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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. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
No.
Slow
Pain

2. -scopy
Ovary
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
To view
Coccyx (Tailbone)

3. Infra
Breast
Coccyx (Tailbone)
Cheek Bone
Below

4. pseudo
False
Movement toward the midline
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Cartilage

5. How many bones are in the spine?
Ovary
26
Many
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

6. derm/
Fat cell
Upper roof of the mouth
Under
Skin

7. poly
The bone is broken and pierces an organ.
Many
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
Inflammation

8. What is secondary malignancy?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Mass
Cancer that has spread to a secondary site.

9. Fibula
Lower medial arm bone
Smaller - lateral leg bone
Shoulder - collar - pelvic - arms and legs.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

10. What are bursae?
Discolored - flat lesion
Structural protein found in skin and connective tissue.
Suture
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

11. When billing an insurance company - what information must be included?
Sacrum
Treatment
Epinephrine and Steriods
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

12. Mandible
Lower arm bone in line with the thumb
Lower Jawbone
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Without

13. mast/
Breast
Upper roof of the mouth
Skull - Ribcage and Spine.
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.

14. -centisis
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
A new procedure or service since the previous edition.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Surgical Puncture

15. How many regions is the spinal/vertebral column divided into?
Upper Arm bone
5
Small with irregular shapes (ie wrist and ankle)
Toe Bones

16. oste/
Skull - Ribcage and Spine.
Bone
The bone is broken and pierces an organ.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

17. -osis
Opening
Fat cell
Abnormal condition
Against

18. Metatarsal
Office of Inspector General (OIG)
Middle of the foot bone
Upper Back
Osseous

19. gloss/
CMS-1500
Tongue
Nose
Against

20. Who investigates and prosecutes Health Care fraud?
Office of Inspector General (OIG)
Suture
Head
Surgical Repair

21. Who investigates and prosecutes Health Care fraud?
Office of Inspector General (OIG)
No.
A break at the distal end of the bone - usually when someone tries to break their fall.
Bursting forth blood

22. -pathy
Turning the palm or foot upward
Milk
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

23. Inferior nasal conchae
Movement toward the midline
Movement toward the midline
To cut into
Interior of the nose

24. What are the insides of bones comprised of?
Measure
Hematopoietic tissue
Fibrous bands of ligaments
False

25. How long should Medical Records be retained?
Hardening
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Ovary

26. Lacrimal Bones
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.
Fibrous bands of ligaments
Treatment
Bones at the corner of each eye that cradle the tearducts

27. Alopecia
Discolored - flat lesion
Absence of hair
The bone is broken and pierces an organ.
Far from the point of attachment of the trunk.

28. Parietal Bones
Forms the sides of the cranium
Surgical Repair
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
Lung

29. What is CHAMPVA
All
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
In the cause of injury - poisoning - accidents or other adverse effects.
Lower Back

30. nat/
Removal - Excision - Resection
Birth
Out - out of
Surgical Puncture

31. oophor
Ovary
Near the point of attachment to the trunk.
Intestine
Turning Inward

32. Multigravida
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Tongue
A pregnant woman who has had at least one pregnancy.
Enlargement

33. hemi
Forms the sides of the cranium
Lower Jawbone
Half
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

34. supra
Moving forward
Above
Reimbursement is sent directly from payer to the provider.
3 (ex 311)

35. ex
Out - out of
Forms the front part of the skull and the forehead.
Muscle
Above

36. What are bones made of?
Interior of the nose
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Osseous
Stone

37. -plasty
Surgical Repair
Cartilage
To cut into
Middle of the foot bone

38. Sphenoid Bones
In front of the temporal bones
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Middle of the body.
Little - scanty

39. Distal
Cartilage
Without
Far from the point of attachment of the trunk.
The Axial Skeleton and the Appendicular Skeleton

40. Proximal
Neck Bones
Pain
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.

41. How is the Patients DOB entered on the claim form?
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
Above
Small collection of clear fluid; blister
MM/DD/YY

42. anti
Birth
Against
Measure
Lunula

43. -pathy
Free moving joints that are surrounded by joint capsules.
Disease Condition
5
Measure

44. What is a Complicated Fracture?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
The bone is broken and pierces an organ.
Beside
Vertical plane dividing the body to the left and the right sides.

45. What are the 3 classifications of Hypertension?
Reimbursement is sent directly from payer to the provider.
Epinephrine and Steriods
5
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

46. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Ankle
Cartilage
Cancer that has localized and not spread at all.

47. Inversion
Turning Inward
Coccyx (Tailbone)
False
Removal - Excision - Resection

48. colp/
Vagina
Vertical plane dividing the body into Anterior and Posterior sections.
Bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

49. -ectomy
Removal - Excision - Resection
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Suture
Toe Bones

50. What is Fiscal Intermediary?
Absence of hair
Treatment
Skull - Ribcage and Spine.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.