Test your basic knowledge |

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 is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Standards of conduct based on moral principals.
Upper roof of the mouth
Moving backward

2. brady
Under
Above
Breast
Slow

3. What is a Colles Fracture?
Bone that forms the wall between the nostrils
Removal - Excision - Resection
Many
A break at the distal end of the bone - usually when someone tries to break their fall.

4. Sagittal
Abnormal condition
Gall bladder
Forms the two lower sides of the cranium
Vertical plane dividing the body to the left and the right sides.

5. 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.
Little - scanty
Many
Middle of the foot bone

6. What is the name of the claim form that is standard for submitting claims?
Discharge - Flow
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.
Moving backward
CMS-1500

7. Hypo
Hematopoietic tissue
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Half
Below - deficient

8. How is the Patients DOB entered on the claim form?
Mass
Fat cell
MM/DD/YY
Interior of the nose

9. Tarsal
Forms the two lower sides of the cranium
Gall bladder
Hind foot bone
Cancer that has localized and not spread at all.

10. Tarsal
Hind foot bone
Lower Back
Finger Bones
Cheek Bone

11. -rrhagia
Bursting forth blood
Vertical plane dividing the body into Anterior and Posterior sections.
In the cause of injury - poisoning - accidents or other adverse effects.
Bone

12. pneum/
Near the point of attachment to the trunk.
Lung
Vertical plane dividing the body into Anterior and Posterior sections.
The bone is broken and pierces an organ.

13. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
26
Heart
Measure

14. epi
Above
Visual Examination
Under
Vagina

15. para
Standards of conduct based on moral principals.
Near the point of attachment to the trunk.
Standards of conduct based on moral principals.
Beside

16. What are the key components of E/M?
Vulva
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Separation - Breakdown
Bones the palm of the hand

17. pan
All
Milk
Opening
The bone is crushed or shattered.

18. Lacrimal Bones
Removal - Excision - Resection
Bones the palm of the hand
The bone is crushed or shattered.
Bones at the corner of each eye that cradle the tearducts

19. What is a Qualified Diagnosis
Cartilage
Cartilage
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
A working diagnosis that has not yet been established.

20. Palatine Bones
Cancer that has localized and not spread at all.
Upper roof of the mouth
Stomach
Out - out of

21. oste/
Cartilage
Gall bladder
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Bone

22. What is Assignment of Benefits?
Mass
A pregnant woman who has had at least one pregnancy.
Moving forward
Reimbursement is sent directly from payer to the provider.

23. colp/
Intestine
Inflammation
Little - scanty
Vagina

24. What are the insides of bones comprised of?
Gall bladder
Surgical Repair
Hematopoietic tissue
Fibrous bands of ligaments

25. 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.
A new procedure or service since the previous edition.
Turning Outward
Forms the back of the skull

26. Who investigates and prosecutes Health Care fraud?
Strong - broad and have large surfaces for muscles to attach to.
The Axial Skeleton and the Appendicular Skeleton
Office of Inspector General (OIG)
5

27. poly
Many
Through
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Forms the front part of the skull and the forehead.

28. Frontal - Coronal
Mass
Without
Bone that forms the wall between the nostrils
Vertical plane dividing the body into Anterior and Posterior sections.

29. Medial
Ovary
Liver
Turning Outward
Middle of the body.

30. What is Employee Liability Insurance?
In front of the temporal bones
Absence of hair
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

31. -therapy
Out - out of
Without
Treatment
Active - retired - survivors and their families of the Armed Forces.

32. Abduction
Measure
Movement away from the midline
Lower Back
Tongue

33. -rrhagia
Bursting forth blood
Absence of hair
Upper roof of the mouth
To cut into

34. Lumbar
5. (ex 311.56)
Fat cell
Lower Back
Cancer that has localized and not spread at all.

35. -scopy
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.
Mass
Visual Examination
Epinephrine and Steriods

36. What are the 2 types of glands on the skin?
Active - retired - survivors and their families of the Armed Forces.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
1. Insurance Reform 2. Administrative Simplification

37. oophor
Noninvasive - non-spreading - nonmalignant.
1. Insurance Reform 2. Administrative Simplification
Ovary
Below - deficient

38. colp/
Removal - Excision - Resection
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
All
Vagina

39. -emia
Blood Condition
CMS
Lung
All

40. What is the National Correct Coding Initiative (NCCI)?
Free moving joints that are surrounded by joint capsules.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
26
Turning Inward

41. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Movement away from the midline
Cheek Bone
Lower Back

42. How is the Patients DOB entered on the claim form?
Turning the palm or foot upward
MM/DD/YY
The bone is crushed or shattered.
Forms the two lower sides of the cranium

43. What are the key components of E/M?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Small with irregular shapes (ie wrist and ankle)
No.

44. What is the National Correct Coding Initiative (NCCI)?
1996
Upper roof of the mouth
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
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. -oma
1. Insurance Reform 2. Administrative Simplification
Lower Back
Mass
Between

46. What is Fiscal Intermediary?
Forms the back of the skull
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Noninvasive - non-spreading - nonmalignant.

47. sub
Surgical Puncture
Beside
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Under

48. Sacral
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
Sacrum
Forms the front part of the skull and the forehead.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

49. When are E codes used?
In the cause of injury - poisoning - accidents or other adverse effects.
Skull - Ribcage and Spine.
Epinephrine and Steriods
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

50. What does a triangle in the CPT book next to a code mean?
Bones at the corner of each eye that cradle the tearducts
A change in the code description since the last edition.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
No.