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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. Alopecia
Absence of hair
Muscle
Removal - Excision - Resection
Fallopian tubes

2. salping/
Fallopian tubes
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Bones the palm of the hand
Vagina

3. What is a Colles Fracture?
Surgical Puncture
Gall bladder
Painful - difficult
A break at the distal end of the bone - usually when someone tries to break their fall.

4. inter
Discharge - Flow
Vertical plane dividing the body into Anterior and Posterior sections.
1. Insurance Reform 2. Administrative Simplification
Between

5. -tomy
Cartilage
To cut into
A break at the distal end of the bone - usually when someone tries to break their fall.
Disease Condition

6. hepato/
Liver
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Ovary
The fractured area of the bone collapses on itself.

7. -pathy
Turning the palm or foot upward
Disease Condition
Turning Inward
Mouth

8. para
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Beside
Bursting forth blood
Bones at the corner of each eye that cradle the tearducts

9. What is a Complicated Fracture?
Before
The bone is broken and pierces an organ.
Tongue
Horizontal plane dividing the upper and lower parts of the body.

10. -centisis
Blood Condition
Breast
Surgical Puncture
Epinephrine and Steriods

11. How many bones are in the spine?
Uteris
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.
Toe Bones

12. Mandible
A break at the distal end of the bone - usually when someone tries to break their fall.
Lower Jawbone
Surgical Puncture
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

13. When billing an insurance company - what information must be included?
Upper Jawbone
Abdomen
Noninvasive - non-spreading - nonmalignant.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

14. -pathy
Upper Arm bone
Bursting forth blood
Disease Condition
Little - scanty

15. oglio
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.
Little - scanty
Uteris
Hematopoietic tissue

16. What is the Axial Skeleton comprised of?
Out - out of
Skull - Ribcage and Spine.
Vertical plane dividing the body into Anterior and Posterior sections.
Forms the front part of the skull and the forehead.

17. Occipital Bone
Interior of the nose
Forms the back of the skull
Side
Stone

18. What is Employee Liability Insurance?
Middle of the foot bone
Forms the sides of the cranium
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Middle of the body.

19. -plasty
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Moving backward
Surgical Repair
Tongue

20. Wheal
Upper Jawbone
5. (ex 311.56)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

21. Posterior/Dorsal
Abnormal condition
Back part of the body.
Intestine
Shin

22. What are the insides of bones comprised of?
Hematopoietic tissue
Through
Lower Jawbone
Absence of hair

23. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
A working diagnosis that has not yet been established.
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
Lower Jawbone

24. How is Medicare's RBRVS calculated?
Forms the roof of the nasal cavity
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
Lunula
Wrist bones

25. Retraction
In front of the temporal bones
Moving backward
Fallopian tubes
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

26. What is in a Medical Record?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Birth
Intestine

27. Multigravida
Surgical Puncture
Discharge - Flow
A pregnant woman who has had at least one pregnancy.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

28. Proximal
Near the point of attachment to the trunk.
To view
Forms the two lower sides of the cranium
No.

29. endo
Coccyx (Tailbone)
Vagina
Through
Within

30. What is secondary malignancy?
Structural protein found in skin and connective tissue.
Cancer that has spread to a secondary site.
Hardening
Wrist bones

31. derm/
All
Discolored - flat lesion
Discolored - flat lesion
Skin

32. Sphenoid Bones
Free moving joints that are surrounded by joint capsules.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
In front of the temporal bones
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

33. What are the 5 regions of the spine?
To cut into
Fibrous bands of ligaments
Ankle
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

34. lapar/
Lower Back
Forms the front part of the skull and the forehead.
The fractured area of the bone collapses on itself.
Abdomen

35. Tarsal
Stomach
Hind foot bone
CMS
All

36. -algia
Pain
Lower Jawbone
The bone is crushed or shattered.
Before

37. Metatarsal
Middle of the foot bone
No.
Bone that forms the wall between the nostrils
Stone

38. Inferior nasal conchae
Between
Far from the point of attachment of the trunk.
Interior of the nose
Sacrum

39. Collagen
Structural protein found in skin and connective tissue.
Upper Arm bone
False
Fibrous bands of ligaments

40. Sagittal
Moving forward
Vertical plane dividing the body to the left and the right sides.
In the cause of injury - poisoning - accidents or other adverse effects.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

41. sub
Under
Upper Jawbone
Small with irregular shapes (ie wrist and ankle)
Smaller - lateral leg bone

42. What is primary malignancy?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Forms the roof of the nasal cavity
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

43. What is in a Medical Record?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Upper Jawbone
Stone
Wrist bones

44. Phalanges
Noninvasive - non-spreading - nonmalignant.
Front part of the body.
Finger Bones
The Axial Skeleton and the Appendicular Skeleton

45. Infra
Below
Middle of the foot bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Below - deficient

46. Maxilla
Before - in front of
Upper Jawbone
To cut into
Suture

47. episi/
Coccyx (Tailbone)
Turning the palm or foot upward
Vulva
Before - in front of

48. Macule
Toe Bones
Neck Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Discolored - flat lesion

49. Parietal Bones
Forms the sides of the cranium
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Movement toward the midline
New

50. What are the two types of edits that the NCCI implements?
A change in the code description since the last edition.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
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.
Birth