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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. derm/
Uteris
Above
Little - scanty
Skin

2. Coccygeal
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Coccyx (Tailbone)
4. (ex 311.0)
Measure

3. gastro/
Stomach
Bones the palm of the hand
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Surgical Puncture

4. Hypo
Below - deficient
Forms the front part of the skull and the forehead.
Blood Condition
A pregnant woman who has had at least one pregnancy.

5. Short Bones
CMS
Lower medial arm bone
Small with irregular shapes (ie wrist and ankle)
Bone that forms the wall between the nostrils

6. Alopecia
Absence of hair
Out - out of
Lower arm bone in line with the thumb
A working diagnosis that has not yet been established.

7. -gram
Turning Outward
The bone is broken and pierces an organ.
Record
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

8. Protraction
Moving forward
Discharge - Flow
Lower Jawbone
Bursting forth blood

9. Retraction
Small collection of clear fluid; blister
Standards of conduct based on moral principals.
Through
Moving backward

10. When can a provider share PHI without specific permission from the patient?

11. hin/
Forms the back of the skull
Front part of the body.
Nose
Cartilage

12. Parietal Bones
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.
Forms the sides of the cranium
Shin

13. oophor
Horizontal plane dividing the upper and lower parts of the body.
CMS-1500
Gall bladder
Ovary

14. Sphenoid Bones
In front of the temporal bones
Movement toward the midline
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
The Axial Skeleton and the Appendicular Skeleton

15. -emia
5. (ex 311.56)
Blood Condition
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

16. Macule
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
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.
Discolored - flat lesion
Hematopoietic tissue

17. supra
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Above
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

18. Proximal
Lower arm bone in line with the thumb
New
Near the point of attachment to the trunk.
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.

19. arth/
Active - retired - survivors and their families of the Armed Forces.
Fat cell
A pregnant woman who has had at least one pregnancy.
Cartilage

20. Thoracic
Upper Back
Lower arm bone in line with the thumb
CMS
Between

21. stomat/
Mouth
Liver
Small with irregular shapes (ie wrist and ankle)
Back part of the body.

22. gastro/
Middle of the foot bone
Stomach
Muscle
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

23. -algia
Pain
Sacrum
Karatin
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

24. Abduction
Turning Inward
Liver
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Movement away from the midline

25. What is a Comminuted Fracture?
Milk
The bone is crushed or shattered.
Birth
5. (ex 311.56)

26. What is the False Claims Act (FCA)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
CMS
The bone is crushed or shattered.
Absence of hair

27. How many digits does an ICD-9 Subclassification code have?
To view
Blood Condition
Tongue
5. (ex 311.56)

28. What is Assignment of Benefits?
Strong - broad and have large surfaces for muscles to attach to.
26
Reimbursement is sent directly from payer to the provider.
New

29. oophor
The bone is broken and pierces an organ.
Ovary
Fat cell
Disease Condition

30. How many digits does an ICD-9 Category code have?
3 (ex 311)
Measure
Uteris
Ankle

31. What is a Qualified Diagnosis
Wrist bones
False
Movement away from the midline
A working diagnosis that has not yet been established.

32. What are the 2 types of glands on the skin?
Between
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Abnormal condition
Noninvasive - non-spreading - nonmalignant.

33. pseudo
Below - deficient
Lower medial arm bone
Intestine
False

34. enter/
5
Intestine
Upper Back
Hematopoietic tissue

35. supra
Above
Karatin
Beside
26

36. Ulna
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Lower arm bone in line with the thumb
Lower medial arm bone
Without

37. Who does TRICARE cover?
Side
Active - retired - survivors and their families of the Armed Forces.
Birth
Standards of conduct based on moral principals.

38. gloss/
Tongue
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Epinephrine and Steriods
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

39. What is a Colles Fracture?
Fat cell
In front of the temporal bones
Cartilage
A break at the distal end of the bone - usually when someone tries to break their fall.

40. Cervical
Neck Bones
Cheek Bone
Vulva
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

41. pseudo
Fat cell
False
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Fallopian tubes

42. Can you have TRICARE and CHAMPVA at the same time?
Upper Jawbone
No.
Cancer that has localized and not spread at all.
Surgical Repair

43. What is Employee Liability Insurance?
False
Forms the front part of the skull and the forehead.
Forms the back of the skull
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

44. -itis
Inflammation
Surgical Puncture
Before
Upper roof of the mouth

45. -stomy
Strong - broad and have large surfaces for muscles to attach to.
Osseous
Opening
Below

46. When billing an insurance company - what information must be included?
Vertical plane dividing the body to the left and the right sides.
26
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

47. Tarsal
Below - deficient
Hind foot bone
Reimbursement is sent directly from payer to the provider.
Mass

48. How long should Medical Records be retained?
Epinephrine and Steriods
Bone that forms the wall between the nostrils
Vulva
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

49. What are the two provisions of HIPPA?
Heart
CMS
1. Insurance Reform 2. Administrative Simplification
A change in the code description since the last edition.

50. arth/
Cartilage
Finger Bones
Near the point of attachment to the trunk.
A break at the distal end of the bone - usually when someone tries to break their fall.