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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. Lipocyte
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Toe Bones
Fat cell
Bones the palm of the hand

2. hyster/
Small with irregular shapes (ie wrist and ankle)
Uteris
Free moving joints that are surrounded by joint capsules.
Against

3. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Cancer that has spread to a secondary site.
Forms the back of the skull
Suture

4. brady
Lunula
Slow
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Under

5. What are bones connected together with?
Lunula
Bursting forth blood
Fibrous bands of ligaments
To cut into

6. chondro/
Fallopian tubes
Cartilage
A change in the code description since the last edition.
Back part of the body.

7. gloss/
Office of Inspector General (OIG)
Tongue
Head
Movement away from the midline

8. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Skull - Ribcage and Spine.
Head
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

9. derm/
Small with irregular shapes (ie wrist and ankle)
Skin
Toe Bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

10. -therapy
Abdomen
Head
Lung
Treatment

11. Transverse/Cross Sectional
Strong - broad and have large surfaces for muscles to attach to.
Horizontal plane dividing the upper and lower parts of the body.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Before

12. What are the two types of edits that the NCCI implements?
Head
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.
Vertical plane dividing the body into Anterior and Posterior sections.
Milk

13. How many digits does an ICD-9 Category code have?
3 (ex 311)
Against
Cancer that has spread to a secondary site.
4. (ex 311.0)

14. What does a triangle in the CPT book next to a code mean?
Within
Strong - broad and have large surfaces for muscles to attach to.
3 (ex 311)
A change in the code description since the last edition.

15. -algia
Stomach
Toe Bones
Pain
Abdomen

16. a - an
Measure
Without
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Skin

17. -itis
Half
Inflammation
Smaller - lateral leg bone
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

18. Vomer
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Bone that forms the wall between the nostrils
Discharge - Flow
Liver

19. -plasty
Cancer that has localized and not spread at all.
Forms the roof of the nasal cavity
Death of tissue due to loss of blood supply
Surgical Repair

20. Adduction
Movement toward the midline
Stomach
Lower arm bone in line with the thumb
Back part of the body.

21. What is the moon like white area at the base of the nail called?
A change in the code description since the last edition.
Reimbursement is sent directly from payer to the provider.
Gall bladder
Lunula

22. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Abdomen
Bursting forth blood
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

23. Cervical
Many
Neck Bones
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

24. When are E codes used?
Far from the point of attachment of the trunk.
Surgical Fixation
Smaller - lateral leg bone
In the cause of injury - poisoning - accidents or other adverse effects.

25. dys
Forms the front part of the skull and the forehead.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Skull - Ribcage and Spine.
Painful - difficult

26. What is CHAMPVA
Forms the roof of the nasal cavity
False
Shoulder - collar - pelvic - arms and legs.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

27. What are bones made of?
Osseous
Below
Nose
Forms the sides of the cranium

28. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
Treatment
Middle of the foot bone
Blood Condition

29. Posterior/Dorsal
Upper Arm bone
Back part of the body.
Forms the back of the skull
Forms the roof of the nasal cavity

30. -rrhaphy
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Suture
The fractured area of the bone collapses on itself.
Tongue

31. endo
Turning Inward
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Within
Bacterial inflammatory skin disease with lesions - pustules and vesicles

32. Carpals
Wrist bones
Stone
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
Half

33. What is hair made of?
Karatin
Skin
Moving backward
Mass

34. Palatine Bones
Middle of the foot bone
Upper roof of the mouth
Cartilage
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

35. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Painful - difficult
Hematopoietic tissue

36. poly
Forms the two lower sides of the cranium
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Without
Many

37. Vomer
Bone that forms the wall between the nostrils
Forms the sides of the cranium
Ovary
Vertical plane dividing the body to the left and the right sides.

38. 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
To cut into
3 (ex 311)
Record

39. How many digits does an ICD-9 Category code have?
A working diagnosis that has not yet been established.
Standards of conduct based on moral principals.
Fallopian tubes
3 (ex 311)

40. What is Employee Liability Insurance?
Above
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Milk

41. stomat/
Lower arm bone in line with the thumb
Mouth
Cheek Bone
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

42. What are bones made of?
Within
Osseous
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Middle of the body.

43. Ulna
Major skin pigment
Lower medial arm 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
Shin

44. Macule
Through
Discolored - flat lesion
Turning Inward
Upper Arm bone

45. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1996
Sacrum
A working diagnosis that has not yet been established.

46. Phalanx
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
CMS
Toe Bones
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. What are the key components of E/M?
Vulva
Reimbursement is sent directly from payer to the provider.
Forms the two lower sides of the cranium
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

48. pre
1. Insurance Reform 2. Administrative Simplification
Before - in front of
Below - deficient
Standards of conduct based on moral principals.

49. lapar/
Ovary
Horizontal plane dividing the upper and lower parts of the body.
Forms the sides of the cranium
Abdomen

50. Parietal Bones
Upper roof of the mouth
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Osseous
Forms the sides of the cranium