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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. Distal
Movement toward the midline
Far from the point of attachment of the trunk.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

2. Distal
Standards of conduct based on moral principals.
Far from the point of attachment of the trunk.
Before - in front of
Upper Arm bone

3. Sphenoid Bones
Separation - Breakdown
MM/DD/YY
Cheek Bone
In front of the temporal bones

4. Thoracic
Slow
Upper Back
Skin
Wrist bones

5. How many digits does an ICD-9 Subclassification code have?
Wrist bones
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
5. (ex 311.56)
Surgical Repair

6. What is the Civil Monetary Penalties Law (CMPL)?
Active - retired - survivors and their families of the Armed Forces.
Shoulder - collar - pelvic - arms and legs.
Epinephrine and Steriods
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

7. What is the name of the claim form that is standard for submitting claims?
Turning Outward
Shoulder - collar - pelvic - arms and legs.
CMS-1500
Abnormal condition

8. What is Assignment of Benefits?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Front part of the body.
Reimbursement is sent directly from payer to the provider.
Beside

9. arth/
Small with irregular shapes (ie wrist and ankle)
To view
Interior of the nose
Cartilage

10. Fibula
Bone
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Smaller - lateral leg bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

11. -pathy
Disease Condition
A break at the distal end of the bone - usually when someone tries to break their fall.
Shoulder - collar - pelvic - arms and legs.
Out - out of

12. Hypo
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
3 (ex 311)
Upper Back
Below - deficient

13. -pathy
Disease Condition
Shoulder - collar - pelvic - arms and legs.
5. (ex 311.56)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

14. When billing an insurance company - what information must be included?
Suture
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Moving backward
Above

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

16. When was the Health Information and Accountability Act (HIPAA) created?
1996
A working diagnosis that has not yet been established.
Through
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

17. -rrhaphy
Suture
Lung
Side
Lower medial arm bone

18. What is in a Medical Record?
Within
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Painful - difficult

19. 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.
Suture
Forms the back of the skull
Between

20. Radius
Forms the back of the skull
Lower arm bone in line with the thumb
Surgical Fixation
Without

21. What are the 3 layers of skin?
Hardening
Cancer that has spread to a secondary site.
Cancer that has localized and not spread at all.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

22. What is secondary malignancy?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Epinephrine and Steriods
Osseous
Cancer that has spread to a secondary site.

23. oophor
Forms the sides of the cranium
Ovary
Fat cell
Structural protein found in skin and connective tissue.

24. What is a Complicated Fracture?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
The bone is broken and pierces an organ.
In front of the temporal bones
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

25. hin/
Nose
A new procedure or service since the previous edition.
Hematopoietic tissue
1. Insurance Reform 2. Administrative Simplification

26. ante
Ovary
Before
Upper Jawbone
Horizontal plane dividing the upper and lower parts of the body.

27. Vomer
Vagina
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.
Record
Bone that forms the wall between the nostrils

28. derm/
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Free moving joints that are surrounded by joint capsules.
Mouth
Skin

29. pan
Toe Bones
Small collection of clear fluid; blister
Without
All

30. ante
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
Before
Removal - Excision - Resection
Record

31. Sphenoid Bones
In front of the temporal bones
Shin
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Under

32. How is Medicare's RBRVS calculated?
A change in the code description since the last edition.
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
Smaller - lateral leg bone

33. Sacral
Surgical Repair
Sacrum
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
Bursting forth blood

34. Inferior nasal conchae
Below - deficient
Vertical plane dividing the body to the left and the right sides.
Active - retired - survivors and their families of the Armed Forces.
Interior of the nose

35. What are the 5 regions of the spine?
Out - out of
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Inflammation
Fat cell

36. poly
In front of the temporal bones
Little - scanty
Karatin
Many

37. Tibia
Middle of the body.
5. (ex 311.56)
Shin
Strong - broad and have large surfaces for muscles to attach to.

38. What is Employer Liability?

39. endo
Upper Back
Horizontal plane dividing the upper and lower parts of the body.
Toe Bones
Within

40. Can you have TRICARE and CHAMPVA at the same time?
Vulva
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
No.

41. pre
Above
Stone
Before - in front of
Heart

42. When can a provider share PHI without specific permission from the patient?

43. Occipital Bone
Forms the back of the skull
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Intestine
Death of tissue due to loss of blood supply

44. When are V codes used?
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
Absence of hair
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Office of Inspector General (OIG)

45. What are bones connected together with?
1996
Fibrous bands of ligaments
5
Within

46. -pexy
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Surgical Fixation
Vertical plane dividing the body into Anterior and Posterior sections.
Bones the palm of the hand

47. Phalanx
Toe Bones
Upper Back
Before
Ovary

48. Melanin
Birth
Breast
Major skin pigment
Separation - Breakdown

49. -algia
Treatment
Pain
A new procedure or service since the previous edition.
Forms the front part of the skull and the forehead.

50. Collagen
Structural protein found in skin and connective tissue.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Against
Far from the point of attachment of the trunk.