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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. Sphenoid Bones
In front of the temporal bones
Stomach
Side
Enlargement

2. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Removal - Excision - Resection
Upper Arm bone
Reimbursement is sent directly from payer to the provider.

3. sub
Enlargement
No.
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
Under

4. Zygoma
Cheek Bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Horizontal plane dividing the upper and lower parts of the body.
All

5. What is Employee Liability Insurance?
Blood Condition
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Noninvasive - non-spreading - nonmalignant.
The bone is broken and pierces an organ.

6. Who does TRICARE cover?
Discolored - flat lesion
Head
The fractured area of the bone collapses on itself.
Active - retired - survivors and their families of the Armed Forces.

7. What is primary malignancy?
Below
Vertical plane dividing the body to the left and the right sides.
Neck Bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

8. Retraction
Vagina
False
Skull - Ribcage and Spine.
Moving backward

9. hemi
Half
Nose
Forms the roof of the nasal cavity
5

10. What is Carcinoma in situ?
The bone is crushed or shattered.
Cancer that has localized and not spread at all.
Removal - Excision - Resection
Moving forward

11. derm/
Free moving joints that are surrounded by joint capsules.
Structural protein found in skin and connective tissue.
Breast
Skin

12. pan
Forms the front part of the skull and the forehead.
Free moving joints that are surrounded by joint capsules.
All
Birth

13. Alopecia
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
All
Absence of hair
Toe Bones

14. -pathy
Pain
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Disease Condition
Neck Bones

15. Who developed HCPCs codes?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Karatin
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
CMS

16. poly
CMS
Moving backward
Many
Bones the palm of the hand

17. myo/
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Mouth
The bone is crushed or shattered.
Muscle

18. What is in a Medical Record?
The Axial Skeleton and the Appendicular Skeleton
Karatin
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

19. When are V codes used?
Under
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
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
Cartilage

20. episi/
Standards of conduct based on moral principals.
Cheek Bone
Vulva
Half

21. -scopy
Visual Examination
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
To view
Pain

22. a - an
Without
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
A pregnant woman who has had at least one pregnancy.
Karatin

23. -algia
Turning the palm or foot upward
Intestine
Bursting forth blood
Pain

24. What are the 5 regions of the spine?
Lower Jawbone
Cancer that has spread to a secondary site.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Separation - Breakdown

25. hyster/
Uteris
Skull - Ribcage and Spine.
Upper roof of the mouth
Free moving joints that are surrounded by joint capsules.

26. -plasty
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.
Through
Treatment
Surgical Repair

27. What does a bullet in the CPT code book next to a code mean?
Skin
New
A new procedure or service since the previous edition.
Pain

28. mast/
Breast
Vertical plane dividing the body into Anterior and Posterior sections.
Liver
To view

29. What is Assignment of Benefits?
Bone that forms the wall between the nostrils
Upper Arm bone
Reimbursement is sent directly from payer to the provider.
Vagina

30. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Lower medial arm bone
New
1. Insurance Reform 2. Administrative Simplification

31. What are the 3 classifications of Hypertension?
Sacrum
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Fibrous bands of ligaments
Ovary

32. Long Bones
Near the point of attachment to the trunk.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Strong - broad and have large surfaces for muscles to attach to.
Skull - Ribcage and Spine.

33. Infra
Hematopoietic tissue
Below
Moving forward
Forms the two lower sides of the cranium

34. Short Bones
5. (ex 311.56)
A new procedure or service since the previous edition.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Small with irregular shapes (ie wrist and ankle)

35. What is a Comminuted Fracture?
Upper Arm bone
Against
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
The bone is crushed or shattered.

36. What are Medical Ethics?
A new procedure or service since the previous edition.
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
Standards of conduct based on moral principals.
Bone

37. What is primary malignancy?
Active - retired - survivors and their families of the Armed Forces.
CMS
Abnormal condition
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

38. Can you have TRICARE and CHAMPVA at the same time?
No.
4. (ex 311.0)
Upper roof of the mouth
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

39. pseudo
False
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Middle of the foot bone
To cut into

40. What is secondary malignancy?
Surgical Repair
Turning Inward
Cancer that has spread to a secondary site.
The bone is crushed or shattered.

41. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
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
Noninvasive - non-spreading - nonmalignant.
Disease Condition

42. Distal
Milk
No.
Bones at the corner of each eye that cradle the tearducts
Far from the point of attachment of the trunk.

43. pre
Cartilage
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Structural protein found in skin and connective tissue.
Before - in front of

44. Zygoma
Without
Middle of the foot bone
Cheek Bone
MM/DD/YY

45. Tarsal
Inflammation
1. Insurance Reform 2. Administrative Simplification
Hind foot bone
Upper Jawbone

46. -itis
Interior of the nose
Inflammation
Suture
A pregnant woman who has had at least one pregnancy.

47. What are bones made of?
Front part of the body.
Abdomen
The bone is broken and pierces an organ.
Osseous

48. What are the 3 classifications of Hypertension?
Inflammation
Milk
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

49. -gram
Upper Jawbone
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Forms the sides of the cranium
Record

50. -rrhagia
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Vertical plane dividing the body to the left and the right sides.
Bursting forth blood
In the cause of injury - poisoning - accidents or other adverse effects.