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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. anti
Against
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.
Active - retired - survivors and their families of the Armed Forces.
Hardening

2. Metatarsal
Little - scanty
Many
Middle of the foot bone
Disease Condition

3. Mandible
Disease Condition
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Half
Lower Jawbone

4. para
Turning Inward
Beside
Forms the back of the skull
Skull - Ribcage and Spine.

5. When are E codes used?
Without
In the cause of injury - poisoning - accidents or other adverse effects.
Stone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

6. Macule
Discolored - flat lesion
Pain
In front of the temporal bones
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

7. What are the two types of edits that the NCCI implements?
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.
Four
Mass
Ovary

8. What does a Surgical Package (aka Global Surgery) include?
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
Removal - Excision - Resection
Discharge - Flow
Below - deficient

9. What is Employee Liability Insurance?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Lower arm bone in line with the thumb
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

10. Occipital Bone
Stomach
Forms the back of the skull
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Major skin pigment

11. -itis
Discharge - Flow
Fibrous bands of ligaments
Inflammation
Karatin

12. What is Fiscal Intermediary?
Hardening
Osseous
Fat cell
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

13. What is hair made of?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Karatin
Lower Jawbone
Lunula

14. Radius
Fat cell
Without
To cut into
Lower arm bone in line with the thumb

15. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Surgical Repair
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Measure

16. epi
Above
Lower Jawbone
Forms the roof of the nasal cavity
Upper Jawbone

17. tetra
Bones the palm of the hand
Four
Little - scanty
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.

18. What is the moon like white area at the base of the nail called?
Breast
Bones at the corner of each eye that cradle the tearducts
Lunula
Cancer that has spread to a secondary site.

19. Ethmoid Bone
Movement away from the midline
Forms the roof of the nasal cavity
Measure
New

20. tetra
Four
Removal - Excision - Resection
Stomach
5

21. Melanin
Major skin pigment
Standards of conduct based on moral principals.
Milk
Wrist bones

22. What is a Comminuted Fracture?
Through
The bone is crushed or shattered.
Between
Bones at the corner of each eye that cradle the tearducts

23. -centisis
Surgical Puncture
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Between
Bones the palm of the hand

24. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Epinephrine and Steriods
Front part of the body.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

25. Inversion
Interior of the nose
All
Coccyx (Tailbone)
Turning Inward

26. When billing an insurance company - what information must be included?
Death of tissue due to loss of blood supply
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Breast
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

27. When are V codes used?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Free moving joints that are surrounded by joint capsules.
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
Uteris

28. oglio
Inflammation
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.
Turning Outward
Little - scanty

29. Medial
Surgical Puncture
Middle of the body.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
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

30. What is the Axial Skeleton comprised of?
Toe Bones
Skull - Ribcage and Spine.
Blood Condition
Liver

31. -algia
Sacrum
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
Pain
Fallopian tubes

32. What are bones made of?
Stomach
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Osseous
CMS

33. per
Through
Abnormal condition
A working diagnosis that has not yet been established.
Major skin pigment

34. Ulna
Lower medial arm bone
Surgical Repair
Stone
Forms the roof of the nasal cavity

35. What is Benign?
Office of Inspector General (OIG)
Intestine
Horizontal plane dividing the upper and lower parts of the body.
Noninvasive - non-spreading - nonmalignant.

36. What is the Appendicular Skeleton comprised of?
Shoulder - collar - pelvic - arms and legs.
3 (ex 311)
Before
A change in the code description since the last edition.

37. Protraction
Before
Ankle
Moving forward
Half

38. What is the Appendicular Skeleton comprised of?
Sacrum
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Shoulder - collar - pelvic - arms and legs.
Enlargement

39. Short Bones
CMS
Small with irregular shapes (ie wrist and ankle)
Interior of the nose
Free moving joints that are surrounded by joint capsules.

40. Tibia
Disease Condition
Major skin pigment
Shin
Surgical Puncture

41. -stomy
Opening
Office of Inspector General (OIG)
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Moving backward

42. What are synovial joints?
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.
Free moving joints that are surrounded by joint capsules.
Vagina
Interior of the nose

43. When are V codes used?
A break at the distal end of the bone - usually when someone tries to break their fall.
Lung
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
Removal - Excision - Resection

44. What is hair made of?
Karatin
4. (ex 311.0)
Little - scanty
Osseous

45. Sesamoid Bones
Finger Bones
Moving forward
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Surgical Repair

46. Cervical
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Back part of the body.
Neck Bones
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

47. Sphenoid Bones
Many
Karatin
Out - out of
In front of the temporal bones

48. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
In front of the temporal bones
Head
Surgical Fixation

49. Proximal
The bone is crushed or shattered.
Gall bladder
Near the point of attachment to the trunk.
A pregnant woman who has had at least one pregnancy.

50. Sagittal
Surgical Fixation
Vertical plane dividing the body to the left and the right sides.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Cancer that has spread to a secondary site.