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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Humerus
Upper Arm bone
New
Out - out of
Bone

2. Hypo
Below - deficient
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Uteris
Out - out of

3. What are the insides of bones comprised of?
Hematopoietic tissue
Noninvasive - non-spreading - nonmalignant.
Lower medial arm bone
Moving forward

4. Sagittal
Far from the point of attachment of the trunk.
Noninvasive - non-spreading - nonmalignant.
Forms the two lower sides of the cranium
Vertical plane dividing the body to the left and the right sides.

5. oophor
Cancer that has spread to a secondary site.
Ovary
Cheek Bone
Abnormal condition

6. What hormones do the adrenal glands secrete?
Hematopoietic tissue
Heart
Epinephrine and Steriods
Forms the front part of the skull and the forehead.

7. poly
Many
Gall bladder
Vertical plane dividing the body to the left and the right sides.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

8. -tomy
Lower Jawbone
CMS
Lower Back
To cut into

9. -ectomy
Removal - Excision - Resection
Cartilage
1. Insurance Reform 2. Administrative Simplification
Turning the palm or foot upward

10. Lateral
To cut into
Within
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Side

11. -lysis
Cartilage
Separation - Breakdown
Side
Mass

12. Eversion
Turning Outward
Cartilage
Breast
Ovary

13. Impetigo
All
Before
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Major skin pigment

14. endo
Stomach
Shin
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Within

15. Malleolus
Before
The bone is crushed or shattered.
Below - deficient
Ankle

16. How is the Patients DOB entered on the claim form?
Movement toward the midline
Sacrum
Lower Jawbone
MM/DD/YY

17. lact/
Milk
Ovary
Bone that forms the wall between the nostrils
Below - deficient

18. Inversion
Milk
Turning Inward
Pain
Liver

19. What is in a Medical Record?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Stone
CMS-1500
1996

20. How many regions is the spinal/vertebral column divided into?
Beside
Half
Lower Jawbone
5

21. oglio
Movement toward the midline
Lung
Little - scanty
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

22. -oma
CMS
Reimbursement is sent directly from payer to the provider.
Mass
Interior of the nose

23. Can you have TRICARE and CHAMPVA at the same time?
Without
Back part of the body.
No.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

24. -emia
Cartilage
Forms the front part of the skull and the forehead.
Through
Blood Condition

25. What is a compression fracture?
The fractured area of the bone collapses on itself.
Abdomen
Below - deficient
Structural protein found in skin and connective tissue.

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

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27. -gram
Small collection of clear fluid; blister
Vertical plane dividing the body to the left and the right sides.
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
Record

28. cardi/
MM/DD/YY
Cheek Bone
Heart
Blood Condition

29. What are the two types of edits that the NCCI implements?
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.
Disease Condition
Nose
Nose

30. Phalanges
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.
Ovary
Finger Bones

31. Ulna
Fat cell
5. (ex 311.56)
Lower medial arm bone
4. (ex 311.0)

32. inter
Gall bladder
Between
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Coccyx (Tailbone)

33. What are the insides of bones comprised of?
Little - scanty
A working diagnosis that has not yet been established.
Small collection of clear fluid; blister
Hematopoietic tissue

34. Fibula
Below - deficient
Smaller - lateral leg bone
Cheek Bone
Painful - difficult

35. -scopy
Upper Jawbone
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Near the point of attachment to the trunk.
Visual Examination

36. Gangrene
Movement toward the midline
Death of tissue due to loss of blood supply
Below - deficient
Interior of the nose

37. 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.
Slow
Movement toward the midline
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

38. Mandible
To view
Horizontal plane dividing the upper and lower parts of the body.
Visual Examination
Lower Jawbone

39. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Nose
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Fibrous bands of ligaments

40. What are Medical Ethics?
1996
The bone is crushed or shattered.
Standards of conduct based on moral principals.
New

41. What are the 3 layers of skin?
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Before
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

42. -osis
Without
A working diagnosis that has not yet been established.
Above
Abnormal condition

43. Distal
The bone is crushed or shattered.
Far from the point of attachment of the trunk.
3 (ex 311)
26

44. Radius
Record
Lower arm bone in line with the thumb
Upper Jawbone
Smaller - lateral leg bone

45. Infra
MM/DD/YY
3 (ex 311)
Below
Discolored - flat lesion

46. What is the Appendicular Skeleton comprised of?
Free moving joints that are surrounded by joint capsules.
Moving forward
Upper Back
Shoulder - collar - pelvic - arms and legs.

47. Who does TRICARE cover?
A change in the code description since the last edition.
Active - retired - survivors and their families of the Armed Forces.
A pregnant woman who has had at least one pregnancy.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

48. Frontal - Coronal
Small collection of clear fluid; blister
Noninvasive - non-spreading - nonmalignant.
Strong - broad and have large surfaces for muscles to attach to.
Vertical plane dividing the body into Anterior and Posterior sections.

49. Supination
Turning the palm or foot upward
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
All

50. Melanin
Major skin pigment
Shoulder - collar - pelvic - arms and legs.
Moving forward
Without

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Medical Coding Basics

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