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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. endo
Within
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Strong - broad and have large surfaces for muscles to attach to.
Cartilage

2. pseudo
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Out - out of
False
No.

3. What is the Appendicular Skeleton comprised of?
Bones the palm of the hand
Ankle
Turning Inward
Shoulder - collar - pelvic - arms and legs.

4. When was the Health Information and Accountability Act (HIPAA) created?
Osseous
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
1996
Upper Back

5. How is Usual - Customary and Reasonable pricing calculated?

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6. Who investigates and prosecutes Health Care fraud?
Office of Inspector General (OIG)
Before - in front of
Bursting forth blood
Visual Examination

7. derm/
Cheek Bone
Skin
Measure
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

8. Frontal - Coronal
A working diagnosis that has not yet been established.
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
Vertical plane dividing the body into Anterior and Posterior sections.
Fibrous bands of ligaments

9. What are bones made of?
Bone
Below
Forms the front part of the skull and the forehead.
Osseous

10. What is the Axial Skeleton comprised of?
1. Insurance Reform 2. Administrative Simplification
Skull - Ribcage and Spine.
Through
Slow

11. inter
Inflammation
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Between
Within

12. Anterior/Ventral
Turning Outward
Front part of the body.
Horizontal plane dividing the upper and lower parts of the body.
Movement away from the midline

13. How many digits does an ICD-9 Subclassification code have?
Enlargement
Turning Inward
5. (ex 311.56)
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.

14. sub
Surgical Repair
Measure
Under
Treatment

15. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Fallopian tubes
Under
A pregnant woman who has had at least one pregnancy.

16. How are bones categorized?
CMS-1500
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
The Axial Skeleton and the Appendicular Skeleton
To view

17. Short Bones
Small with irregular shapes (ie wrist and ankle)
Standards of conduct based on moral principals.
Strong - broad and have large surfaces for muscles to attach to.
Bacterial inflammatory skin disease with lesions - pustules and vesicles

18. stomat/
Lower arm bone in line with the thumb
Forms the front part of the skull and the forehead.
Fallopian tubes
Mouth

19. What are Medical Ethics?
Before - in front of
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.
Standards of conduct based on moral principals.
Turning Outward

20. What are the insides of bones comprised of?
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
Fallopian tubes
Hematopoietic tissue
Above

21. Melanin
Intestine
Birth
Major skin pigment
Noninvasive - non-spreading - nonmalignant.

22. -stomy
Forms the two lower sides of the cranium
1996
Hardening
Opening

23. hemi
Movement toward the midline
Half
New
Upper roof of the mouth

24. Radius
Lower arm bone in line with the thumb
Vertical plane dividing the body to the left and the right sides.
Cancer that has localized and not spread at all.
In the cause of injury - poisoning - accidents or other adverse effects.

25. Lipocyte
Mouth
No.
Reimbursement is sent directly from payer to the provider.
Fat cell

26. Who does TRICARE cover?
Horizontal plane dividing the upper and lower parts of the body.
Liver
Active - retired - survivors and their families of the Armed Forces.
Ankle

27. Malleolus
Within
Lower medial arm bone
3 (ex 311)
Ankle

28. -megaly
Half
Enlargement
Uteris
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

29. -itis
Forms the two lower sides of the cranium
Lower medial arm bone
Inflammation
The fractured area of the bone collapses on itself.

30. What does a triangle in the CPT book next to a code mean?
Mass
A change in the code description since the last edition.
New
Before

31. oglio
Cartilage
Bone that forms the wall between the nostrils
Treatment
Little - scanty

32. gloss/
Tongue
Under
Death of tissue due to loss of blood supply
To cut into

33. -rrhea
Finger Bones
Discharge - Flow
Muscle
Vagina

34. Lumbar
Noninvasive - non-spreading - nonmalignant.
Intestine
Lower Back
Interior of the nose

35. pseudo
Forms the two lower sides of the cranium
Middle of the foot bone
False
Below

36. Medial
Discolored - flat lesion
Middle of the body.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Against

37. -scopy
To view
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Half
Cancer that has spread to a secondary site.

38. 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
Cancer that has localized and not spread at all.
Painful - difficult
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

39. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Coccyx (Tailbone)
In the cause of injury - poisoning - accidents or other adverse effects.
Breast

40. What are synovial joints?
1996
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.
Disease Condition

41. What is Assignment of Benefits?
Cancer that has localized and not spread at all.
Reimbursement is sent directly from payer to the provider.
Suture
Strong - broad and have large surfaces for muscles to attach to.

42. inter
Between
Discharge - Flow
1996
Liver

43. Phalanges
Muscle
Finger Bones
Interior of the nose
26

44. Fibula
Wrist bones
Shoulder - collar - pelvic - arms and legs.
Out - out of
Smaller - lateral leg bone

45. -meter
1996
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Measure
Lower medial arm bone

46. -therapy
Treatment
Death of tissue due to loss of blood supply
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
Ankle

47. Adduction
5
Cartilage
Movement toward the midline
Skin

48. hin/
Lower medial arm bone
Nose
Middle of the foot bone
Abnormal condition

49. Transverse/Cross Sectional
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
Horizontal plane dividing the upper and lower parts of the body.
Hind foot bone

50. pre
Free moving joints that are surrounded by joint capsules.
Cancer that has localized and not spread at all.
Before - in front of
Intestine