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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. Gangrene
Disease Condition
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.
Noninvasive - non-spreading - nonmalignant.
Death of tissue due to loss of blood supply

2. When are V codes used?
Movement away from the midline
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
CMS-1500
Upper Jawbone

3. poly
Many
Head
Surgical Puncture
Tongue

4. How many bones are in the spine?
Bursting forth blood
26
A change in the code description since the last edition.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

5. cardi/
Against
Heart
Forms the two lower sides of the cranium
Inflammation

6. What are Medical Ethics?
Bone
Ovary
Bones the palm of the hand
Standards of conduct based on moral principals.

7. What are Medical Ethics?
Standards of conduct based on moral principals.
Finger Bones
Neck Bones
Half

8. cephal/
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
Head
Absence of hair
Above

9. Lacrimal Bones
Ankle
All
Bones at the corner of each eye that cradle the tearducts
Milk

10. Metacarpals
Stone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Near the point of attachment to the trunk.
Bones the palm of the hand

11. Sesamoid Bones
Moving backward
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
The bone is crushed or shattered.

12. When was the Health Information and Accountability Act (HIPAA) created?
1996
5. (ex 311.56)
5
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

13. What is Carcinoma in situ?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Cancer that has localized and not spread at all.
Standards of conduct based on moral principals.
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

14. Frontal Bone
Middle of the body.
Forms the front part of the skull and the forehead.
Suture
A new procedure or service since the previous edition.

15. Supination
Abnormal condition
Turning the palm or foot upward
No.
Coccyx (Tailbone)

16. Melanin
Lower Jawbone
Abdomen
Middle of the body.
Major skin pigment

17. brady
Slow
A pregnant woman who has had at least one pregnancy.
Karatin
Reimbursement is sent directly from payer to the provider.

18. Lateral
Tongue
1. Insurance Reform 2. Administrative Simplification
Side
Upper Jawbone

19. oglio
Half
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Hardening
Little - scanty

20. oophor
Ovary
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
1996
Surgical Repair

21. Ulna
Major skin pigment
Cancer that has spread to a secondary site.
Lower medial arm bone
Surgical Puncture

22. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Major skin pigment
Lower medial arm bone
Horizontal plane dividing the upper and lower parts of the body.

23. Eversion
Hardening
Turning Outward
Half
Suture

24. How is the Patients DOB entered on the claim form?
Hematopoietic tissue
Bursting forth blood
Horizontal plane dividing the upper and lower parts of the body.
MM/DD/YY

25. Malleolus
The Axial Skeleton and the Appendicular Skeleton
Lunula
Ankle
Bone that forms the wall between the nostrils

26. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Treatment
Karatin
Blood Condition

27. supra
Upper Jawbone
Above
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Skin

28. -rrhea
Bone that forms the wall between the nostrils
Wrist bones
A break at the distal end of the bone - usually when someone tries to break their fall.
Discharge - Flow

29. lith/
Stone
A change in the code description since the last edition.
Karatin
Strong - broad and have large surfaces for muscles to attach to.

30. Melanin
Absence of hair
Major skin pigment
Abnormal condition
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

31. gloss/
Upper Back
Tongue
Smaller - lateral leg bone
Horizontal plane dividing the upper and lower parts of the body.

32. -therapy
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Treatment

33. Collagen
Structural protein found in skin and connective tissue.
Shoulder - collar - pelvic - arms and legs.
The bone is broken and pierces an organ.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

34. Posterior/Dorsal
No.
Back part of the body.
Four
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

35. poly
Inflammation
Middle of the body.
Moving backward
Many

36. Inversion
Turning Inward
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
Pain
Stone

37. Zygoma
Active - retired - survivors and their families of the Armed Forces.
Cheek Bone
Sacrum
Fallopian tubes

38. -gram
Record
MM/DD/YY
Forms the roof of the nasal cavity
Bone

39. Palatine Bones
Vertical plane dividing the body into Anterior and Posterior sections.
Upper roof of the mouth
Small collection of clear fluid; blister
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

40. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Bursting forth blood
Horizontal plane dividing the upper and lower parts of the body.
Forms the two lower sides of the cranium

41. Retraction
Bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Small with irregular shapes (ie wrist and ankle)
Moving backward

42. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Surgical Puncture
Four
Skin

43. endo
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
Within
Liver
Toe Bones

44. Inferior nasal conchae
Through
Under
Interior of the nose
Nose

45. -rrhea
Discharge - Flow
Interior of the nose
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.
Horizontal plane dividing the upper and lower parts of the body.

46. What does a Surgical Package (aka Global Surgery) include?
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
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Enlargement
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.

47. Sagittal
Toe Bones
Lower Jawbone
Vertical plane dividing the body to the left and the right sides.
Active - retired - survivors and their families of the Armed Forces.

48. Can you have TRICARE and CHAMPVA at the same time?
Out - out of
Office of Inspector General (OIG)
To view
No.

49. -stomy
Skull - Ribcage and Spine.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Opening
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

50. -rrhaphy
Upper Jawbone
26
Suture
Strong - broad and have large surfaces for muscles to attach to.