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Medical Coding Basics

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. Vesicle
Death of tissue due to loss of blood supply
Small collection of clear fluid; blister
Between
Before

2. How is Usual - Customary and Reasonable pricing calculated?

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3. Inferior nasal conchae
Interior of the nose
Above
Bones at the corner of each eye that cradle the tearducts
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

4. gloss/
Free moving joints that are surrounded by joint capsules.
The bone is broken and pierces an organ.
Treatment
Tongue

5. What is a Qualified Diagnosis
A new procedure or service since the previous edition.
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.
A working diagnosis that has not yet been established.
Under

6. Fibula
Forms the two lower sides of the cranium
Smaller - lateral leg bone
Tongue
Movement away from the midline

7. -pathy
Side
Disease Condition
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
Inflammation

8. Protraction
Moving forward
Lunula
Above
Below - deficient

9. What is the Civil Monetary Penalties Law (CMPL)?
Beside
Painful - difficult
Opening
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

10. What hormones do the adrenal glands secrete?
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Active - retired - survivors and their families of the Armed Forces.
Reimbursement is sent directly from payer to the provider.
Epinephrine and Steriods

11. What is the Appendicular Skeleton comprised of?
Movement away from the midline
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Sacrum
Shoulder - collar - pelvic - arms and legs.

12. Lateral
To view
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Side
Smaller - lateral leg bone

13. Wheal
Turning the palm or foot upward
Wrist bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Measure

14. endo
Within
Reimbursement is sent directly from payer to the provider.
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
Blood Condition

15. -meter
Treatment
Measure
Within
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

16. pneum/
Shin
Lung
Coccyx (Tailbone)
Many

17. -osis
Abnormal condition
Below - deficient
Inflammation
Back part of the body.

18. Anterior/Ventral
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Movement away from the midline
Before
Front part of the body.

19. -scopy
Breast
Visual Examination
1996
Intestine

20. Eversion
Turning Outward
Strong - broad and have large surfaces for muscles to attach to.
5
Finger Bones

21. -pathy
A change in the code description since the last edition.
Forms the two lower sides of the cranium
Disease Condition
The fractured area of the bone collapses on itself.

22. colp/
Upper Jawbone
Treatment
Standards of conduct based on moral principals.
Vagina

23. How many digits does an ICD-9 Category code have?
3 (ex 311)
Out - out of
Shoulder - collar - pelvic - arms and legs.
Cartilage

24. hemi
Half
Many
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
In front of the temporal bones

25. Ethmoid Bone
Forms the roof of the nasal cavity
Wrist bones
Turning the palm or foot upward
Movement toward the midline

26. When was the Health Information and Accountability Act (HIPAA) created?
1996
Breast
Skin
Surgical Repair

27. Maxilla
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Lower medial arm bone
Upper Jawbone
Noninvasive - non-spreading - nonmalignant.

28. How many regions is the spinal/vertebral column divided into?
Lunula
Karatin
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
5

29. tetra
Four
Blood Condition
False
Measure

30. -oma
Below - deficient
Finger Bones
Skin
Mass

31. Occipital Bone
Fallopian tubes
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Cartilage
Forms the back of the skull

32. What are the 2 types of sweat glands?
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.
False
Little - scanty
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

33. Hypo
Many
Below - deficient
Turning Inward
Karatin

34. What are the key components of E/M?
To cut into
Pain
Free moving joints that are surrounded by joint capsules.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

35. Frontal Bone
Epinephrine and Steriods
Major skin pigment
Surgical Repair
Forms the front part of the skull and the forehead.

36. pneum/
Lung
Forms the back of the skull
Against
Vulva

37. How is the Patients DOB entered on the claim form?
MM/DD/YY
The bone is broken and pierces an organ.
Surgical Puncture
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

38. 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.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Skin
Enlargement

39. Carpals
Structural protein found in skin and connective tissue.
Wrist bones
Skull - Ribcage and Spine.
3 (ex 311)

40. hin/
Nose
Back part of the body.
Within
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

41. How many digits does an ICD-9 Subclassification code have?
Finger Bones
Small collection of clear fluid; blister
Reimbursement is sent directly from payer to the provider.
5. (ex 311.56)

42. When are V codes used?
Below - deficient
Cartilage
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
Discharge - Flow

43. What hormones do the adrenal glands secrete?
Surgical Repair
Epinephrine and Steriods
Enlargement
Forms the roof of the nasal cavity

44. oste/
Middle of the body.
Bone
4. (ex 311.0)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

45. Metacarpals
Bones the palm of the hand
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 roof of the mouth
26

46. nat/
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Birth
Fibrous bands of ligaments

47. derm/
Sacrum
Skin
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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

48. How many volumes is the ICD-9 manual divided into?
Coccyx (Tailbone)
Neck Bones
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

49. Radius
Lower arm bone in line with the thumb
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
In the cause of injury - poisoning - accidents or other adverse effects.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

50. Alopecia
Absence of hair
Fibrous bands of ligaments
Cartilage
Movement away from the midline

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Medical Coding Basics

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