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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. How many digits does an ICD-9 Subcategory code have?
Inflammation
Bone that forms the wall between the nostrils
Removal - Excision - Resection
4. (ex 311.0)

2. Lumbar
In the cause of injury - poisoning - accidents or other adverse effects.
Lower Back
All
The Axial Skeleton and the Appendicular Skeleton

3. -gram
Bone that forms the wall between the nostrils
Breast
Hematopoietic tissue
Record

4. Metacarpals
Bursting forth blood
Bones the palm of the hand
Abdomen
Forms the two lower sides of the cranium

5. What is Benign?
Toe Bones
Noninvasive - non-spreading - nonmalignant.
Stomach
Toe Bones

6. What are the 5 regions of the spine?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Free moving joints that are surrounded by joint capsules.

7. Frontal Bone
A new procedure or service since the previous edition.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Forms the front part of the skull and the forehead.
Absence of hair

8. What is Employer Liability?

9. Zygoma
To cut into
Under
Cheek Bone
Discolored - flat lesion

10. Maxilla
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Upper Jawbone
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Within

11. How is the Patients DOB entered on the claim form?
Mass
MM/DD/YY
Shin
Fat cell

12. cholecyst/
Near the point of attachment to the trunk.
Mass
Gall bladder
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

13. myo/
CMS
In front of the temporal bones
Muscle
Intestine

14. Maxilla
Upper Arm bone
Upper Jawbone
Movement away from the midline
Cancer that has localized and not spread at all.

15. What are bursae?
Office of Inspector General (OIG)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
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.

16. Lipocyte
Shin
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Fat cell
Bone that forms the wall between the nostrils

17. Metacarpals
1. Insurance Reform 2. Administrative Simplification
Within
Wrist bones
Bones the palm of the hand

18. epi
Gall bladder
Cartilage
Milk
Above

19. Phalanges
Out - out of
Cartilage
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Finger Bones

20. What is in a Medical Record?
Horizontal plane dividing the upper and lower parts of the body.
Hardening
Painful - difficult
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

21. cephal/
Head
CMS-1500
Lower Jawbone
Mouth

22. Collagen
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Karatin
Hardening
Structural protein found in skin and connective tissue.

23. Vesicle
Small collection of clear fluid; blister
Upper Jawbone
Separation - Breakdown
Hematopoietic tissue

24. poly
Under
Forms the sides of the cranium
Toe Bones
Many

25. How many volumes is the ICD-9 manual divided into?
Upper Arm bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Fibrous bands of ligaments
Under

26. What is the National Correct Coding Initiative (NCCI)?
Osseous
Upper Back
4. (ex 311.0)
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

27. Transverse/Cross Sectional
In front of the temporal bones
Toe Bones
Hind foot bone
Horizontal plane dividing the upper and lower parts of the body.

28. What are Medical Ethics?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Standards of conduct based on moral principals.
In the cause of injury - poisoning - accidents or other adverse effects.
Forms the back of the skull

29. Sphenoid Bones
Suture
A break at the distal end of the bone - usually when someone tries to break their fall.
Half
In front of the temporal bones

30. Sesamoid Bones
Free moving joints that are surrounded by joint capsules.
Between
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Little - scanty

31. What hormones do the adrenal glands secrete?
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Many
All
Epinephrine and Steriods

32. What is Assignment of Benefits?
Record
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.
Reimbursement is sent directly from payer to the provider.
Lunula

33. Ethmoid Bone
Coccyx (Tailbone)
Forms the roof of the nasal cavity
Surgical Puncture
Cheek Bone

34. Palatine Bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Upper roof of the mouth
Middle of the body.
Out - out of

35. arth/
Forms the front part of the skull and the forehead.
Cartilage
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
Liver

36. Medial
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Record
Middle of the body.
Hind foot bone

37. Coccygeal
Osseous
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.
Coccyx (Tailbone)
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

38. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Half
Mass
Intestine

39. Hypo
Below - deficient
Disease Condition
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Painful - difficult

40. When billing an insurance company - what information must be included?
False
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Pain
Suture

41. Zygoma
Cheek Bone
Death of tissue due to loss of blood supply
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Head

42. para
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Blood Condition
Beside

43. What are the two types of edits that the NCCI implements?
Forms the two lower sides of the cranium
Vulva
Uteris
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.

44. -rrhagia
Bursting forth blood
Smaller - lateral leg bone
Before
CMS

45. enter/
Intestine
Major skin pigment
CMS
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.

46. Inversion
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Turning Inward
Discharge - Flow
Shin

47. neo
Forms the two lower sides of the cranium
New
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Ankle

48. Flat Bones
Moving backward
Out - out of
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Cancer that has spread to a secondary site.

49. How many digits does an ICD-9 Category code have?
Below
3 (ex 311)
Front part of the body.
To view

50. What are bones connected together with?
Breast
Lunula
Fibrous bands of ligaments
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.