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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. Who developed HCPCs codes?
Tongue
Opening
CMS
Lower Back

2. What are bones made of?
Osseous
Bursting forth blood
Before - in front of
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

3. Abduction
Karatin
Movement away from the midline
Half
26

4. -scopy
Visual Examination
A pregnant woman who has had at least one pregnancy.
Toe Bones
Nose

5. Lacrimal Bones
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.
Turning Outward
Bones at the corner of each eye that cradle the tearducts
Osseous

6. What are the two provisions of HIPPA?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1. Insurance Reform 2. Administrative Simplification
Far from the point of attachment of the trunk.
Against

7. -sclerosis
Hardening
Turning the palm or foot upward
Between
Pain

8. -pexy
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
The fractured area of the bone collapses on itself.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Surgical Fixation

9. para
In the cause of injury - poisoning - accidents or other adverse effects.
The fractured area of the bone collapses on itself.
Epinephrine and Steriods
Beside

10. anti
A pregnant woman who has had at least one pregnancy.
Before - in front of
Above
Against

11. pseudo
Turning Inward
Sacrum
False
Moving backward

12. arth/
Cartilage
3 (ex 311)
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
Slow

13. Radius
Mass
Lower arm bone in line with the thumb
Upper Back
Moving backward

14. What are the two types of edits that the NCCI implements?
Forms the back of the skull
Epinephrine and Steriods
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.
Absence of hair

15. Lateral
Forms the roof of the nasal cavity
Side
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
In the cause of injury - poisoning - accidents or other adverse effects.

16. -rrhaphy
Near the point of attachment to the trunk.
Upper Back
Bones at the corner of each eye that cradle the tearducts
Suture

17. Maxilla
In front of the temporal bones
Upper Jawbone
Lower arm bone in line with the thumb
Mouth

18. What is the moon like white area at the base of the nail called?
A working diagnosis that has not yet been established.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
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
Lunula

19. What is Carcinoma in situ?
1996
Vagina
A new procedure or service since the previous edition.
Cancer that has localized and not spread at all.

20. Medial
Noninvasive - non-spreading - nonmalignant.
All
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Middle of the body.

21. oste/
Lower Back
Bone
Measure
Moving backward

22. para
Surgical Fixation
Beside
Bursting forth blood
Out - out of

23. epi
Above
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
The Axial Skeleton and the Appendicular Skeleton
Middle of the body.

24. inter
Hardening
Between
Liver
Forms the front part of the skull and the forehead.

25. -rrhea
Lunula
Discharge - Flow
Upper Arm bone
4. (ex 311.0)

26. What are the 5 regions of the spine?
Middle of the foot bone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
5
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

27. What hormones do the adrenal glands secrete?
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Epinephrine and Steriods
Without
Surgical Puncture

28. pneum/
Karatin
Turning Inward
Lung
Forms the back of the skull

29. anti
Against
Surgical Puncture
1. Insurance Reform 2. Administrative Simplification
Birth

30. sub
Forms the sides of the cranium
Hematopoietic tissue
Fibrous bands of ligaments
Under

31. What is Employer Liability?

32. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Above
Free moving joints that are surrounded by joint capsules.
Smaller - lateral leg bone

33. Vomer
Bone that forms the wall between the nostrils
Lower medial arm bone
Little - scanty
A new procedure or service since the previous edition.

34. What is CHAMPVA
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Office of Inspector General (OIG)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

35. 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 at the corner of each eye that cradle the tearducts
Through
Suture

36. Frontal - Coronal
Upper roof of the mouth
Vertical plane dividing the body into Anterior and Posterior sections.
Under
Cartilage

37. neo
New
Fat cell
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.
CMS

38. Medial
Sacrum
Surgical Repair
Middle of the body.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

39. What is hair made of?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Karatin
Hematopoietic tissue
Head

40. What is in a Medical Record?
Moving forward
Pain
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Within

41. cephal/
Head
Treatment
Forms the front part of the skull and the forehead.
A break at the distal end of the bone - usually when someone tries to break their fall.

42. Cervical
Neck Bones
Absence of hair
Stone
Fibrous bands of ligaments

43. When billing an insurance company - what information must be included?
Under
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
26
Lung

44. What is a Comminuted Fracture?
5. (ex 311.56)
The bone is crushed or shattered.
Without
Fat cell

45. enter/
Intestine
In front of the temporal bones
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Fat cell

46. What are the 2 types of glands on the skin?
Blood Condition
Surgical Puncture
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

47. derm/
Skin
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
All
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

48. What are the 3 classifications of Hypertension?
Treatment
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Cartilage
Opening

49. Melanin
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
In front of the temporal bones
Major skin pigment
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.

50. What is the moon like white area at the base of the nail called?
Finger Bones
Hind foot bone
Lunula
Office of Inspector General (OIG)