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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. -plasty
Standards of conduct based on moral principals.
Fibrous bands of ligaments
Surgical Repair
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

2. myo/
Shin
Middle of the foot bone
Muscle
Discharge - Flow

3. -centisis
Surgical Puncture
Bones the palm of the hand
Discolored - flat lesion
Below - deficient

4. -rrhaphy
Suture
Separation - Breakdown
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Vagina

5. poly
Fat cell
To cut into
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Many

6. Phalanges
In the cause of injury - poisoning - accidents or other adverse effects.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Finger Bones
Stomach

7. -rrhaphy
Bones the palm of the hand
Half
Suture
A new procedure or service since the previous edition.

8. pan
All
Forms the front part of the skull and the forehead.
Muscle
Wrist bones

9. hin/
Breast
Nose
Lower Jawbone
Far from the point of attachment of the trunk.

10. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
The fractured area of the bone collapses on itself.
Four
All

11. -therapy
Tongue
Hind foot bone
A pregnant woman who has had at least one pregnancy.
Treatment

12. gloss/
Far from the point of attachment of the trunk.
Uteris
Skull - Ribcage and Spine.
Tongue

13. What is in a Medical Record?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Treatment
Vagina

14. What are bones made of?
Standards of conduct based on moral principals.
Lower Back
Osseous
Standards of conduct based on moral principals.

15. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
MM/DD/YY
Stomach
Vagina

16. Short Bones
Discharge - Flow
Abdomen
Small with irregular shapes (ie wrist and ankle)
Little - scanty

17. What is the National Correct Coding Initiative (NCCI)?
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
Skull - Ribcage and Spine.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Sacrum

18. Inversion
Above
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Turning Inward
Abdomen

19. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
The fractured area of the bone collapses on itself.
No.
Tongue

20. -rrhagia
Fibrous bands of ligaments
Wrist bones
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Bursting forth blood

21. Occipital Bone
Epinephrine and Steriods
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Forms the back of the skull

22. What does a bullet in the CPT code book next to a code mean?
Forms the two lower sides of the cranium
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Lower medial arm bone
A new procedure or service since the previous edition.

23. Who investigates and prosecutes Health Care fraud?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
4. (ex 311.0)
Office of Inspector General (OIG)
Vagina

24. lapar/
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.
Under
To view
Abdomen

25. -emia
Treatment
Blood Condition
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Mass

26. lact/
Milk
Death of tissue due to loss of blood supply
Bones the palm of the hand
Office of Inspector General (OIG)

27. pan
All
Near the point of attachment to the trunk.
Far from the point of attachment of the trunk.
Intestine

28. anti
Visual Examination
Small with irregular shapes (ie wrist and ankle)
Suture
Against

29. episi/
Little - scanty
Upper Jawbone
Intestine
Vulva

30. How is the Patients DOB entered on the claim form?
A break at the distal end of the bone - usually when someone tries to break their fall.
Cheek Bone
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.
MM/DD/YY

31. Inferior nasal conchae
Out - out of
Interior of the nose
Hardening
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

32. What are the key components of E/M?
Removal - Excision - Resection
Major skin pigment
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
1. Insurance Reform 2. Administrative Simplification

33. What are the key components of E/M?
Hematopoietic tissue
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
Vertical plane dividing the body into Anterior and Posterior sections.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

34. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Through
Cheek Bone
Record

35. Flat Bones
Cancer that has localized and not spread at all.
Cancer that has localized and not spread at all.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Surgical Fixation

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

37. enter/
Blood Condition
Epinephrine and Steriods
Painful - difficult
Intestine

38. What hormones do the adrenal glands secrete?
Visual Examination
False
26
Epinephrine and Steriods

39. cephal/
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
Side
Head
Office of Inspector General (OIG)

40. Sacral
Sacrum
Removal - Excision - Resection
Cancer that has spread to a secondary site.
Below - deficient

41. pneum/
Near the point of attachment to the trunk.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
The fractured area of the bone collapses on itself.
Lung

42. -lysis
Movement toward the midline
Separation - Breakdown
Liver
1996

43. -scopy
Forms the sides of the cranium
Heart
Visual Examination
Bones at the corner of each eye that cradle the tearducts

44. What is a Qualified Diagnosis
Active - retired - survivors and their families of the Armed Forces.
Cancer that has spread to a secondary site.
A working diagnosis that has not yet been established.
Absence of hair

45. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Shin
Surgical Repair
Reimbursement is sent directly from payer to the provider.

46. What is a Comminuted Fracture?
Liver
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
The bone is crushed or shattered.
Moving forward

47. Macule
Discolored - flat lesion
Discharge - Flow
A new procedure or service since the previous edition.
Surgical Fixation

48. -rrhea
A break at the distal end of the bone - usually when someone tries to break their fall.
Lunula
Discharge - Flow
Between

49. What is secondary malignancy?
Cancer that has spread to a secondary site.
Side
Bone
Strong - broad and have large surfaces for muscles to attach to.

50. -ectomy
Mass
Before - in front of
Milk
Removal - Excision - Resection