Test your basic knowledge |

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. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
Above
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

2. Sagittal
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Absence of hair
Vertical plane dividing the body to the left and the right sides.
Side

3. -megaly
Enlargement
Measure
Below - deficient
False

4. cephal/
False
A break at the distal end of the bone - usually when someone tries to break their fall.
Head
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

5. Carpals
Record
Wrist bones
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
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

6. What are bones connected together with?
A change in the code description since the last edition.
Fibrous bands of ligaments
Half
Out - out of

7. -scopy
Above
Visual Examination
Fat cell
Cancer that has localized and not spread at all.

8. Vomer
Bone that forms the wall between the nostrils
Heart
Turning Inward
Separation - Breakdown

9. What are the 3 layers of skin?
Muscle
Forms the back of the skull
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Vagina

10. Ulna
Above
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Lower medial arm bone

11. cholecyst/
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Liver
Toe Bones
Gall bladder

12. Maxilla
Lower arm bone in line with the thumb
Many
Upper Jawbone
In front of the temporal bones

13. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
The Axial Skeleton and the Appendicular Skeleton
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Forms the roof of the nasal cavity

14. anti
Under
Visual Examination
Against
Office of Inspector General (OIG)

15. cardi/
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Smaller - lateral leg bone
Heart
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

16. What are the two types of edits that the NCCI implements?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
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.
Discolored - flat lesion
Cancer that has localized and not spread at all.

17. salping/
The fractured area of the bone collapses on itself.
Tongue
Fallopian tubes
No.

18. -rrhagia
A working diagnosis that has not yet been established.
Abnormal condition
Bursting forth blood
New

19. chondro/
Osseous
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Finger Bones
Cartilage

20. What is Fiscal Intermediary?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Birth
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Discharge - Flow

21. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Skull - Ribcage and Spine.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
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.

22. Tarsal
Cancer that has localized and not spread at all.
A new procedure or service since the previous edition.
Hind foot bone
Moving backward

23. When billing an insurance company - what information must be included?
Skin
Upper roof of the mouth
Before - in front of
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

24. -centisis
The bone is crushed or shattered.
Reimbursement is sent directly from payer to the provider.
Half
Surgical Puncture

25. hin/
Nose
Visual Examination
Upper Jawbone
Below

26. Lipocyte
Fat cell
False
1. Insurance Reform 2. Administrative Simplification
Major skin pigment

27. -lysis
Separation - Breakdown
CMS
Movement away from the midline
Moving forward

28. brady
A working diagnosis that has not yet been established.
Lower medial arm bone
Slow
CMS

29. Frontal Bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
To view
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Forms the front part of the skull and the forehead.

30. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Measure
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
Vagina

31. What are synovial joints?
Toe Bones
Osseous
Forms the two lower sides of the cranium
Free moving joints that are surrounded by joint capsules.

32. inter
Reimbursement is sent directly from payer to the provider.
Against
Between
Breast

33. hyster/
Forms the front part of the skull and the forehead.
Uteris
Side
Vulva

34. endo
In front of the temporal bones
Noninvasive - non-spreading - nonmalignant.
Within
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

35. 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
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
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.
Reimbursement is sent directly from payer to the provider.

36. myo/
Muscle
Turning the palm or foot upward
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A new procedure or service since the previous edition.

37. lact/
Upper Back
Inflammation
Skull - Ribcage and Spine.
Milk

38. What is a Complicated Fracture?
Turning Inward
Upper roof of the mouth
The bone is broken and pierces an organ.
Lower medial arm bone

39. Multigravida
A pregnant woman who has had at least one pregnancy.
The Axial Skeleton and the Appendicular Skeleton
A change in the code description since the last edition.
Movement toward the midline

40. What are the insides of bones comprised of?
Hematopoietic tissue
Without
Lower medial arm bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

41. Humerus
Strong - broad and have large surfaces for muscles to attach to.
Upper Arm bone
Treatment
Forms the two lower sides of the cranium

42. How many digits does an ICD-9 Subclassification code have?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
5. (ex 311.56)
Side
A working diagnosis that has not yet been established.

43. How many volumes is the ICD-9 manual divided into?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Out - out of
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Painful - difficult

44. Who investigates and prosecutes Health Care fraud?
Office of Inspector General (OIG)
Cancer that has spread to a secondary site.
Osseous
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

45. anti
Bone that forms the wall between the nostrils
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Against
Major skin pigment

46. Impetigo
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Lunula
Coccyx (Tailbone)
Suture

47. What are the 3 classifications of Hypertension?
Treatment
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
26

48. gloss/
Small collection of clear fluid; blister
Tongue
Vagina
Below

49. -emia
Blood Condition
Bone that forms the wall between the nostrils
Small collection of clear fluid; blister
Turning the palm or foot upward

50. -lysis
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Separation - Breakdown
Liver