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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. Short Bones
Small with irregular shapes (ie wrist and ankle)
Slow
Cancer that has spread to a secondary site.
Record

2. hyster/
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Uteris
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Upper Back

3. Ethmoid Bone
Upper Back
Forms the roof of the nasal cavity
Turning Outward
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

4. -ectomy
Hematopoietic tissue
Removal - Excision - Resection
Smaller - lateral leg bone
Movement toward the midline

5. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Within
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Birth

6. supra
Removal - Excision - Resection
Finger Bones
Within
Above

7. -scopy
Upper Jawbone
To view
Abnormal condition
Hind foot bone

8. What does a Surgical Package (aka Global Surgery) include?
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.
Vertical plane dividing the body to the left and the right sides.
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
Forms the back of the skull

9. Protraction
The fractured area of the bone collapses on itself.
Moving forward
The Axial Skeleton and the Appendicular Skeleton
Ovary

10. Vomer
Bone that forms the wall between the nostrils
Vertical plane dividing the body into Anterior and Posterior sections.
Hind foot bone
Wrist bones

11. ex
Cartilage
Vertical plane dividing the body to the left and the right sides.
Out - out of
Hind foot bone

12. Eversion
5. (ex 311.56)
Turning Outward
A working diagnosis that has not yet been established.
Stomach

13. arth/
A pregnant woman who has had at least one pregnancy.
Cartilage
3 (ex 311)
MM/DD/YY

14. What is hair made of?
Turning Inward
Blood Condition
A working diagnosis that has not yet been established.
Karatin

15. dys
Abdomen
Standards of conduct based on moral principals.
Intestine
Painful - difficult

16. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Free moving joints that are surrounded by joint capsules.
Measure
Skull - Ribcage and Spine.

17. -sclerosis
Hardening
Turning Outward
Record
A working diagnosis that has not yet been established.

18. -meter
Reimbursement is sent directly from payer to the provider.
Measure
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
4. (ex 311.0)

19. Gangrene
Noninvasive - non-spreading - nonmalignant.
Small with irregular shapes (ie wrist and ankle)
Death of tissue due to loss of blood supply
Active - retired - survivors and their families of the Armed Forces.

20. What is Fiscal Intermediary?
Vertical plane dividing the body to the left and the right sides.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Blood Condition
A break at the distal end of the bone - usually when someone tries to break their fall.

21. Transverse/Cross Sectional
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Horizontal plane dividing the upper and lower parts of the body.
Neck Bones
A change in the code description since the last edition.

22. -plasty
Inflammation
Uteris
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
Surgical Repair

23. gastro/
Active - retired - survivors and their families of the Armed Forces.
Epinephrine and Steriods
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Stomach

24. What is a compression fracture?
Above
The fractured area of the bone collapses on itself.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Heart

25. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Through
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.
Hardening

26. Distal
Above
Below
Far from the point of attachment of the trunk.
Front part of the body.

27. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
All
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
5. (ex 311.56)

28. What does a triangle in the CPT book next to a code mean?
No.
A change in the code description since the last edition.
New
Bursting forth blood

29. ante
Structural protein found in skin and connective tissue.
Between
Discolored - flat lesion
Before

30. brady
Painful - difficult
Suture
Uteris
Slow

31. What is CHAMPVA
A new procedure or service since the previous edition.
Suture
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Cancer that has spread to a secondary site.

32. sub
Beside
Lower Jawbone
Under
Vertical plane dividing the body into Anterior and Posterior sections.

33. What is in a Medical Record?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Moving forward
Small with irregular shapes (ie wrist and ankle)
Breast

34. Sesamoid Bones
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Major skin pigment
Heart
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

35. What is a Complicated Fracture?
1. Insurance Reform 2. Administrative Simplification
The bone is broken and pierces an organ.
Smaller - lateral leg bone
In front of the temporal bones

36. What are the two provisions of HIPPA?
Cancer that has spread to a secondary site.
1. Insurance Reform 2. Administrative Simplification
Many
Toe Bones

37. What is Employer Liability?

38. Retraction
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Below
Moving backward
Hematopoietic tissue

39. cephal/
Head
Surgical Repair
Shin
A pregnant woman who has had at least one pregnancy.

40. hemi
Half
Far from the point of attachment of the trunk.
Gall bladder
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

41. hepato/
Death of tissue due to loss of blood supply
Vagina
Liver
Before - in front of

42. How many digits does an ICD-9 Subclassification code have?
CMS-1500
5. (ex 311.56)
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.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

43. When billing an insurance company - what information must be included?
Toe Bones
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Discolored - flat lesion
Vagina

44. anti
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.
Against
Bursting forth blood
Lower Back

45. What are the 2 types of sweat glands?
Blood Condition
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

46. oste/
Bone
Milk
Upper Back
Moving forward

47. Lumbar
New
Lower Back
Standards of conduct based on moral principals.
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.

48. Vesicle
Without
Small collection of clear fluid; blister
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
3 (ex 311)

49. How is Medicare's RBRVS calculated?
Nose
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
Shin
Suture

50. poly
Below
Toe Bones
Abnormal condition
Many