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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. lith/
Stone
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Lung
Muscle

2. What is primary malignancy?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Small collection of clear fluid; blister
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

3. enter/
Intestine
Removal - Excision - Resection
Above
To view

4. Palatine Bones
3 (ex 311)
Active - retired - survivors and their families of the Armed Forces.
Finger Bones
Upper roof of the mouth

5. poly
Small with irregular shapes (ie wrist and ankle)
Turning Outward
Upper Back
Many

6. oste/
Bone
Forms the back of the skull
Shin
Lower Jawbone

7. When billing an insurance company - what information must be included?
Cancer that has localized and not spread at all.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Before

8. How many volumes is the ICD-9 manual divided into?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Active - retired - survivors and their families of the Armed Forces.
Record
Lower Back

9. anti
1996
5. (ex 311.56)
Against
Ovary

10. Sacral
Without
Sacrum
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

11. What is Employee Liability Insurance?
Through
Coccyx (Tailbone)
Small collection of clear fluid; blister
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

12. What is in a Medical Record?
Many
In the cause of injury - poisoning - accidents or other adverse effects.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
A working diagnosis that has not yet been established.

13. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Little - scanty
Forms the sides of the cranium
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

14. per
Vulva
Through
Smaller - lateral leg bone
Upper roof of the mouth

15. What are the 5 regions of the spine?
The Axial Skeleton and the Appendicular Skeleton
Intestine
Blood Condition
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

16. -osis
Before
Smaller - lateral leg bone
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Abnormal condition

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

18. -meter
Beside
Above
Discharge - Flow
Measure

19. Vesicle
Back part of the body.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Small collection of clear fluid; blister
26

20. pseudo
False
Nose
1. Insurance Reform 2. Administrative Simplification
To view

21. What hormones do the adrenal glands secrete?
Neck Bones
Front part of the body.
Epinephrine and Steriods
1996

22. oglio
Below - deficient
Little - scanty
Birth
Painful - difficult

23. -centisis
Upper Back
Intestine
Surgical Puncture
Discharge - Flow

24. What are bones made of?
Separation - Breakdown
Osseous
Lower arm bone in line with the thumb
Heart

25. What is hair made of?
Painful - difficult
False
Karatin
Vagina

26. Who does TRICARE cover?
Below - deficient
Active - retired - survivors and their families of the Armed Forces.
Suture
Turning Outward

27. Sacral
Tongue
Below - deficient
Sacrum
Tongue

28. derm/
Skin
Death of tissue due to loss of blood supply
5. (ex 311.56)
Blood Condition

29. Carpals
Neck Bones
Wrist bones
Discolored - flat lesion
Nose

30. Long Bones
Toe Bones
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
26
Strong - broad and have large surfaces for muscles to attach to.

31. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Forms the back of the skull
To view
All

32. 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
A break at the distal end of the bone - usually when someone tries to break their fall.
26
Tongue

33. cholecyst/
Stomach
Forms the front part of the skull and the forehead.
1996
Gall bladder

34. hepato/
Milk
Lower medial arm bone
Liver
Side

35. Lumbar
Breast
Under
Lower Back
Uteris

36. endo
Turning the palm or foot upward
Within
Noninvasive - non-spreading - nonmalignant.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

37. When billing an insurance company - what information must be included?
Intestine
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Bursting forth blood
The Axial Skeleton and the Appendicular Skeleton

38. Frontal Bone
Forms the front part of the skull and the forehead.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
A pregnant woman who has had at least one pregnancy.
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

39. What is a Comminuted Fracture?
The bone is crushed or shattered.
Nose
Small with irregular shapes (ie wrist and ankle)
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

40. arth/
Four
Cheek Bone
1. Insurance Reform 2. Administrative Simplification
Cartilage

41. -emia
Blood Condition
To cut into
Against
Heart

42. Impetigo
Lower Back
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Suture
Little - scanty

43. How many digits does an ICD-9 Subclassification code have?
The fractured area of the bone collapses on itself.
5. (ex 311.56)
Vulva
Free moving joints that are surrounded by joint capsules.

44. Cervical
Fat cell
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Neck Bones
Many

45. pan
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Strong - broad and have large surfaces for muscles to attach to.
Lung
All

46. anti
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.
Hind foot bone
Against
Structural protein found in skin and connective tissue.

47. Proximal
A change in the code description since the last edition.
Near the point of attachment to the trunk.
Tongue
Ankle

48. Retraction
Osseous
Upper Arm bone
Moving backward
Forms the back of the skull

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

50. What are Medical Ethics?
Sacrum
Standards of conduct based on moral principals.
Neck Bones
Ankle