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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. -rrhea
Bone that forms the wall between the nostrils
Free moving joints that are surrounded by joint capsules.
To cut into
Discharge - Flow

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

3. Sacral
Front part of the body.
Sacrum
Through
Nose

4. Gangrene
Ovary
Turning Inward
Stomach
Death of tissue due to loss of blood supply

5. What is secondary malignancy?
Hind foot bone
Osseous
Cancer that has spread to a secondary site.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

6. What is a Colles Fracture?
Fallopian tubes
Separation - Breakdown
A break at the distal end of the bone - usually when someone tries to break their fall.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

7. When can a provider share PHI without specific permission from the patient?

8. -itis
Inflammation
Forms the back of the skull
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Surgical Puncture

9. a - an
Major skin pigment
Treatment
Without
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

10. -itis
Inflammation
Turning Outward
Discharge - Flow
Front part of the body.

11. What are bones connected together with?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Above
Fibrous bands of ligaments
Lunula

12. What are the insides of bones comprised of?
Hematopoietic tissue
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
A new procedure or service since the previous edition.
Bones at the corner of each eye that cradle the tearducts

13. Who developed HCPCs codes?
CMS
Below
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
False

14. dys
Painful - difficult
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Small with irregular shapes (ie wrist and ankle)
Office of Inspector General (OIG)

15. -gram
Record
Stomach
Vertical plane dividing the body into Anterior and Posterior sections.
Liver

16. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Bones the palm of the hand
To view
Head

17. ante
Birth
Before
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.
A pregnant woman who has had at least one pregnancy.

18. -tomy
Bone that forms the wall between the nostrils
To cut into
Liver
The Axial Skeleton and the Appendicular Skeleton

19. -sclerosis
Forms the two lower sides of the cranium
Structural protein found in skin and connective tissue.
Shoulder - collar - pelvic - arms and legs.
Hardening

20. What are the two provisions of HIPPA?
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.
Slow
1. Insurance Reform 2. Administrative Simplification
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

21. -gram
Standards of conduct based on moral principals.
Beside
Record
MM/DD/YY

22. Eversion
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Turning Outward
Strong - broad and have large surfaces for muscles to attach to.
Inflammation

23. epi
Above
Cancer that has spread to a secondary site.
Between
A new procedure or service since the previous edition.

24. -rrhaphy
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
CMS-1500
Suture
New

25. -osis
Abnormal condition
Forms the sides of the cranium
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.
Sacrum

26. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Vagina
Forms the front part of the skull and the forehead.

27. Phalanges
Disease Condition
Stomach
Above
Finger Bones

28. -pathy
Disease Condition
Small collection of clear fluid; blister
Vulva
Slow

29. -centisis
Surgical Puncture
Between
26
Mouth

30. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Under
Shin
Movement away from the midline

31. What is the Appendicular Skeleton comprised of?
Toe Bones
Major skin pigment
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Shoulder - collar - pelvic - arms and legs.

32. What are bones made of?
Osseous
Karatin
Middle of the foot bone
Separation - Breakdown

33. When can a provider share PHI without specific permission from the patient?

34. Vesicle
Vulva
Back part of the body.
Small collection of clear fluid; blister
Enlargement

35. Carpals
Many
Wrist bones
Without
Painful - difficult

36. -pathy
Disease Condition
Lunula
Bone
Hardening

37. Who developed HCPCs codes?
Mass
Muscle
Four
CMS

38. sub
Front part of the body.
Uteris
Under
Cancer that has localized and not spread at all.

39. Mandible
Lower Jawbone
Milk
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Shin

40. brady
Abdomen
Slow
In front of the temporal bones
Small collection of clear fluid; blister

41. Transverse/Cross Sectional
Forms the front part of the skull and the forehead.
Horizontal plane dividing the upper and lower parts of the body.
Moving backward
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

42. Humerus
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Upper Arm bone
Bone that forms the wall between the nostrils

43. What are the 2 types of sweat glands?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
False
Surgical Fixation
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

44. When billing an insurance company - what information must be included?
Between
Coccyx (Tailbone)
Lower Jawbone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

45. What are bursae?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Lower Jawbone
Through
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

46. -therapy
Head
Treatment
Cheek Bone
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

47. Cervical
Bone that forms the wall between the nostrils
Neck Bones
To cut into
Major skin pigment

48. Posterior/Dorsal
Shin
Back part of the body.
CMS-1500
Record

49. arth/
Vagina
Cartilage
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Karatin

50. How many regions is the spinal/vertebral column divided into?
5
Bones the palm of the hand
Moving forward
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