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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. Can you have TRICARE and CHAMPVA at the same time?
Lower Back
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
No.
New

2. hemi
Below
Half
Toe Bones
Fallopian tubes

3. Tarsal
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Karatin
Osseous
Hind foot bone

4. -osis
Disease Condition
Abnormal condition
Hind foot bone
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

5. -scopy
Four
Small with irregular shapes (ie wrist and ankle)
To view
Bones at the corner of each eye that cradle the tearducts

6. What is Fiscal Intermediary?
Out - out of
Upper Jawbone
Lower medial arm bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

7. How many regions is the spinal/vertebral column divided into?
Smaller - lateral leg bone
To cut into
5
Surgical Fixation

8. What is Fiscal Intermediary?
Forms the back of the skull
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.
Office of Inspector General (OIG)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

9. What is hair made of?
Reimbursement is sent directly from payer to the provider.
New
Karatin
Above

10. What is Employer Liability?

11. tetra
Four
Middle of the foot bone
Lung
Birth

12. sub
False
Under
Below
Painful - difficult

13. Wheal
Neck Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Abnormal condition
Bones the palm of the hand

14. Impetigo
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
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Middle of the foot bone
Upper roof of the mouth

15. hin/
Muscle
Nose
1. Insurance Reform 2. Administrative Simplification
Far from the point of attachment of the trunk.

16. supra
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Above
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.
Before

17. oglio
Little - scanty
Movement toward the midline
Birth
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

18. enter/
Intestine
Neck Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
A break at the distal end of the bone - usually when someone tries to break their fall.

19. salping/
Enlargement
Death of tissue due to loss of blood supply
Fallopian tubes
Before - in front of

20. pseudo
False
Reimbursement is sent directly from payer to the provider.
Mass
4. (ex 311.0)

21. -stomy
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.
No.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Opening

22. Anterior/Ventral
Front part of the body.
The bone is crushed or shattered.
Discharge - Flow
Turning Outward

23. Melanin
Major skin pigment
Muscle
Front part of the body.
Cartilage

24. hepato/
Painful - difficult
Lower arm bone in line with the thumb
Liver
Visual Examination

25. Hypo
Below - deficient
Osseous
Cancer that has spread to a secondary site.
Strong - broad and have large surfaces for muscles to attach to.

26. cholecyst/
Under
Middle of the foot bone
1996
Gall bladder

27. -plasty
Wrist bones
Surgical Repair
1. Insurance Reform 2. Administrative Simplification
Small collection of clear fluid; blister

28. -emia
Vertical plane dividing the body into Anterior and Posterior sections.
Active - retired - survivors and their families of the Armed Forces.
Blood Condition
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

29. How are bones categorized?
Through
The Axial Skeleton and the Appendicular Skeleton
Noninvasive - non-spreading - nonmalignant.
Major skin pigment

30. Impetigo
Bacterial inflammatory skin disease with lesions - pustules and vesicles
All
Back part of the body.
Movement away from the midline

31. endo
Within
Forms the back of the skull
Before - in front of
Four

32. What is the National Correct Coding Initiative (NCCI)?
Moving backward
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
5. (ex 311.56)
Turning Inward

33. What is a Qualified Diagnosis
Forms the roof of the nasal cavity
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.
A working diagnosis that has not yet been established.
5

34. Collagen
Ankle
Structural protein found in skin and connective tissue.
Lunula
Cartilage

35. Posterior/Dorsal
Office of Inspector General (OIG)
Back part of the body.
Lung
The bone is broken and pierces an organ.

36. Medial
Neck Bones
The bone is crushed or shattered.
Within
Middle of the body.

37. Short Bones
Removal - Excision - Resection
Small with irregular shapes (ie wrist and ankle)
Many
Fallopian tubes

38. Protraction
Below - deficient
The Axial Skeleton and the Appendicular Skeleton
Interior of the nose
Moving forward

39. Tibia
Above
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Shin

40. colp/
Abdomen
Before - in front of
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Vagina

41. nat/
Birth
Upper Arm bone
Cancer that has spread to a secondary site.
Bones at the corner of each eye that cradle the tearducts

42. Sphenoid Bones
In front of the temporal bones
Bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Bones the palm of the hand

43. para
Beside
5. (ex 311.56)
Ankle
Vertical plane dividing the body to the left and the right sides.

44. Ulna
Pain
Lower medial arm bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
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

45. Radius
Lower arm bone in line with the thumb
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Upper Arm bone

46. What is a Comminuted Fracture?
Fallopian tubes
Moving backward
The bone is crushed or shattered.
Upper Jawbone

47. lact/
Hind foot bone
Milk
Disease Condition
The bone is broken and pierces an organ.

48. Thoracic
Upper Back
Shin
Hardening
In front of the temporal bones

49. Who developed HCPCs codes?
Mass
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
CMS
Sacrum

50. Eversion
Turning Outward
Vagina
Office of Inspector General (OIG)
Blood Condition