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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. episi/
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
Vulva
Mass
A pregnant woman who has had at least one pregnancy.

2. What are the 2 types of sweat glands?
Discharge - Flow
Fibrous bands of ligaments
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Under

3. Short Bones
No.
Upper Back
Reimbursement is sent directly from payer to the provider.
Small with irregular shapes (ie wrist and ankle)

4. Hypo
Below - deficient
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
The Axial Skeleton and the Appendicular Skeleton
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

5. oglio
False
4. (ex 311.0)
Mouth
Little - scanty

6. -meter
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Noninvasive - non-spreading - nonmalignant.
Measure
Treatment

7. Who does TRICARE cover?
Noninvasive - non-spreading - nonmalignant.
Active - retired - survivors and their families of the Armed Forces.
Small collection of clear fluid; blister
False

8. 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.
New
5. (ex 311.56)
Side

9. Vomer
Bone that forms the wall between the nostrils
Standards of conduct based on moral principals.
Active - retired - survivors and their families of the Armed Forces.
Standards of conduct based on moral principals.

10. -ectomy
MM/DD/YY
Between
Horizontal plane dividing the upper and lower parts of the body.
Removal - Excision - Resection

11. Protraction
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.
Moving forward
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Finger Bones

12. Lateral
Near the point of attachment to the trunk.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Side
In the cause of injury - poisoning - accidents or other adverse effects.

13. What is in a Medical Record?
Between
Death of tissue due to loss of blood supply
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

14. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Above
Lower arm bone in line with the thumb
Many

15. dys
Painful - difficult
Milk
Gall bladder
Bacterial inflammatory skin disease with lesions - pustules and vesicles

16. gastro/
Above
Mass
Under
Stomach

17. -algia
Sacrum
Before
Pain
Moving forward

18. Adduction
Movement away from the midline
Slow
Turning the palm or foot upward
Movement toward the midline

19. colp/
Upper Arm bone
Under
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.
Vagina

20. -stomy
Opening
Upper Back
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Lower arm bone in line with the thumb

21. Transverse/Cross Sectional
Moving forward
Strong - broad and have large surfaces for muscles to attach to.
CMS-1500
Horizontal plane dividing the upper and lower parts of the body.

22. Medial
Out - out of
Middle of the body.
Cancer that has localized and not spread at all.
Turning Inward

23. When was the Health Information and Accountability Act (HIPAA) created?
Turning Outward
1996
Little - scanty
Horizontal plane dividing the upper and lower parts of the body.

24. Proximal
Near the point of attachment to the trunk.
Uteris
Free moving joints that are surrounded by joint capsules.
Wrist bones

25. Multigravida
A pregnant woman who has had at least one pregnancy.
Movement away from the midline
Upper Arm bone
In front of the temporal bones

26. What does a Surgical Package (aka Global Surgery) include?
Karatin
Opening
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
False

27. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Middle of the body.
Milk
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

28. Distal
Bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Far from the point of attachment of the trunk.
A new procedure or service since the previous edition.

29. -rrhagia
Major skin pigment
Surgical Puncture
Skin
Bursting forth blood

30. lact/
5
Bursting forth blood
Fat cell
Milk

31. Proximal
Reimbursement is sent directly from payer to the provider.
Before
Suture
Near the point of attachment to the trunk.

32. pan
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Far from the point of attachment of the trunk.
All
5

33. Lipocyte
5
Horizontal plane dividing the upper and lower parts of the body.
Through
Fat cell

34. How is Medicare's RBRVS calculated?
Surgical Fixation
Moving forward
False
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

35. -emia
Turning Inward
Middle of the foot bone
Blood Condition
Four

36. Ulna
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Out - out of
Liver
Lower medial arm bone

37. Thoracic
Upper Back
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.
Half
Surgical Repair

38. Long Bones
No.
The fractured area of the bone collapses on itself.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Strong - broad and have large surfaces for muscles to attach to.

39. What is secondary malignancy?
A change in the code description since the last edition.
Karatin
Cancer that has spread to a secondary site.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

40. What are bursae?
Smaller - lateral leg bone
Cartilage
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.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

41. Inversion
Small collection of clear fluid; blister
Tongue
The bone is crushed or shattered.
Turning Inward

42. What is the Civil Monetary Penalties Law (CMPL)?
26
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Upper Jawbone
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

43. gloss/
A working diagnosis that has not yet been established.
Forms the front part of the skull and the forehead.
Tongue
4. (ex 311.0)

44. Long Bones
Fat cell
Cancer that has spread to a secondary site.
Forms the roof of the nasal cavity
Strong - broad and have large surfaces for muscles to attach to.

45. What is a Comminuted Fracture?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Forms the back of the skull
New
The bone is crushed or shattered.

46. What is a Complicated Fracture?
Cancer that has spread to a secondary site.
Hind foot bone
Small collection of clear fluid; blister
The bone is broken and pierces an organ.

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

48. neo
New
Abnormal condition
Four
Before - in front of

49. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Interior of the nose
Four
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

50. What hormones do the adrenal glands secrete?
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.
No.
Mass
Epinephrine and Steriods