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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. Flat Bones
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Hind foot bone

2. Lumbar
Ankle
Lower Back
Upper Back
Upper Arm bone

3. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Half
Treatment
1996

4. What is Assignment of Benefits?
Bone
A new procedure or service since the previous edition.
Reimbursement is sent directly from payer to the provider.
Ankle

5. Coccygeal
1. Insurance Reform 2. Administrative Simplification
Neck Bones
The bone is broken and pierces an organ.
Coccyx (Tailbone)

6. Lumbar
Small with irregular shapes (ie wrist and ankle)
Lower Back
Forms the front part of the skull and the forehead.
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.

7. lapar/
Abdomen
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
A pregnant woman who has had at least one pregnancy.
The fractured area of the bone collapses on itself.

8. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Painful - difficult
Turning Outward
Upper roof of the mouth

9. Who investigates and prosecutes Health Care fraud?
Skull - Ribcage and Spine.
Bone
Office of Inspector General (OIG)
Above

10. anti
Epinephrine and Steriods
Ankle
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Against

11. Supination
Small with irregular shapes (ie wrist and ankle)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Turning the palm or foot upward

12. Proximal
Near the point of attachment to the trunk.
Stomach
Upper Back
5

13. Melanin
Smaller - lateral leg bone
Major skin pigment
Absence of hair
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

14. derm/
Skin
Fat cell
Fibrous bands of ligaments
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

15. ante
Between
The bone is broken and pierces an organ.
Skin
Before

16. Protraction
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
CMS-1500
Moving forward
Lower arm bone in line with the thumb

17. When are V codes used?
Turning Outward
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
5. (ex 311.56)
Vulva

18. cephal/
Head
Above
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Nose

19. What are bones connected together with?
Between
Fibrous bands of ligaments
Small collection of clear fluid; blister
Against

20. What is Carcinoma in situ?
Muscle
Cancer that has localized and not spread at all.
Ovary
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

21. Frontal - Coronal
Active - retired - survivors and their families of the Armed Forces.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Vertical plane dividing the body into Anterior and Posterior sections.
Many

22. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Upper Jawbone
Hind foot bone
Wrist bones

23. Multigravida
A pregnant woman who has had at least one pregnancy.
Gall bladder
Hematopoietic tissue
Far from the point of attachment of the trunk.

24. What is hair made of?
Karatin
1996
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.
3 (ex 311)

25. Short Bones
Small with irregular shapes (ie wrist and ankle)
Suture
Death of tissue due to loss of blood supply
Treatment

26. -centisis
Surgical Puncture
Ovary
Nose
Lower Jawbone

27. -lysis
Beside
5. (ex 311.56)
Bursting forth blood
Separation - Breakdown

28. a - an
Without
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.
Reimbursement is sent directly from payer to the provider.
Small collection of clear fluid; blister

29. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
Above
False
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

30. What are the 5 regions of the spine?
Moving backward
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Active - retired - survivors and their families of the Armed Forces.
Lower Back

31. enter/
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Head
Intestine
Small collection of clear fluid; blister

32. -centisis
Moving forward
Surgical Puncture
Interior of the nose
Separation - Breakdown

33. Eversion
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
MM/DD/YY
Turning Outward
Liver

34. Sacral
Head
Shoulder - collar - pelvic - arms and legs.
Sacrum
Surgical Puncture

35. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Forms the front part of the skull and the forehead.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Above

36. poly
Within
Many
1996
Lower arm bone in line with the thumb

37. Ulna
Cartilage
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Lower medial arm bone
In front of the temporal bones

38. What is the False Claims Act (FCA)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Below - deficient

39. Parietal Bones
A new procedure or service since the previous edition.
Forms the sides of the cranium
Small collection of clear fluid; blister
CMS-1500

40. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
A working diagnosis that has not yet been established.
Tongue
No.

41. arth/
Cartilage
Free moving joints that are surrounded by joint capsules.
Cheek Bone
Upper roof of the mouth

42. What does a Surgical Package (aka Global Surgery) include?
Smaller - lateral leg bone
Uteris
Shoulder - collar - pelvic - arms and legs.
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

43. -emia
Blood Condition
Upper Back
Shin
Interior of the nose

44. What is Carcinoma in situ?
Upper Jawbone
Ankle
Cancer that has localized and not spread at all.
Milk

45. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Lower arm bone in line with the thumb
Turning Outward

46. gastro/
Stomach
Small with irregular shapes (ie wrist and ankle)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Epinephrine and Steriods

47. What are the 2 types of glands on the skin?
Skull - Ribcage and Spine.
Lung
Half
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

48. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Forms the back of the skull
CMS-1500
A pregnant woman who has had at least one pregnancy.

49. Medial
Above
The bone is crushed or shattered.
Middle of the body.
Under

50. epi
Lower Back
Forms the two lower sides of the cranium
Above
Inflammation