Test your basic knowledge |

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. neo
Surgical Repair
Many
Reimbursement is sent directly from payer to the provider.
New

2. Radius
Lower arm bone in line with the thumb
5
Abdomen
Fallopian tubes

3. What does a triangle in the CPT book next to a code mean?
Interior of the nose
A change in the code description since the last edition.
Fibrous bands of ligaments
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

4. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Treatment
Bones the palm of the hand
Beside

5. oste/
Near the point of attachment to the trunk.
Milk
Bone
A working diagnosis that has not yet been established.

6. supra
Heart
Enlargement
Uteris
Above

7. mast/
A change in the code description since the last edition.
Breast
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
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

8. -itis
Karatin
Inflammation
Under
Small collection of clear fluid; blister

9. What are bones connected together with?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Fibrous bands of ligaments
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

10. Long Bones
Cheek Bone
Absence of hair
Record
Strong - broad and have large surfaces for muscles to attach to.

11. How are bones categorized?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Hind foot bone
The Axial Skeleton and the Appendicular Skeleton
Near the point of attachment to the trunk.

12. What are the two provisions of HIPPA?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Insurance Reform 2. Administrative Simplification
Below - deficient
Lower medial arm bone

13. What is the National Correct Coding Initiative (NCCI)?
Tongue
Fibrous bands of ligaments
5
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

14. gloss/
Mass
Tongue
Blood Condition
Upper Back

15. hemi
Beside
Finger Bones
MM/DD/YY
Half

16. Zygoma
Epinephrine and Steriods
Discolored - flat lesion
Cheek Bone
Disease Condition

17. Malleolus
Ankle
Treatment
Epinephrine and Steriods
Above

18. Protraction
Strong - broad and have large surfaces for muscles to attach to.
Stomach
The bone is broken and pierces an organ.
Moving forward

19. Proximal
Between
The Axial Skeleton and the Appendicular Skeleton
Near the point of attachment to the trunk.
Lower Jawbone

20. -plasty
Surgical Repair
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
Stomach

21. Metatarsal
Middle of the foot bone
To view
Cheek Bone
The fractured area of the bone collapses on itself.

22. Retraction
In front of the temporal bones
Bones the palm of the hand
Moving backward
Out - out of

23. brady
Middle of the foot bone
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Slow
The bone is broken and pierces an organ.

24. Can you have TRICARE and CHAMPVA at the same time?
Hardening
To cut into
Forms the front part of the skull and the forehead.
No.

25. Phalanges
Hind foot bone
Finger Bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Through

26. -gram
Record
Four
Muscle
Nose

27. episi/
Vulva
Toe Bones
CMS
Under

28. Lateral
To view
Side
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
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

29. -sclerosis
Cheek Bone
Turning Inward
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Hardening

30. What is CHAMPVA
False
Many
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.

31. hyster/
Uteris
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Cheek Bone
The Axial Skeleton and the Appendicular Skeleton

32. Adduction
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.
Movement toward the midline
In front of the temporal bones
Tongue

33. What does a Surgical Package (aka Global Surgery) include?
Skull - Ribcage and Spine.
Near the point of attachment to the trunk.
Vertical plane dividing the body to the left and the right sides.
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

34. When was the Health Information and Accountability Act (HIPAA) created?
1996
Toe Bones
Below
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

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

36. -lysis
Ovary
Vertical plane dividing the body into Anterior and Posterior sections.
Lower Jawbone
Separation - Breakdown

37. ex
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Finger Bones
Toe Bones
Out - out of

38. Who investigates and prosecutes Health Care fraud?
Bone that forms the wall between the nostrils
Office of Inspector General (OIG)
Ankle
Before - in front of

39. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Active - retired - survivors and their families of the Armed Forces.
Structural protein found in skin and connective tissue.
To view

40. What is CHAMPVA
Against
Lower Jawbone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Office of Inspector General (OIG)

41. pneum/
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Lung
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Discharge - Flow

42. -rrhea
Skin
Discolored - flat lesion
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
Discharge - Flow

43. Protraction
Moving forward
CMS
Before - in front of
Bone that forms the wall between the nostrils

44. chondro/
Front part of the body.
Inflammation
Cartilage
3 (ex 311)

45. What is primary malignancy?
Middle of the body.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Cartilage
Half

46. How many digits does an ICD-9 Subclassification code have?
Small collection of clear fluid; blister
5. (ex 311.56)
Uteris
Below

47. Posterior/Dorsal
Visual Examination
Pain
Movement away from the midline
Back part of the body.

48. What are the 2 types of glands on the skin?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
A new procedure or service since the previous edition.
Interior of the nose

49. Radius
Vagina
Lower arm bone in line with the thumb
Below - deficient
Inflammation

50. Proximal
Near the point of attachment to the trunk.
Out - out of
CMS
Four