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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. -tomy
3 (ex 311)
To cut into
Forms the back of the skull
No.

2. Adduction
Movement toward the midline
Sacrum
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
In the cause of injury - poisoning - accidents or other adverse effects.

3. cardi/
Upper Jawbone
Forms the back of the skull
Heart
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

4. -pathy
Disease Condition
Muscle
Active - retired - survivors and their families of the Armed Forces.
1996

5. Can you have TRICARE and CHAMPVA at the same time?
Under
Below
Office of Inspector General (OIG)
No.

6. -rrhea
1. Insurance Reform 2. Administrative Simplification
Surgical Repair
Discharge - Flow
In the cause of injury - poisoning - accidents or other adverse effects.

7. Distal
Structural protein found in skin and connective tissue.
Toe Bones
Far from the point of attachment of the trunk.
Cartilage

8. Thoracic
Upper Back
Opening
1. Insurance Reform 2. Administrative Simplification
CMS-1500

9. What are bursae?
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.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
MM/DD/YY
Middle of the foot bone

10. How many digits does an ICD-9 Subcategory code have?
A working diagnosis that has not yet been established.
4. (ex 311.0)
False
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

11. Fibula
Turning Inward
Smaller - lateral leg bone
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Cancer that has localized and not spread at all.

12. Sagittal
Vertical plane dividing the body to the left and the right sides.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Coccyx (Tailbone)
Half

13. Abduction
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Moving forward
Movement away from the midline
Moving backward

14. -scopy
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Sacrum
26
To view

15. pan
Gall bladder
Forms the two lower sides of the cranium
All
Karatin

16. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
New
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Lower medial arm bone

17. Can you have TRICARE and CHAMPVA at the same time?
Little - scanty
Lower Back
No.
MM/DD/YY

18. Sesamoid Bones
Forms the front part of the skull and the forehead.
Upper Back
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Major skin pigment

19. What is hair made of?
Karatin
Sacrum
Surgical Repair
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

20. endo
Upper Jawbone
Within
Uteris
Head

21. a - an
Without
Hind foot bone
A change in the code description since the last edition.
Wrist bones

22. -plasty
Upper roof of the mouth
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Surgical Repair
In front of the temporal bones

23. Tibia
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 spread to a secondary site.
Shin
Movement away from the midline

24. lith/
Little - scanty
Inflammation
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Stone

25. myo/
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A change in the code description since the last edition.
Muscle
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

26. Coccygeal
A break at the distal end of the bone - usually when someone tries to break their fall.
Fibrous bands of ligaments
Tongue
Coccyx (Tailbone)

27. inter
Near the point of attachment to the trunk.
Vulva
Between
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

28. What are synovial joints?
Moving forward
Fibrous bands of ligaments
Free moving joints that are surrounded by joint capsules.
False

29. supra
Lower arm bone in line with the thumb
MM/DD/YY
Above
Forms the back of the skull

30. What is primary malignancy?
Cheek Bone
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Surgical Repair
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

31. lapar/
Bone
Abdomen
Above
Without

32. Sphenoid Bones
Suture
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
In front of the temporal bones
To view

33. pneum/
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
Birth
Lung
Small collection of clear fluid; blister

34. -plasty
A break at the distal end of the bone - usually when someone tries to break their fall.
Blood Condition
Vulva
Surgical Repair

35. Macule
Middle of the body.
Vagina
Discolored - flat lesion
Skin

36. oophor
Lower Back
Middle of the body.
Enlargement
Ovary

37. pseudo
The bone is crushed or shattered.
Gall bladder
Movement away from the midline
False

38. What is Carcinoma in situ?
Liver
Cancer that has localized and not spread at all.
Below - deficient
Head

39. Carpals
Above
Vulva
1. Insurance Reform 2. Administrative Simplification
Wrist bones

40. -oma
Sacrum
Mass
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Office of Inspector General (OIG)

41. 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.
Forms the front part of the skull and the forehead.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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.

42. Phalanx
Sacrum
Pain
Toe Bones
Above

43. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Wrist bones
Cheek Bone

44. Zygoma
Through
Lunula
Lung
Cheek Bone

45. hin/
Beside
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Nose
Skin

46. What are the two provisions of HIPPA?
5
Discharge - Flow
Milk
1. Insurance Reform 2. Administrative Simplification

47. What does a Surgical Package (aka Global Surgery) include?
Death of tissue due to loss of blood supply
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Bone
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

48. Lateral
Between
Reimbursement is sent directly from payer to the provider.
Front part of the body.
Side

49. What are the 3 classifications of Hypertension?
Stomach
Without
Opening
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

50. Flat Bones
Removal - Excision - Resection
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Stomach
Out - out of