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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. Posterior/Dorsal
CMS
Back part of the body.
A new procedure or service since the previous edition.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

2. Sagittal
Vertical plane dividing the body to the left and the right sides.
Beside
Turning Outward
Mouth

3. Vomer
Bone that forms the wall between the nostrils
Lower Jawbone
Karatin
4. (ex 311.0)

4. What is in a Medical Record?
Cancer that has localized and not spread at all.
In front of the temporal bones
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

5. Alopecia
Upper Back
Absence of hair
Separation - Breakdown
Discolored - flat lesion

6. oophor
Vertical plane dividing the body into Anterior and Posterior sections.
Ovary
Lunula
Bone that forms the wall between the nostrils

7. What are Medical Ethics?
Gall bladder
Standards of conduct based on moral principals.
To view
Smaller - lateral leg bone

8. Short Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Small with irregular shapes (ie wrist and ankle)
Lunula
Above

9. -rrhagia
Bursting forth blood
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Epinephrine and Steriods
Fat cell

10. What is CHAMPVA
Disease Condition
Strong - broad and have large surfaces for muscles to attach to.
Surgical Repair
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

11. gloss/
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
Tongue
Skin
False

12. Parietal Bones
All
Forms the sides of the cranium
Osseous
Hind foot bone

13. Medial
Middle of the body.
Lung
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
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. -ectomy
Stone
Many
Removal - Excision - Resection
All

15. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Heart
Without
1. Insurance Reform 2. Administrative Simplification

16. epi
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
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.
Between
Above

17. stomat/
Free moving joints that are surrounded by joint capsules.
Small collection of clear fluid; blister
Mouth
Lower Jawbone

18. endo
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
Within
Coccyx (Tailbone)
Surgical Fixation

19. Lipocyte
5
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Surgical Fixation
Fat cell

20. How many digits does an ICD-9 Subclassification code have?
Disease Condition
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.
5. (ex 311.56)
Record

21. Retraction
Moving backward
Moving forward
Bones covering body parts (ie shoulder blades - ribs - pelvic 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

22. What are the two types of edits that the NCCI implements?
Nose
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.
Vertical plane dividing the body into Anterior and Posterior sections.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

23. derm/
Without
Skin
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Opening

24. colp/
Vagina
Lunula
To view
Tongue

25. Tarsal
Hind foot bone
A change in the code description since the last edition.
False
Lower Back

26. -pexy
Surgical Fixation
Milk
A break at the distal end of the bone - usually when someone tries to break their fall.
Vertical plane dividing the body to the left and the right sides.

27. What is a Comminuted Fracture?
The bone is crushed or shattered.
Upper Back
Birth
1. Insurance Reform 2. Administrative Simplification

28. Protraction
Liver
Moving forward
Muscle
Out - out of

29. chondro/
Cartilage
Birth
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Removal - Excision - Resection

30. -centisis
Heart
To cut into
Surgical Puncture
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

31. What does a triangle in the CPT book next to a code mean?
Within
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Vulva
A change in the code description since the last edition.

32. gloss/
Free moving joints that are surrounded by joint capsules.
Forms the two lower sides of the cranium
Tongue
Birth

33. ex
Out - out of
Epinephrine and Steriods
Against
CMS

34. chondro/
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Cartilage
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Below

35. Who developed HCPCs codes?
CMS
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Vulva
Death of tissue due to loss of blood supply

36. -algia
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Pain
Half
Smaller - lateral leg bone

37. What are bursae?
Nose
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
A new procedure or service since the previous edition.

38. cholecyst/
Gall bladder
Moving backward
No.
Middle of the body.

39. What is the moon like white area at the base of the nail called?
A change in the code description since the last edition.
Lunula
Upper Back
Four

40. neo
Suture
Inflammation
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
New

41. derm/
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.
The bone is broken and pierces an organ.
Treatment
Skin

42. Malleolus
Standards of conduct based on moral principals.
Ankle
Lower Jawbone
All

43. -scopy
Skin
Above
The Axial Skeleton and the Appendicular Skeleton
To view

44. When billing an insurance company - what information must be included?
26
New
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Side

45. What is Benign?
Finger Bones
Noninvasive - non-spreading - nonmalignant.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

46. What is the name of the claim form that is standard for submitting claims?
Cartilage
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Removal - Excision - Resection
CMS-1500

47. What does a bullet in the CPT code book next to a code mean?
Forms the roof of the nasal cavity
A new procedure or service since the previous edition.
Surgical Fixation
In front of the temporal bones

48. What are bones connected together with?
Fat cell
Fibrous bands of ligaments
Middle of the foot bone
Tongue

49. What is a Qualified Diagnosis
Absence of hair
A working diagnosis that has not yet been established.
Pain
The fractured area of the bone collapses on itself.

50. What are the 3 classifications of Hypertension?
Hematopoietic tissue
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
Surgical Repair
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)