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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. Temporal Bones
Turning Outward
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.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Forms the two lower sides of the cranium

2. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
New
Structural protein found in skin and connective tissue.
Stomach

3. hemi
Half
Moving forward
Under
Surgical Puncture

4. oste/
To cut into
Bone
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
Shoulder - collar - pelvic - arms and legs.

5. Malleolus
Shoulder - collar - pelvic - arms and legs.
Movement away from the midline
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Ankle

6. Collagen
No.
CMS-1500
Hind foot bone
Structural protein found in skin and connective tissue.

7. What are the two provisions of HIPPA?
Suture
Fallopian tubes
1. Insurance Reform 2. Administrative Simplification
Lunula

8. How many digits does an ICD-9 Category code have?
Major skin pigment
Mass
Cancer that has spread to a secondary site.
3 (ex 311)

9. When was the Health Information and Accountability Act (HIPAA) created?
Hind foot bone
1996
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
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

10. Sagittal
Surgical Repair
Cancer that has spread to a secondary site.
Vertical plane dividing the body to the left and the right sides.
Suture

11. Ulna
Lower medial arm bone
Vertical plane dividing the body into Anterior and Posterior sections.
A change in the code description since the last edition.
Cheek Bone

12. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Shoulder - collar - pelvic - arms and legs.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Enlargement

13. Carpals
Wrist bones
New
Active - retired - survivors and their families of the Armed Forces.
Forms the back of the skull

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

15. -rrhaphy
Discharge - Flow
Suture
Ovary
Without

16. -megaly
Against
Enlargement
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

17. -rrhaphy
Suture
Cheek Bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Between

18. pan
A new procedure or service since the previous edition.
Forms the sides of the cranium
All
Lower medial arm bone

19. Short Bones
In front of the temporal bones
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
Lower medial arm bone
Small with irregular shapes (ie wrist and ankle)

20. Who does TRICARE cover?
Uteris
Vagina
Cartilage
Active - retired - survivors and their families of the Armed Forces.

21. Phalanges
Muscle
Finger Bones
Absence of hair
Noninvasive - non-spreading - nonmalignant.

22. -gram
Lower medial arm bone
Record
26
Mass

23. What are the 3 layers of skin?
Far from the point of attachment of the trunk.
Opening
Upper Arm bone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

24. Parietal Bones
Forms the sides of the cranium
False
Shin
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

25. Tibia
Through
Shin
A pregnant woman who has had at least one pregnancy.
A working diagnosis that has not yet been established.

26. How many volumes is the ICD-9 manual divided into?
Far from the point of attachment of the trunk.
Forms the roof of the nasal cavity
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Surgical Repair

27. What are the key components of E/M?
Standards of conduct based on moral principals.
Fat cell
Middle of the foot bone
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

28. Maxilla
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Upper Jawbone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

29. Distal
Cartilage
Far from the point of attachment of the trunk.
Ankle
The Axial Skeleton and the Appendicular Skeleton

30. chondro/
Liver
Cartilage
Ankle
Head

31. pre
Head
Before - in front of
4. (ex 311.0)
Enlargement

32. colp/
Below - deficient
A break at the distal end of the bone - usually when someone tries to break their fall.
Vagina
A pregnant woman who has had at least one pregnancy.

33. sub
Under
Fibrous bands of ligaments
Mass
1. Insurance Reform 2. Administrative Simplification

34. Transverse/Cross Sectional
Bursting forth blood
Horizontal plane dividing the upper and lower parts of the body.
Before - in front of
A break at the distal end of the bone - usually when someone tries to break their fall.

35. What is a Colles Fracture?
Upper Jawbone
Opening
Nose
A break at the distal end of the bone - usually when someone tries to break their fall.

36. -pathy
Toe Bones
Bones at the corner of each eye that cradle the tearducts
Disease Condition
Structural protein found in skin and connective tissue.

37. Abduction
Bones the palm of the hand
Small with irregular shapes (ie wrist and ankle)
Movement away from the midline
Milk

38. Multigravida
A pregnant woman who has had at least one pregnancy.
Osseous
MM/DD/YY
Before - in front of

39. Gangrene
Death of tissue due to loss of blood supply
Cancer that has localized and not spread at all.
Small collection of clear fluid; blister
Enlargement

40. What hormones do the adrenal glands secrete?
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.
Epinephrine and Steriods
CMS-1500
Visual Examination

41. What is primary malignancy?
Four
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Bones at the corner of each eye that cradle the tearducts
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

42. Long Bones
New
Ankle
Strong - broad and have large surfaces for muscles to attach to.
Surgical Fixation

43. What is the Axial Skeleton comprised of?
Near the point of attachment to the trunk.
Death of tissue due to loss of blood supply
Skull - Ribcage and Spine.
4. (ex 311.0)

44. gloss/
Forms the front part of the skull and the forehead.
Gall bladder
Tongue
Osseous

45. -centisis
Cancer that has spread to a secondary site.
Toe Bones
Surgical Puncture
Middle of the foot bone

46. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
New
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
Vulva

47. Fibula
Separation - Breakdown
Vagina
Smaller - lateral leg bone
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.

48. pan
Intestine
All
Free moving joints that are surrounded by joint capsules.
Office of Inspector General (OIG)

49. Ethmoid Bone
Cancer that has spread to a secondary site.
Turning Outward
Lower Jawbone
Forms the roof of the nasal cavity

50. How long should Medical Records be retained?
Painful - difficult
Surgical Puncture
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Half