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Medical Coding Basics

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. myo/
Active - retired - survivors and their families of the Armed Forces.
Muscle
Vagina
Gall bladder

2. epi
Coccyx (Tailbone)
Forms the two lower sides of the cranium
Above
A pregnant woman who has had at least one pregnancy.

3. What is primary malignancy?
Vertical plane dividing the body into Anterior and Posterior sections.
Lower medial arm bone
Upper roof of the mouth
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

4. pan
Milk
All
Fibrous bands of ligaments
Surgical Repair

5. a - an
Without
Absence of hair
Within
Forms the sides of the cranium

6. What is Employee Liability Insurance?
Small collection of clear fluid; blister
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Front part of the body.

7. Carpals
Wrist bones
The bone is broken and pierces an organ.
Opening
Free moving joints that are surrounded by joint capsules.

8. stomat/
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
Mouth
In the cause of injury - poisoning - accidents or other adverse effects.
Side

9. Protraction
5. (ex 311.56)
Milk
Moving forward
Standards of conduct based on moral principals.

10. How many regions is the spinal/vertebral column divided into?
5
Neck Bones
A break at the distal end of the bone - usually when someone tries to break their fall.
Lower Jawbone

11. Cervical
Neck Bones
Free moving joints that are surrounded by joint capsules.
Surgical Puncture
In front of the temporal bones

12. -gram
Record
In front of the temporal bones
Separation - Breakdown
Cartilage

13. Parietal Bones
4. (ex 311.0)
Nose
Forms the sides of the cranium
Measure

14. Sphenoid Bones
Upper Jawbone
Cancer that has localized and not spread at all.
Tongue
In front of the temporal bones

15. Protraction
Enlargement
CMS
Ovary
Moving forward

16. tetra
Free moving joints that are surrounded by joint capsules.
Lower arm bone in line with the thumb
Four
Upper Arm bone

17. pre
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Karatin
Before - in front of
Epinephrine and Steriods

18. What is CHAMPVA
Skull - Ribcage and Spine.
Abdomen
Removal - Excision - Resection
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

19. Adduction
Painful - difficult
Movement toward the midline
Liver
Against

20. stomat/
Surgical Puncture
Front part of the body.
Mouth
Moving forward

21. What is the name of the claim form that is standard for submitting claims?
1. Insurance Reform 2. Administrative Simplification
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Epinephrine and Steriods
CMS-1500

22. lact/
Hind foot bone
Milk
A pregnant woman who has had at least one pregnancy.
Karatin

23. -pathy
Lower medial arm bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Disease Condition
Office of Inspector General (OIG)

24. 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
Movement away from the midline
Under
Far from the point of attachment of the trunk.

25. Wheal
A working diagnosis that has not yet been established.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Middle of the body.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

26. What does a triangle in the CPT book next to a code mean?
Active - retired - survivors and their families of the Armed Forces.
In the cause of injury - poisoning - accidents or other adverse effects.
A change in the code description since the last edition.
Pain

27. What does a Surgical Package (aka Global Surgery) include?
Cheek Bone
Hematopoietic tissue
Far from the point of attachment of the trunk.
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

28. ex
Out - out of
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Head

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

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30. What is the Civil Monetary Penalties Law (CMPL)?
Gall bladder
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Upper Jawbone
Against

31. derm/
Cartilage
Death of tissue due to loss of blood supply
Epinephrine and Steriods
Skin

32. Ethmoid Bone
Forms the roof of the nasal cavity
Major skin pigment
Vertical plane dividing the body into Anterior and Posterior sections.
Vagina

33. -algia
Pain
Sacrum
The fractured area of the bone collapses on itself.
Structural protein found in skin and connective tissue.

34. Palatine Bones
Removal - Excision - Resection
Upper roof of the mouth
Without
Fat cell

35. Carpals
Wrist bones
The Axial Skeleton and the Appendicular Skeleton
Noninvasive - non-spreading - nonmalignant.
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.

36. What is in a Medical Record?
Moving forward
Bones the palm of the hand
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
4. (ex 311.0)

37. Palatine Bones
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Enlargement
Hardening
Upper roof of the mouth

38. What is the National Correct Coding Initiative (NCCI)?
Bursting forth blood
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
No.
In the cause of injury - poisoning - accidents or other adverse effects.

39. What is Fiscal Intermediary?
Lower arm bone in line with the thumb
5. (ex 311.56)
Interior of the nose
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

40. What is secondary malignancy?
Cancer that has spread to a secondary site.
Before - in front of
Active - retired - survivors and their families of the Armed Forces.
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

41. What are the two provisions of HIPPA?
Through
Finger Bones
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
1. Insurance Reform 2. Administrative Simplification

42. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
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.
Upper Jawbone
Under

43. What is the name of the claim form that is standard for submitting claims?
Finger Bones
CMS-1500
False
Absence of hair

44. What is Benign?
Before - in front of
Horizontal plane dividing the upper and lower parts of the body.
Noninvasive - non-spreading - nonmalignant.
Bone that forms the wall between the nostrils

45. oophor
Bones the palm of the hand
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.
Ovary
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

46. Radius
Below
Skin
Lower arm bone in line with the thumb
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

47. Malleolus
Stomach
Measure
Ankle
5

48. hyster/
Treatment
CMS-1500
Birth
Uteris

49. lact/
Enlargement
Milk
To view
Above

50. -lysis
Many
Separation - Breakdown
Between
Forms the front part of the skull and the forehead.

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Medical Coding Basics

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