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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. Tibia
Shin
Vagina
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Turning Outward

2. What is secondary malignancy?
Heart
Shoulder - collar - pelvic - arms and legs.
Cancer that has spread to a secondary site.
Horizontal plane dividing the upper and lower parts of the body.

3. Fibula
Vagina
Upper Jawbone
Smaller - lateral leg bone
Noninvasive - non-spreading - nonmalignant.

4. oophor
Vagina
Smaller - lateral leg bone
Birth
Ovary

5. -osis
Surgical Puncture
Bone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Abnormal condition

6. Sacral
Movement away from the midline
Sacrum
Forms the front part of the skull and the forehead.
5

7. cholecyst/
Uteris
Movement toward the midline
Gall bladder
Forms the front part of the skull and the forehead.

8. -sclerosis
Hardening
Skull - Ribcage and Spine.
Separation - Breakdown
Small with irregular shapes (ie wrist and ankle)

9. What is CHAMPVA
The Axial Skeleton and the Appendicular Skeleton
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Absence of hair
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

10. dys
Disease Condition
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Painful - difficult
Discharge - Flow

11. Flat Bones
Smaller - lateral leg bone
Turning Inward
Four
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

12. What are Medical Ethics?
Vertical plane dividing the body to the left and the right sides.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Surgical Repair
Standards of conduct based on moral principals.

13. Macule
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Liver
Discolored - flat lesion
Turning the palm or foot upward

14. sub
Under
Through
In front of the temporal bones
Bones at the corner of each eye that cradle the tearducts

15. Sagittal
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.
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.
Record
Vertical plane dividing the body to the left and the right sides.

16. Radius
Bone
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Lower arm bone in line with the thumb
Turning Inward

17. Lacrimal Bones
Cheek Bone
Upper Arm bone
Karatin
Bones at the corner of each eye that cradle the tearducts

18. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Hardening
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Milk

19. Malleolus
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Vertical plane dividing the body into Anterior and Posterior sections.
Ankle
The Axial Skeleton and the Appendicular Skeleton

20. What are the key components of E/M?
Strong - broad and have large surfaces for muscles to attach to.
Wrist bones
No.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

21. Humerus
Forms the roof of the nasal cavity
Upper Jawbone
Upper Arm bone
Shoulder - collar - pelvic - arms and legs.

22. per
Hind foot bone
Through
A change in the code description since the last edition.
Wrist bones

23. stomat/
Moving forward
Mouth
The bone is crushed or shattered.
Abnormal condition

24. Zygoma
Hematopoietic tissue
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Upper Back
Cheek Bone

25. What are bursae?
Turning Inward
Treatment
New
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

26. What does a Surgical Package (aka Global Surgery) include?
Strong - broad and have large surfaces for muscles to attach to.
Within
Stone
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

27. What does a bullet in the CPT code book next to a code mean?
To view
A new procedure or service since the previous edition.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Stone

28. What are the 5 regions of the spine?
Pain
Upper Arm bone
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Hind foot bone

29. -centisis
Hardening
CMS-1500
Surgical Puncture
Separation - Breakdown

30. 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.
Beside
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Horizontal plane dividing the upper and lower parts of the body.

31. myo/
Lower arm bone in line with the thumb
Bone that forms the wall between the nostrils
Middle of the foot bone
Muscle

32. How many digits does an ICD-9 Subclassification code have?
In front of the temporal bones
5. (ex 311.56)
Fallopian tubes
Moving forward

33. What are bones made of?
A break at the distal end of the bone - usually when someone tries to break their fall.
Opening
Mouth
Osseous

34. -algia
Under
Office of Inspector General (OIG)
Vulva
Pain

35. What is a compression fracture?
Slow
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Moving forward
The fractured area of the bone collapses on itself.

36. What does a triangle in the CPT book next to a code mean?
Shoulder - collar - pelvic - arms and legs.
Measure
Surgical Fixation
A change in the code description since the last edition.

37. What is the moon like white area at the base of the nail called?
Mouth
Front part of the body.
Lunula
Uteris

38. pneum/
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Smaller - lateral leg bone
Lung
Hind foot bone

39. -scopy
Wrist bones
Absence of hair
Visual Examination
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

40. 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.
Birth
Above
Ovary

41. -rrhaphy
Suture
Record
Reimbursement is sent directly from payer to the provider.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

42. arth/
Uteris
Painful - difficult
Cartilage
Fat cell

43. Palatine Bones
Beside
Little - scanty
Upper roof of the mouth
Skull - Ribcage and Spine.

44. What is the National Correct Coding Initiative (NCCI)?
Half
Many
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
The bone is broken and pierces an organ.

45. gastro/
Stomach
The fractured area of the bone collapses on itself.
Vulva
Side

46. What are the 3 classifications of Hypertension?
Turning Inward
Birth
Breast
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

47. -therapy
5. (ex 311.56)
Against
Birth
Treatment

48. Protraction
Fibrous bands of ligaments
Moving forward
Enlargement
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

49. Supination
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Vagina
Lower arm bone in line with the thumb
Turning the palm or foot upward

50. Phalanx
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
The Axial Skeleton and the Appendicular Skeleton
Lower arm bone in line with the thumb
Toe Bones