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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. Lumbar
Lower Back
Upper Arm bone
Many
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

2. What are Medical Ethics?
A change in the code description since the last edition.
CMS-1500
Standards of conduct based on moral principals.
Without

3. Thoracic
Fat cell
Upper Back
Above
Visual Examination

4. hyster/
Uteris
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.
Moving forward
In front of the temporal bones

5. Zygoma
Near the point of attachment to the trunk.
Cheek Bone
Before
Far from the point of attachment of the trunk.

6. What is secondary malignancy?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Cancer that has spread to a secondary site.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Bacterial inflammatory skin disease with lesions - pustules and vesicles

7. -pathy
Many
Separation - Breakdown
Before
Disease Condition

8. When was the Health Information and Accountability Act (HIPAA) created?
Lunula
1996
1. The amount of time - intensity of effort and medical skill required for the service 2.Overhead; the practice costs related to performing the service 3. Cost of Medical Malpractice insurance
Upper Jawbone

9. poly
Stone
Many
Record
Bone that forms the wall between the nostrils

10. Hypo
Abnormal condition
Below - deficient
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Bones the palm of the hand

11. -sclerosis
Smaller - lateral leg bone
Hind foot bone
Hardening
Above

12. Who developed HCPCs codes?
Cheek Bone
Horizontal plane dividing the upper and lower parts of the body.
Neck Bones
CMS

13. neo
New
Pain
Beside
Coccyx (Tailbone)

14. What does a triangle in the CPT book next to a code mean?
Within
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
A change in the code description since the last edition.
Upper Arm bone

15. Posterior/Dorsal
Against
Back part of the body.
Beside
Visual Examination

16. What are the 2 types of glands on the skin?
Upper Back
Bone that forms the wall between the nostrils
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Lower medial arm bone

17. What is the False Claims Act (FCA)
Osseous
Slow
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

18. dys
In front of the temporal bones
Above
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Painful - difficult

19. What is Carcinoma in situ?
Below - deficient
Cancer that has localized and not spread at all.
Turning Inward
Bursting forth blood

20. What is Employee Liability Insurance?
The bone is broken and pierces an organ.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Gall bladder
Lower medial arm bone

21. Thoracic
Breast
Above
Upper Back
A new procedure or service since the previous edition.

22. lith/
Stone
Removal - Excision - Resection
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.
In the cause of injury - poisoning - accidents or other adverse effects.

23. Parietal Bones
Forms the sides of the cranium
Osseous
Office of Inspector General (OIG)
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

24. When are E codes used?
Intestine
Bones at the corner of each eye that cradle the tearducts
In the cause of injury - poisoning - accidents or other adverse effects.
To view

25. ante
To cut into
Before
Osseous
Beside

26. What is a Qualified Diagnosis
Active - retired - survivors and their families of the Armed Forces.
False
A working diagnosis that has not yet been established.
Above

27. Melanin
26
Major skin pigment
Above
New

28. Coccygeal
Movement toward the midline
Uteris
Coccyx (Tailbone)
A pregnant woman who has had at least one pregnancy.

29. -rrhea
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Discharge - Flow
Ankle
Slow

30. Melanin
Under
Major skin pigment
Fallopian tubes
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

31. Transverse/Cross Sectional
Turning Inward
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. The amount of time - intensity of effort and medical skill required for the service 2.Overhead; the practice costs related to performing the service 3. Cost of Medical Malpractice insurance
Horizontal plane dividing the upper and lower parts of the body.

32. oglio
CMS
Turning Inward
Little - scanty
Measure

33. How many digits does an ICD-9 Category code have?
Cancer that has localized and not spread at all.
3 (ex 311)
Reimbursement is sent directly from payer to the provider.
Before

34. colp/
Vagina
Below
Hematopoietic tissue
Ankle

35. -therapy
Treatment
3 (ex 311)
Nose
Sacrum

36. oophor
Reimbursement is sent directly from payer to the provider.
Ovary
Shin
Turning the palm or foot upward

37. -sclerosis
A new procedure or service since the previous edition.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Hardening

38. What are the 2 types of sweat glands?
Muscle
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Upper roof of the mouth
Tongue

39. hin/
Abdomen
Nose
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Four

40. Supination
Turning the palm or foot upward
Separation - Breakdown
Reimbursement is sent directly from payer to the provider.
Epinephrine and Steriods

41. Cervical
Coccyx (Tailbone)
Lung
Slow
Neck Bones

42. Abduction
Intestine
Without
Movement away from the midline
To cut into

43. arth/
Uteris
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
Cartilage
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

44. What is a Complicated Fracture?
Below - deficient
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
The bone is broken and pierces an organ.
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.

45. mast/
Active - retired - survivors and their families of the Armed Forces.
Surgical Puncture
Discharge - Flow
Breast

46. Sagittal
Vertical plane dividing the body to the left and the right sides.
Small with irregular shapes (ie wrist and ankle)
Forms the front part of the skull and the forehead.
Vagina

47. salping/
Fallopian tubes
Separation - Breakdown
Many
Against

48. Maxilla
Active - retired - survivors and their families of the Armed Forces.
Suture
Upper Jawbone
Bone

49. hepato/
Removal - Excision - Resection
A change in the code description since the last edition.
Liver
Turning Inward

50. What is the Civil Monetary Penalties Law (CMPL)?
Wrist bones
Bone
Vertical plane dividing the body to the left and the right sides.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.