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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. What is a Qualified Diagnosis
Record
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
A working diagnosis that has not yet been established.
Cancer that has localized and not spread at all.

2. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
To cut into
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Lung

3. hepato/
Structural protein found in skin and connective tissue.
Liver
Movement toward the midline
Disease Condition

4. Mandible
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Lower Jawbone
Fibrous bands of ligaments
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

5. Ulna
Lower medial arm 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.
Upper roof of the mouth
Disease Condition

6. Medial
26
Middle of the body.
Heart
Measure

7. What are bones connected together with?
Hematopoietic tissue
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.
Fibrous bands of ligaments
False

8. What are the two types of edits that the NCCI implements?
Cartilage
Gall bladder
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.
Moving forward

9. -stomy
Without
Wrist bones
Opening
Half

10. What are the 5 regions of the spine?
Hind foot bone
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Upper Arm bone
Mass

11. colp/
Lung
Lower arm bone in line with the thumb
Vagina
Fibrous bands of ligaments

12. What is the National Correct Coding Initiative (NCCI)?
Lung
Small collection of clear fluid; blister
Opening
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

13. ante
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Before
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
Discolored - flat lesion

14. What is the moon like white area at the base of the nail called?
Suture
Toe Bones
Lunula
Forms the two lower sides of the cranium

15. Adduction
Movement toward the midline
Forms the roof of the nasal cavity
Blood Condition
Moving forward

16. Sacral
Surgical Repair
Sacrum
Standards of conduct based on moral principals.
Moving forward

17. -megaly
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Lower arm bone in line with the thumb
Enlargement
Gall bladder

18. What does a Surgical Package (aka Global Surgery) include?
Upper roof of the mouth
Measure
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
Turning Outward

19. poly
Shoulder - collar - pelvic - arms and legs.
Many
The bone is crushed or shattered.
Back part of the body.

20. Coccygeal
Coccyx (Tailbone)
Ankle
MM/DD/YY
Breast

21. How are bones categorized?
Fibrous bands of ligaments
A working diagnosis that has not yet been established.
The Axial Skeleton and the Appendicular Skeleton
Fallopian tubes

22. -emia
Middle of the foot bone
The bone is broken and pierces an organ.
Vertical plane dividing the body to the left and the right sides.
Blood Condition

23. pseudo
Lower arm bone in line with the thumb
1996
False
Uteris

24. enter/
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Neck Bones
Intestine
Standards of conduct based on moral principals.

25. -scopy
Muscle
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 the palm of the hand
Visual Examination

26. How many volumes is the ICD-9 manual divided into?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Before
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Lower Back

27. What is a Complicated Fracture?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
The bone is broken and pierces an organ.
Cartilage
Lower Back

28. hyster/
Skin
Discolored - flat lesion
Pain
Uteris

29. What is the False Claims Act (FCA)
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 Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
5. (ex 311.56)
Cancer that has spread to a secondary site.

30. When are V codes used?
Surgical Fixation
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Below - deficient
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

31. Protraction
Hematopoietic tissue
Moving forward
Below
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

32. -scopy
Below - deficient
To view
A break at the distal end of the bone - usually when someone tries to break their fall.
Upper Back

33. mast/
Bursting forth blood
Breast
Surgical Fixation
Removal - Excision - Resection

34. Posterior/Dorsal
CMS-1500
Movement toward the midline
Back part of the body.
Turning Inward

35. What is the Civil Monetary Penalties Law (CMPL)?
Head
Separation - Breakdown
CMS-1500
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

36. Tibia
Karatin
Upper roof of the mouth
MM/DD/YY
Shin

37. What is the Axial Skeleton comprised of?
26
Skull - Ribcage and Spine.
Measure
Small with irregular shapes (ie wrist and ankle)

38. -ectomy
Removal - Excision - Resection
Mouth
Surgical Fixation
Lower arm bone in line with the thumb

39. -emia
Strong - broad and have large surfaces for muscles to attach to.
1996
Blood Condition
Cartilage

40. What is a Complicated Fracture?
Milk
Upper Jawbone
Muscle
The bone is broken and pierces an organ.

41. What is a Comminuted Fracture?
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
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Bones the palm of the hand
The bone is crushed or shattered.

42. What are Medical Ethics?
Vertical plane dividing the body to the left and the right sides.
Small with irregular shapes (ie wrist and ankle)
Standards of conduct based on moral principals.
Forms the roof of the nasal cavity

43. Short Bones
A new procedure or service since the previous edition.
Small with irregular shapes (ie wrist and ankle)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Stone

44. Inferior nasal conchae
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Interior of the nose
Nose
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

45. brady
Slow
Cancer that has localized and not spread at all.
Vertical plane dividing the body to the left and the right sides.
Middle of the body.

46. Vesicle
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Tongue
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Small collection of clear fluid; blister

47. a - an
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Wrist bones
Without
Free moving joints that are surrounded by joint capsules.

48. -gram
Bone that forms the wall between the nostrils
26
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.
Record

49. cephal/
Below - deficient
In front of the temporal bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Head

50. chondro/
Cartilage
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Mouth
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer