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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. Frontal Bone
Forms the front part of the skull and the forehead.
Interior of the nose
Forms the two lower sides of the cranium
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

2. How is the Patients DOB entered on the claim form?
A new procedure or service since the previous edition.
Disease Condition
To view
MM/DD/YY

3. Alopecia
Absence of hair
Structural protein found in skin and connective tissue.
New
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

4. derm/
Muscle
Separation - Breakdown
Middle of the body.
Skin

5. pseudo
Lower arm bone in line with the thumb
Forms the two lower sides of the cranium
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
False

6. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Vagina
Enlargement

7. What is the moon like white area at the base of the nail called?
Beside
Ovary
Lunula
To view

8. What is Employee Liability Insurance?
Lower Jawbone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Uteris
Tongue

9. lith/
Record
Heart
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Stone

10. cardi/
Heart
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Standards of conduct based on moral principals.
5. (ex 311.56)

11. Vesicle
Cancer that has spread to a secondary site.
Small collection of clear fluid; blister
Hematopoietic tissue
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

12. What is primary malignancy?
Hind foot bone
Nose
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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.

13. Mandible
Standards of conduct based on moral principals.
Lower Jawbone
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
A break at the distal end of the bone - usually when someone tries to break their fall.

14. Who developed HCPCs codes?
Abnormal condition
CMS
Cartilage
Pain

15. para
Vertical plane dividing the body to the left and the right sides.
Beside
Through
Stomach

16. cephal/
Head
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Tongue
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

17. Retraction
Moving backward
Lunula
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Coccyx (Tailbone)

18. chondro/
Skull - Ribcage and Spine.
Cartilage
The Axial Skeleton and the Appendicular Skeleton
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

19. What hormones do the adrenal glands secrete?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Epinephrine and Steriods
Within
Moving backward

20. Sphenoid Bones
Bones at the corner of each eye that cradle the tearducts
Lower medial arm bone
In front of the temporal bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

21. -ectomy
Removal - Excision - Resection
Noninvasive - non-spreading - nonmalignant.
26
Liver

22. endo
5
Within
Cartilage
Front part of the body.

23. -meter
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
Vertical plane dividing the body to the left and the right sides.
Measure
Skin

24. -pathy
Front part of the body.
Disease Condition
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Lung

25. Eversion
Turning Outward
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

26. What does a triangle in the CPT book next to a code mean?
A change in the code description since the last edition.
Suture
Nose
Little - scanty

27. Parietal Bones
Visual Examination
Ovary
Forms the sides of the cranium
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.

28. Metacarpals
5
Horizontal plane dividing the upper and lower parts of the body.
Hematopoietic tissue
Bones the palm of the hand

29. What are bones connected together with?
Beside
Fibrous bands of ligaments
Lower Back
Major skin pigment

30. lith/
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Wrist bones
Middle of the body.
Stone

31. Collagen
Structural protein found in skin and connective tissue.
Below - deficient
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
The bone is broken and pierces an organ.

32. What are Medical Ethics?
Bone
Surgical Fixation
Standards of conduct based on moral principals.
Major skin pigment

33. Frontal - Coronal
Suture
Vertical plane dividing the body into Anterior and Posterior sections.
New
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

34. Phalanx
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Toe Bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Epinephrine and Steriods

35. myo/
Muscle
Stomach
Fibrous bands of ligaments
Small collection of clear fluid; blister

36. -megaly
Turning Outward
Before - in front of
Bones the palm of the hand
Enlargement

37. anti
Many
Against
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Strong - broad and have large surfaces for muscles to attach to.

38. Multigravida
Bone that forms the wall between the nostrils
Abnormal condition
A pregnant woman who has had at least one pregnancy.
Upper Back

39. Mandible
Hematopoietic tissue
Discharge - Flow
Back part of the body.
Lower Jawbone

40. a - an
Before - in front of
To cut into
A new procedure or service since the previous edition.
Without

41. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
Inflammation
Blood Condition
Death of tissue due to loss of blood supply

42. When billing an insurance company - what information must be included?
Bones the palm of the hand
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Shin
Ovary

43. Sagittal
In front of the temporal bones
Uteris
Vertical plane dividing the body to the left and the right sides.
Osseous

44. Maxilla
Upper Jawbone
Cheek Bone
Head
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

45. Carpals
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Wrist bones
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Muscle

46. -meter
Measure
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Head
A pregnant woman who has had at least one pregnancy.

47. lapar/
Uteris
Middle of the foot bone
Abdomen
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

48. How long should Medical Records be retained?
Toe Bones
Office of Inspector General (OIG)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

49. Hypo
Below - deficient
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Half
Neck Bones

50. What is a Complicated Fracture?
Death of tissue due to loss of blood supply
Upper Arm bone
The bone is broken and pierces an organ.
Structural protein found in skin and connective tissue.