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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. Hypo
Below - deficient
Through
Lower Jawbone
Surgical Puncture

2. Zygoma
Small collection of clear fluid; blister
CMS
Karatin
Cheek Bone

3. -ectomy
Under
A change in the code description since the last edition.
Removal - Excision - Resection
Turning the palm or foot upward

4. Metatarsal
Middle of the foot bone
Upper Jawbone
Birth
In front of the temporal bones

5. What does a bullet in the CPT code book next to a code mean?
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Cartilage
A new procedure or service since the previous edition.
Death of tissue due to loss of blood supply

6. Vomer
Bone that forms the wall between the nostrils
Skull - Ribcage and Spine.
Upper Back
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

7. ex
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
Cancer that has spread to a secondary site.
Out - out of
Moving backward

8. What are synovial joints?
Visual Examination
Moving forward
5. (ex 311.56)
Free moving joints that are surrounded by joint capsules.

9. Palatine Bones
Upper roof of the mouth
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Little - scanty
Turning the palm or foot upward

10. Lateral
4. (ex 311.0)
Side
Beside
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

11. per
All
Through
Surgical Fixation
Smaller - lateral leg bone

12. Sacral
Before - in front of
Tongue
Sacrum
CMS-1500

13. -pexy
Stomach
Half
Separation - Breakdown
Surgical Fixation

14. How is Medicare's RBRVS calculated?
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
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Hematopoietic tissue
Middle of the body.

15. hemi
Half
Fibrous bands of ligaments
Inflammation
Four

16. Phalanges
Finger Bones
Suture
Shin
Above

17. brady
MM/DD/YY
Lunula
Slow
False

18. What are the 3 classifications of Hypertension?
Small collection of clear fluid; blister
Shin
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Cancer that has localized and not spread at all.

19. How is the Patients DOB entered on the claim form?
MM/DD/YY
Standards of conduct based on moral principals.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bursting forth blood

20. Medial
Osseous
Reimbursement is sent directly from payer to the provider.
Middle of the body.
All

21. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Cartilage
Ankle

22. Inferior nasal conchae
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
1996
Forms the sides of the cranium
Interior of the nose

23. Abduction
MM/DD/YY
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Movement away from the midline
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

24. Anterior/Ventral
Front part of the body.
All
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
A change in the code description since the last edition.

25. cholecyst/
Painful - difficult
26
Gall bladder
Fibrous bands of ligaments

26. What is Employer Liability?

27. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Mouth
Surgical Puncture
Many

28. What is the name of the claim form that is standard for submitting claims?
CMS-1500
Lunula
5. (ex 311.56)
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.

29. lact/
Milk
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Slow

30. Fibula
Lower Jawbone
Major skin pigment
Smaller - lateral leg bone
Before - in front of

31. How long should Medical Records be retained?
Cancer that has spread to a secondary site.
Before
Enlargement
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

32. 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
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
Surgical Puncture
Little - scanty

33. What are the two types of edits that the NCCI implements?
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
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.
Forms the two lower sides of the cranium

34. -therapy
Before - in front of
Between
Middle of the body.
Treatment

35. What are synovial joints?
Cancer that has localized and not spread at all.
Upper Arm bone
Shin
Free moving joints that are surrounded by joint capsules.

36. Distal
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Between
Vertical plane dividing the body to the left and the right sides.
Far from the point of attachment of the trunk.

37. What is Fiscal Intermediary?
Within
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Above

38. Flat Bones
Major skin pigment
Fibrous bands of ligaments
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Active - retired - survivors and their families of the Armed Forces.

39. Who investigates and prosecutes Health Care fraud?
Removal - Excision - Resection
Mouth
Without
Office of Inspector General (OIG)

40. Infra
Under
The Axial Skeleton and the Appendicular Skeleton
Below
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

41. Impetigo
Abnormal condition
Neck Bones
In the cause of injury - poisoning - accidents or other adverse effects.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

42. Gangrene
Fat cell
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Death of tissue due to loss of blood supply
In front of the temporal bones

43. What are Medical Ethics?
Stone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Standards of conduct based on moral principals.

44. What are the 2 types of sweat glands?
Bone that forms the wall between the nostrils
Finger Bones
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Out - out of

45. hepato/
Liver
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Forms the front part of the skull and the forehead.
Within

46. Transverse/Cross Sectional
Half
Horizontal plane dividing the upper and lower parts of the body.
Head
Ovary

47. -centisis
Surgical Puncture
Before
Heart
Below - deficient

48. Ulna
Lower Jawbone
Birth
Surgical Puncture
Lower medial arm bone

49. tetra
Four
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Osseous
Fallopian tubes

50. -pathy
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Liver
Disease Condition