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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. Frontal - Coronal
1996
5. (ex 311.56)
Vertical plane dividing the body into Anterior and Posterior sections.
Turning Outward

2. cardi/
New
Heart
Milk
Discharge - Flow

3. Lumbar
26
Against
Discharge - Flow
Lower Back

4. Multigravida
Measure
A pregnant woman who has had at least one pregnancy.
1. Insurance Reform 2. Administrative Simplification
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

5. What are the insides of bones comprised of?
Near the point of attachment to the trunk.
Out - out of
Hematopoietic tissue
A pregnant woman who has had at least one pregnancy.

6. -emia
1. Insurance Reform 2. Administrative Simplification
Blood Condition
Below
Breast

7. pseudo
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
False
Without
Turning Inward

8. -megaly
Enlargement
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Lower Jawbone
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

9. What does a triangle in the CPT book next to a code mean?
Moving forward
Middle of the body.
A change in the code description since the last edition.
Small with irregular shapes (ie wrist and ankle)

10. Lipocyte
Cartilage
Osseous
Fat cell
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

11. hepato/
Back part of the body.
Osseous
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Liver

12. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
The bone is broken and pierces an organ.
Bones at the corner of each eye that cradle the tearducts
New

13. Who developed HCPCs codes?
CMS
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Lunula

14. chondro/
Within
Cartilage
Milk
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

15. Supination
Upper Arm bone
Turning the palm or foot upward
Birth
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

16. How long should Medical Records be retained?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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
Upper Arm bone
Free moving joints that are surrounded by joint capsules.

17. Cervical
Neck Bones
Lung
Bones the palm of the hand
Record

18. What is Benign?
Epinephrine and Steriods
Interior of the nose
Noninvasive - non-spreading - nonmalignant.
Without

19. Lateral
Vertical plane dividing the body to the left and the right sides.
Before - in front of
Side
Above

20. -rrhaphy
Suture
The Axial Skeleton and the Appendicular Skeleton
Above
Upper Jawbone

21. What are bones made of?
Neck Bones
Below
Painful - difficult
Osseous

22. Parietal Bones
Removal - Excision - Resection
Hematopoietic tissue
Heart
Forms the sides of the cranium

23. -gram
To cut into
Lung
4. (ex 311.0)
Record

24. What are the two provisions of HIPPA?
Above
The bone is broken and pierces an organ.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1. Insurance Reform 2. Administrative Simplification

25. neo
New
Forms the sides of the cranium
A working diagnosis that has not yet been established.
Heart

26. -plasty
Below
Karatin
Surgical Repair
Discharge - Flow

27. What are the key components of E/M?
Small with irregular shapes (ie wrist and ankle)
Near the point of attachment to the trunk.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Hardening

28. Eversion
Surgical Puncture
Shoulder - collar - pelvic - arms and legs.
Turning Outward
A new procedure or service since the previous edition.

29. When was the Health Information and Accountability Act (HIPAA) created?
Forms the roof of the nasal cavity
1996
26
Surgical Repair

30. episi/
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Near the point of attachment to the trunk.
Vulva
Cartilage

31. How is the Patients DOB entered on the claim form?
MM/DD/YY
Inflammation
New
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

32. How is Medicare's RBRVS calculated?
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
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Opening
Death of tissue due to loss of blood supply

33. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
CMS-1500
Milk
Upper Jawbone

34. Protraction
To view
Moving forward
Lower Back
Separation - Breakdown

35. cholecyst/
Mouth
Gall bladder
MM/DD/YY
Four

36. -itis
Nose
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Inflammation

37. What is Fiscal Intermediary?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Stomach
Smaller - lateral leg bone
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

38. Phalanx
Discolored - flat lesion
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Toe Bones
Heart

39. What are the 2 types of glands on the skin?
Out - out of
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
MM/DD/YY
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

40. -sclerosis
Bone
The Axial Skeleton and the Appendicular Skeleton
Hardening
Hematopoietic tissue

41. lapar/
Abdomen
No.
Small collection of clear fluid; blister
In front of the temporal bones

42. Thoracic
Turning Inward
Head
Upper Back
Forms the front part of the skull and the forehead.

43. oglio
Coccyx (Tailbone)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Little - scanty

44. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Between
Forms the front part of the skull and the forehead.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

45. -scopy
Below - deficient
CMS
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
To view

46. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Above
Vagina

47. Anterior/Ventral
Front part of the body.
Blood Condition
A break at the distal end of the bone - usually when someone tries to break their fall.
Inflammation

48. mast/
Bursting forth blood
Breast
Vertical plane dividing the body to the left and the right sides.
Between

49. ex
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Forms the sides of the cranium
Upper Jawbone
Out - out of

50. -scopy
To view
Turning Inward
Fat cell
A change in the code description since the last edition.