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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 are the key components of E/M?
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.
Disease Condition
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

2. salping/
A new procedure or service since the previous edition.
In front of the temporal bones
Front part of the body.
Fallopian tubes

3. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Cancer that has localized and not spread at all.
Coccyx (Tailbone)
Surgical Puncture

4. How many digits does an ICD-9 Subcategory code have?
Disease Condition
Blood Condition
4. (ex 311.0)
Beside

5. hepato/
Small collection of clear fluid; blister
Liver
Breast
26

6. -centisis
Surgical Puncture
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Surgical Fixation
Slow

7. Humerus
Upper Arm bone
Shoulder - collar - pelvic - arms and legs.
Against
Heart

8. inter
Between
Lung
Beside
A change in the code description since the last edition.

9. How many bones are in the spine?
Forms the two lower sides of the cranium
Painful - difficult
Disease Condition
26

10. -tomy
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
Smaller - lateral leg bone
4. (ex 311.0)
To cut into

11. What is a Comminuted Fracture?
The bone is crushed or shattered.
Cartilage
Small collection of clear fluid; blister
Opening

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

13. When billing an insurance company - what information must be included?
Surgical Repair
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Discolored - flat lesion
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

14. lapar/
Bacterial inflammatory skin disease with lesions - pustules and vesicles
The bone is crushed or shattered.
Above
Abdomen

15. para
False
Beside
Absence of hair
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

16. oglio
Epinephrine and Steriods
Little - scanty
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Forms the back of the skull

17. What are the 3 layers of skin?
No.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Below - deficient

18. -emia
Cancer that has localized and not spread at all.
Blood Condition
Osseous
Abdomen

19. Phalanges
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
5. (ex 311.56)
The bone is broken and pierces an organ.
Finger Bones

20. What is the National Correct Coding Initiative (NCCI)?
1996
Smaller - lateral leg bone
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Upper Back

21. When are E codes used?
Vulva
In the cause of injury - poisoning - accidents or other adverse effects.
Discharge - Flow
Below - deficient

22. nat/
Above
Birth
Gall bladder
Forms the back of the skull

23. Lateral
Standards of conduct based on moral principals.
Horizontal plane dividing the upper and lower parts of the body.
Side
A working diagnosis that has not yet been established.

24. What are the 5 regions of the spine?
Vertical plane dividing the body into Anterior and Posterior sections.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Cancer that has localized and not spread at all.
5. (ex 311.56)

25. What is the False Claims Act (FCA)
Smaller - lateral leg bone
Bursting forth blood
Strong - broad and have large surfaces for muscles to attach to.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

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

27. What is Fiscal Intermediary?
Milk
Front part of the body.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Absence of hair

28. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Out - out of
False
Abdomen

29. What is Employer Liability?

30. Vesicle
Middle of the body.
Small collection of clear fluid; blister
Lower arm bone in line with the thumb
Death of tissue due to loss of blood supply

31. Eversion
A working diagnosis that has not yet been established.
Turning Outward
In front of the temporal bones
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

32. cholecyst/
Cancer that has localized and not spread at all.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Gall bladder
Shin

33. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
All
Vulva

34. Anterior/Ventral
Inflammation
5
Front part of the body.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

35. What is hair made of?
Mouth
Karatin
Turning Inward
Surgical Repair

36. Tibia
4. (ex 311.0)
Mass
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Shin

37. oste/
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
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
Bone
Skull - Ribcage and Spine.

38. Metatarsal
Forms the sides of the cranium
Middle of the foot bone
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

39. Lipocyte
Bones the palm of the hand
A new procedure or service since the previous edition.
Fat cell
The Axial Skeleton and the Appendicular Skeleton

40. What is a Qualified Diagnosis
Osseous
A new procedure or service since the previous edition.
Breast
A working diagnosis that has not yet been established.

41. Sacral
Sacrum
Before - in front of
Coccyx (Tailbone)
1. Insurance Reform 2. Administrative Simplification

42. What is Fiscal Intermediary?
Lung
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Structural protein found in skin and connective tissue.
Treatment

43. Inferior nasal conchae
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Interior of the nose
Painful - difficult
Stone

44. -rrhagia
Bursting forth blood
Visual Examination
Shin
Side

45. -sclerosis
CMS-1500
To view
MM/DD/YY
Hardening

46. Ethmoid Bone
Measure
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
Gall bladder
Forms the roof of the nasal cavity

47. dys
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Painful - difficult
Head
Far from the point of attachment of the trunk.

48. chondro/
Gall bladder
Free moving joints that are surrounded by joint capsules.
Surgical Puncture
Cartilage

49. enter/
Mouth
Intestine
A new procedure or service since the previous edition.
Death of tissue due to loss of blood supply

50. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Cheek Bone
Cheek Bone
Four