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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. -pathy
Disease Condition
Wrist bones
A break at the distal end of the bone - usually when someone tries to break their fall.
Active - retired - survivors and their families of the Armed Forces.

2. Thoracic
Disease Condition
Cartilage
Forms the front part of the skull and the forehead.
Upper Back

3. oste/
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
Forms the sides of the cranium
Bone
Near the point of attachment to the trunk.

4. -rrhagia
Bursting forth blood
Neck Bones
Liver
Below - deficient

5. Occipital Bone
Osseous
Karatin
Osseous
Forms the back of the skull

6. Adduction
Middle of the body.
Movement toward the midline
To cut into
Cartilage

7. Thoracic
Lower Jawbone
Upper Back
Surgical Fixation
Ankle

8. -megaly
Enlargement
Turning Outward
Osseous
The fractured area of the bone collapses on itself.

9. nat/
Moving backward
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.
Birth
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.

10. What are Medical Ethics?
No.
Small with irregular shapes (ie wrist and ankle)
Standards of conduct based on moral principals.
Shoulder - collar - pelvic - arms and legs.

11. -scopy
Visual Examination
Muscle
Upper roof of the mouth
Turning the palm or foot upward

12. Who investigates and prosecutes Health Care fraud?
Four
Below
Office of Inspector General (OIG)
Middle of the foot bone

13. hin/
26
Turning Inward
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Nose

14. Collagen
Noninvasive - non-spreading - nonmalignant.
Absence of hair
New
Structural protein found in skin and connective tissue.

15. Vomer
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.
Fibrous bands of ligaments
Strong - broad and have large surfaces for muscles to attach to.
Bone that forms the wall between the nostrils

16. tetra
Painful - difficult
Four
CMS
The bone is crushed or shattered.

17. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Under
Skull - Ribcage and Spine.
Without

18. pneum/
Little - scanty
Surgical Fixation
Vertical plane dividing the body to the left and the right sides.
Lung

19. enter/
Suture
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
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
Intestine

20. Metatarsal
Pain
Middle of the foot bone
To cut into
Birth

21. pre
Before - in front of
New
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Fallopian tubes

22. How many regions is the spinal/vertebral column divided into?
Side
5
Disease Condition
Little - scanty

23. What is secondary malignancy?
Disease Condition
Upper Jawbone
Cancer that has spread to a secondary site.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

24. mast/
Through
Osseous
Movement away from the midline
Breast

25. sub
Under
Bones the palm of the hand
Disease Condition
The fractured area of the bone collapses on itself.

26. What are bones connected together with?
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.
Suture
Standards of conduct based on moral principals.
Fibrous bands of ligaments

27. -rrhea
Fallopian tubes
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Discharge - Flow
Below

28. What is a compression fracture?
The fractured area of the bone collapses on itself.
Turning Outward
Toe Bones
Bacterial inflammatory skin disease with lesions - pustules and vesicles

29. neo
Fibrous bands of ligaments
Fibrous bands of ligaments
1. Insurance Reform 2. Administrative Simplification
New

30. 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.
Absence of hair
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Epinephrine and Steriods

31. Sesamoid Bones
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Turning the palm or foot upward
Noninvasive - non-spreading - nonmalignant.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

32. cholecyst/
Gall bladder
Above
Stone
To view

33. What is a Qualified Diagnosis
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.
Record
A working diagnosis that has not yet been established.
26

34. Short Bones
Sacrum
A pregnant woman who has had at least one pregnancy.
Small with irregular shapes (ie wrist and ankle)
Sacrum

35. arth/
Gall bladder
Cartilage
Nose
Middle of the body.

36. Anterior/Ventral
Front part of the body.
Finger Bones
New
Death of tissue due to loss of blood supply

37. pan
Pain
Back part of the body.
All
Intestine

38. What are bursae?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Horizontal plane dividing the upper and lower parts of the body.

39. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Neck Bones
Enlargement
Interior of the nose

40. Short Bones
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Forms the two lower sides of the cranium
Small with irregular shapes (ie wrist and ankle)
Out - out of

41. a - an
Without
Moving backward
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Forms the two lower sides of the cranium

42. What are the 2 types of sweat glands?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Suture
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

43. Retraction
Moving backward
Middle of the foot bone
Smaller - lateral leg bone
New

44. Collagen
Within
Pain
Intestine
Structural protein found in skin and connective tissue.

45. -rrhagia
Between
Small with irregular shapes (ie wrist and ankle)
In the cause of injury - poisoning - accidents or other adverse effects.
Bursting forth blood

46. What is the False Claims Act (FCA)
Out - out of
Vagina
Upper Jawbone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

47. endo
Cancer that has spread to a secondary site.
Fallopian tubes
Within
Fat cell

48. -stomy
Stone
Turning the palm or foot upward
Standards of conduct based on moral principals.
Opening

49. -lysis
Small collection of clear fluid; blister
Opening
Lower medial arm bone
Separation - Breakdown

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