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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. -gram
The bone is crushed or shattered.
Small with irregular shapes (ie wrist and ankle)
Ankle
Record

2. Impetigo
Lower Jawbone
Sacrum
Standards of conduct based on moral principals.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

3. What is a compression fracture?
Sacrum
Interior of the nose
Coccyx (Tailbone)
The fractured area of the bone collapses on itself.

4. What is CHAMPVA
Surgical Puncture
Bones the palm of the hand
Turning Outward
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

5. -gram
To view
Vagina
Cartilage
Record

6. Ulna
Lower medial arm bone
Interior of the nose
Moving forward
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

7. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Side
Mouth
Small with irregular shapes (ie wrist and ankle)

8. lith/
Stone
All
Forms the back of the skull
Opening

9. Medial
Milk
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.
Death of tissue due to loss of blood supply
Middle of the body.

10. What does a Surgical Package (aka Global Surgery) include?
Middle of the body.
Lower arm bone in line with the thumb
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
Office of Inspector General (OIG)

11. What is the False Claims Act (FCA)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Vertical plane dividing the body into Anterior and Posterior sections.
Epinephrine and Steriods
Karatin

12. Lumbar
Lower Back
Middle of the body.
Before - in front of
Karatin

13. How many bones are in the spine?
Slow
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Noninvasive - non-spreading - nonmalignant.
26

14. sub
Near the point of attachment to the trunk.
Under
To view
Far from the point of attachment of the trunk.

15. Can you have TRICARE and CHAMPVA at the same time?
Movement away from the midline
Standards of conduct based on moral principals.
Active - retired - survivors and their families of the Armed Forces.
No.

16. Hypo
Forms the back of the skull
Movement away from the midline
Below - deficient
New

17. How long should Medical Records be retained?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Mass
Painful - difficult
Side

18. pre
Far from the point of attachment of the trunk.
Before - in front of
Half
Hardening

19. anti
Horizontal plane dividing the upper and lower parts of the body.
Vagina
Stone
Against

20. What is Fiscal Intermediary?
Death of tissue due to loss of blood supply
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Finger Bones
Reimbursement is sent directly from payer to the provider.

21. enter/
Intestine
Sacrum
Before - in front of
CMS-1500

22. Malleolus
Ankle
Shoulder - collar - pelvic - arms and legs.
Cartilage
Uteris

23. Multigravida
Lower medial arm bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
A pregnant woman who has had at least one pregnancy.
Skin

24. -osis
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Intestine
Abnormal condition
Through

25. Frontal - Coronal
Active - retired - survivors and their families of the Armed Forces.
Cancer that has localized and not spread at all.
Vertical plane dividing the body into Anterior and Posterior sections.
Toe Bones

26. Who developed HCPCs codes?
CMS
Hardening
Major skin pigment
Without

27. Impetigo
Movement away from the midline
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Forms the roof of the nasal cavity
Cancer that has spread to a secondary site.

28. What are the key components of E/M?
Noninvasive - non-spreading - nonmalignant.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
False
Fat cell

29. What are bones connected together with?
Free moving joints that are surrounded by joint capsules.
Fibrous bands of ligaments
The bone is broken and pierces an organ.
Mouth

30. What does a triangle in the CPT book next to a code mean?
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
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A change in the code description since the last edition.
Upper Jawbone

31. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
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.
Blood Condition
Muscle

32. What is a Colles Fracture?
Inflammation
Stone
A break at the distal end of the bone - usually when someone tries to break their fall.
Mouth

33. Sacral
Pain
Sacrum
Within
All

34. Zygoma
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Cheek Bone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Under

35. -meter
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Bones at the corner of each eye that cradle the tearducts
Measure

36. What is primary malignancy?
Wrist bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Skin
Mouth

37. Wheal
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Vagina
Small collection of clear fluid; blister
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

38. oglio
Moving backward
Finger Bones
Bone
Little - scanty

39. When are E codes used?
Small with irregular shapes (ie wrist and ankle)
In the cause of injury - poisoning - accidents or other adverse effects.
CMS-1500
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

40. Palatine Bones
Stomach
False
Upper roof of the mouth
Movement away from the midline

41. -lysis
Structural protein found in skin and connective tissue.
Cartilage
Free moving joints that are surrounded by joint capsules.
Separation - Breakdown

42. What is Carcinoma in situ?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Below - deficient
Cancer that has localized and not spread at all.

43. -therapy
Treatment
Visual Examination
Slow
Turning Inward

44. pseudo
False
Far from the point of attachment of the trunk.
Out - out of
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

45. -megaly
CMS
Enlargement
Reimbursement is sent directly from payer to the provider.
Vulva

46. Inferior nasal conchae
Interior of the nose
Horizontal plane dividing the upper and lower parts of the body.
Discolored - flat lesion
Shin

47. What is CHAMPVA
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Vertical plane dividing the body into Anterior and Posterior sections.
Vertical plane dividing the body into Anterior and Posterior sections.

48. Collagen
Structural protein found in skin and connective tissue.
CMS-1500
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Painful - difficult

49. When are V codes used?
Neck Bones
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
Bones the palm of the hand
Surgical Repair

50. hemi
Far from the point of attachment of the trunk.
Wrist bones
Stone
Half