Test your basic knowledge |

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. Can you have TRICARE and CHAMPVA at the same time?
No.
Strong - broad and have large surfaces for muscles to attach to.
4. (ex 311.0)
To view

2. How many volumes is the ICD-9 manual divided into?
Standards of conduct based on moral principals.
Absence of hair
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

3. derm/
Skin
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Breast
Mouth

4. colp/
Strong - broad and have large surfaces for muscles to attach to.
Without
3 (ex 311)
Vagina

5. dys
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Painful - difficult
Abnormal condition
Side

6. What is secondary malignancy?
The Axial Skeleton and the Appendicular Skeleton
Milk
Structural protein found in skin and connective tissue.
Cancer that has spread to a secondary site.

7. Inferior nasal conchae
New
Interior of the nose
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
3 (ex 311)

8. What are the 2 types of sweat glands?
Small collection of clear fluid; blister
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Fallopian tubes
5

9. -gram
Hematopoietic tissue
Record
Surgical Puncture
Out - out of

10. How many digits does an ICD-9 Subcategory code have?
Cartilage
Bones the palm of the hand
4. (ex 311.0)
Forms the roof of the nasal cavity

11. Proximal
Lower arm bone in line with the thumb
Stone
A break at the distal end of the bone - usually when someone tries to break their fall.
Near the point of attachment to the trunk.

12. Eversion
Pain
Blood Condition
Turning Outward
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

13. Humerus
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Fallopian tubes
Upper Arm bone
No.

14. What are synovial joints?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
1996
Free moving joints that are surrounded by joint capsules.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

15. What does a Surgical Package (aka Global Surgery) include?
Skull - Ribcage and Spine.
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
A working diagnosis that has not yet been established.
Out - out of

16. What does a bullet in the CPT code book next to a code mean?
Moving forward
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
A new procedure or service since the previous edition.
Small collection of clear fluid; blister

17. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
Bone that forms the wall between the nostrils
Abnormal condition
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

18. ante
Back part of the body.
Major skin pigment
Shin
Before

19. 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.
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.
The bone is crushed or shattered.

20. Collagen
Mouth
Abdomen
Structural protein found in skin and connective tissue.
Against

21. What is the Civil Monetary Penalties Law (CMPL)?
Tongue
Fallopian tubes
Four
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

22. What are the two types of edits that the NCCI implements?
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.
In the cause of injury - poisoning - accidents or other adverse effects.
Inflammation
Discharge - Flow

23. What is Fiscal Intermediary?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Smaller - lateral leg bone

24. 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.
A break at the distal end of the bone - usually when someone tries to break their fall.
Hematopoietic tissue
26

25. epi
Forms the back of the skull
The bone is broken and pierces an organ.
Above
Under

26. Supination
Breast
Turning the palm or foot upward
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
CMS-1500

27. cardi/
Head
Treatment
Heart
A new procedure or service since the previous edition.

28. sub
Cancer that has spread to a secondary site.
Upper Back
Vertical plane dividing the body into Anterior and Posterior sections.
Under

29. -stomy
Movement toward the midline
Opening
To view
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

30. -itis
Inflammation
Mouth
Enlargement
3 (ex 311)

31. What is Assignment of Benefits?
Blood Condition
Reimbursement is sent directly from payer to the provider.
Horizontal plane dividing the upper and lower parts of the body.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

32. -pexy
CMS
Surgical Fixation
Major skin pigment
A pregnant woman who has had at least one pregnancy.

33. What is the Civil Monetary Penalties Law (CMPL)?
Surgical Fixation
MM/DD/YY
The fractured area of the bone collapses on itself.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

34. -plasty
Enlargement
Surgical Repair
Against
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. arth/
Cartilage
Upper Arm bone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Discharge - Flow

36. What does a triangle in the CPT book next to a code mean?
Tongue
Vagina
Cancer that has spread to a secondary site.
A change in the code description since the last edition.

37. Vomer
Turning Inward
Gall bladder
Skin
Bone that forms the wall between the nostrils

38. lapar/
Between
Side
Abdomen
Forms the front part of the skull and the forehead.

39. What is Benign?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Bursting forth blood
Absence of hair
Noninvasive - non-spreading - nonmalignant.

40. -plasty
Forms the sides of the cranium
Without
Surgical Repair
Bones at the corner of each eye that cradle the tearducts

41. -centisis
Fibrous bands of ligaments
Four
Surgical Puncture
Abdomen

42. epi
Wrist bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Above
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

43. -osis
Reimbursement is sent directly from payer to the provider.
Toe Bones
Small collection of clear fluid; blister
Abnormal condition

44. oste/
CMS-1500
Skin
Ankle
Bone

45. Lumbar
Lower Back
Shin
26
Disease Condition

46. 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
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Cheek Bone
Bones the palm of the hand

47. When was the Health Information and Accountability Act (HIPAA) created?
Slow
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
1996
Uteris

48. Who investigates and prosecutes Health Care fraud?
Structural protein found in skin and connective tissue.
Above
Cartilage
Office of Inspector General (OIG)

49. -tomy
Sacrum
To cut into
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Head

50. Who does TRICARE cover?
Treatment
5
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