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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 Employee Liability Insurance?
Visual Examination
Hind foot bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Abdomen

2. pan
All
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Discharge - Flow
Vertical plane dividing the body to the left and the right sides.

3. -algia
Pain
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Before
CMS-1500

4. What are bones connected together with?
Movement toward the midline
Fibrous bands of ligaments
Upper Jawbone
Bones the palm of the hand

5. What is secondary malignancy?
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.
Smaller - lateral leg bone
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.
Cancer that has spread to a secondary site.

6. Proximal
Vagina
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
Sacrum
Near the point of attachment to the trunk.

7. How many digits does an ICD-9 Category code have?
Bones at the corner of each eye that cradle the tearducts
Many
3 (ex 311)
Bursting forth blood

8. What is the National Correct Coding Initiative (NCCI)?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Before - in front of
Turning Outward

9. -scopy
Vertical plane dividing the body into Anterior and Posterior sections.
Visual Examination
Measure
Lower medial arm bone

10. Protraction
Muscle
Moving forward
Ovary
The Axial Skeleton and the Appendicular Skeleton

11. What is CHAMPVA
Cancer that has spread to a secondary site.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Epinephrine and Steriods
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

12. What is a Complicated Fracture?
The Axial Skeleton and the Appendicular Skeleton
Karatin
The bone is broken and pierces an organ.
Vertical plane dividing the body into Anterior and Posterior sections.

13. anti
Against
Strong - broad and have large surfaces for muscles to attach to.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Toe Bones

14. Metatarsal
Little - scanty
Vulva
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
Middle of the foot bone

15. tetra
Standards of conduct based on moral principals.
Lunula
Four
Bacterial inflammatory skin disease with lesions - pustules and vesicles

16. gastro/
Mass
Neck Bones
Stomach
Before - in front of

17. What is the Civil Monetary Penalties Law (CMPL)?
Pain
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

18. -plasty
Surgical Repair
Bursting forth blood
Lower Jawbone
Front part of the body.

19. What is the moon like white area at the base of the nail called?
Painful - difficult
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
The bone is broken and pierces an organ.
Lunula

20. What is in a Medical Record?
Stone
Head
Forms the roof of the nasal cavity
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

21. What are the key components of E/M?
In the cause of injury - poisoning - accidents or other adverse effects.
Many
Record
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

22. -lysis
Through
Surgical Repair
CMS-1500
Separation - Breakdown

23. What are the insides of bones comprised of?
Lunula
A new procedure or service since the previous edition.
Forms the front part of the skull and the forehead.
Hematopoietic tissue

24. What is secondary malignancy?
Cancer that has spread to a secondary site.
Shoulder - collar - pelvic - arms and legs.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Side

25. How are bones categorized?
Treatment
Lung
The Axial Skeleton and the Appendicular Skeleton
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

26. What are the 2 types of sweat glands?
Surgical Puncture
Hind foot bone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Vulva

27. When are E codes used?
Four
In the cause of injury - poisoning - accidents or other adverse effects.
Bones the palm of the hand
Front part of the body.

28. Parietal Bones
Movement toward the midline
Sacrum
Forms the sides of the cranium
1996

29. myo/
Small collection of clear fluid; blister
Muscle
To view
Under

30. Alopecia
Bones at the corner of each eye that cradle the tearducts
Absence of hair
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Moving forward

31. When billing an insurance company - what information must be included?
1996
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Inflammation

32. Wheal
Pain
Bursting forth blood
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

33. What are bursae?
Cancer that has localized and not spread at all.
A working diagnosis that has not yet been established.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Death of tissue due to loss of blood supply

34. Macule
Slow
Upper roof of the mouth
Turning Inward
Discolored - flat lesion

35. Cervical
Skin
The fractured area of the bone collapses on itself.
Neck Bones
Upper Jawbone

36. Medial
Near the point of attachment to the trunk.
Sacrum
Middle of the body.
Cheek Bone

37. What is CHAMPVA
False
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Back part of the body.

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

39. dys
Absence of hair
Fallopian tubes
Painful - difficult
To cut into

40. Sphenoid Bones
In the cause of injury - poisoning - accidents or other adverse effects.
Inflammation
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
In front of the temporal bones

41. -pathy
Cancer that has localized and not spread at all.
Many
Disease Condition
Cartilage

42. Sagittal
Upper roof of the mouth
CMS
In front of the temporal bones
Vertical plane dividing the body to the left and the right sides.

43. Can you have TRICARE and CHAMPVA at the same time?
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
Hind foot bone
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
No.

44. How is the Patients DOB entered on the claim form?
Below - deficient
Record
MM/DD/YY
Above

45. How many bones are in the spine?
Upper Back
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
26
A working diagnosis that has not yet been established.

46. Vesicle
Small collection of clear fluid; blister
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Treatment
26

47. How long should Medical Records be retained?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Cancer that has localized and not spread at all.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

48. When are V codes used?
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
Far from the point of attachment of the trunk.
Cartilage
Skull - Ribcage and Spine.

49. -osis
Free moving joints that are surrounded by joint capsules.
Lower Back
Ovary
Abnormal condition

50. What is a compression fracture?
26
The fractured area of the bone collapses on itself.
Abdomen
Shin