectional
Far from the point of attachment of the trunk.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Horizontal plane dividing the upper and lower parts of the body.
Cheek Bone

3. Inversion
Muscle
Turning Inward
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
5

4. Carpals
Little - scanty
Wrist bones
Under
Lower medial arm bone

5. sub
The bone is broken and pierces an organ.
Upper Arm bone
26
Under

6. What is secondary malignancy?
Opening
Beside
In the cause of injury - poisoning - accidents or other adverse effects.
Cancer that has spread to a secondary site.

7. What is in a Medical Record?
CMS-1500
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Finger Bones

8. oste/
Stone
Bones at the corner of each eye that cradle the tearducts
Bone
Mouth

9. Distal
Far from the point of attachment of the trunk.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Reimbursement is sent directly from payer to the provider.

10. hin/
Cheek Bone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Lower arm bone in line with the thumb
Nose

11. neo
Wrist bones
26
Suture
New

12. -lysis
Reimbursement is sent directly from payer to the provider.
Separation - Breakdown
Muscle
Mouth

13. -rrhaphy
Lunula
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Suture
Head

14. pseudo
False
Bones the palm of the hand
Many
Abdomen

15. Sacral
Office of Inspector General (OIG)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Sacrum

16. How are bones categorized?
Against
3 (ex 311)
Wrist bones
The Axial Skeleton and the Appendicular Skeleton

17. Eversion
Upper Arm bone
Mouth
Milk
Turning Outward

18. Infra
Below
Moving forward
Enlargement
Disease Condition

19. pre
Before - in front of
The fractured area of the bone collapses on itself.
Suture
A working diagnosis that has not yet been established.

20. Mandible
Lower Jawbone
Karatin
Slow
Strong - broad and have large surfaces for muscles to attach to.

21. Who developed HCPCs codes?
CMS
Moving backward
Inflammation
Small collection of clear fluid; blister

22. What are bones made of?
Osseous
Shin
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Moving forward

23. Fibula
Uteris
Smaller - lateral leg bone
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.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

24. What is the moon like white area at the base of the nail called?
Stone
Fibrous bands of ligaments
Half
Lunula

25. gastro/
Turning Outward
Stomach
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

26. When can a provider share PHI without specific permission from the patient?

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27. poly
Many
Heart
MM/DD/YY
26

28. enter/
Above
Intestine
Skull - Ribcage and Spine.
Turning the palm or foot upward

29. What hormones do the adrenal glands secrete?
Epinephrine and Steriods
Inflammation
A pregnant woman who has had at least one pregnancy.
Forms the sides of the cranium

30. hemi
Absence of hair
Cartilage
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Half

31. What does a triangle in the CPT book next to a code mean?
Four
Coccyx (Tailbone)
A new procedure or service since the previous edition.
A change in the code description since the last edition.

32. Eversion
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Mouth
Cancer that has spread to a secondary site.
Turning Outward

33. pan
Absence of hair
Between
All
Structural protein found in skin and connective tissue.

34. arth/
Surgical Repair
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Cartilage
Head

35. What is Employer Liability?

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36. What does a Surgical Package (aka Global Surgery) include?
1996
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
Active - retired - survivors and their families of the Armed Forces.
Upper Back

37. -osis
Abnormal condition
Before - in front of
Liver
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

38. a - an
Without
Removal - Excision - Resection
Death of tissue due to loss of blood supply
Major skin pigment

39. -centisis
Absence of hair
Tongue
Toe Bones
Surgical Puncture

40. epi
Turning Outward
Above
Painful - difficult
Gall bladder

41. Metatarsal
Middle of the foot bone
Abdomen
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

42. What is the Axial Skeleton comprised of?
1996
Within
Skull - Ribcage and Spine.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

43. Collagen
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Bones the palm of the hand
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Structural protein found in skin and connective tissue.

44. enter/
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Near the point of attachment to the trunk.
Half
Intestine

45. Occipital Bone
Turning Inward
Stone
To view
Forms the back of the skull

46. Who does TRICARE cover?
Movement away from the midline
Hematopoietic tissue
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Active - retired - survivors and their families of the Armed Forces.

47. How many digits does an ICD-9 Subclassification code have?
Vertical plane dividing the body to the left and the right sides.
5. (ex 311.56)
Surgical Repair
Toe Bones

48. Can you have TRICARE and CHAMPVA at the same time?
Slow
The bone is crushed or shattered.
No.
Discolored - flat lesion

49. anti
Head
Lower medial arm bone
Against
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

50. Phalanges
Vertical plane dividing the body to the left and the right sides.
Finger Bones
Bone
Under