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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 does a Surgical Package (aka Global Surgery) include?
Turning Inward
Small with irregular shapes (ie wrist and ankle)
Cheek Bone
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

2. brady
Movement away from the midline
Front part of the body.
Slow
Fat cell

3. -rrhaphy
Middle of the body.
Lower arm bone in line with the thumb
Stomach
Suture

4. What are the two provisions of HIPPA?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Insurance Reform 2. Administrative Simplification
Back part of the body.
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.

5. tetra
Four
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Below
Disease Condition

6. Protraction
Discharge - Flow
Upper Arm bone
Moving forward
New

7. Ulna
Upper Jawbone
Above
Fibrous bands of ligaments
Lower medial arm bone

8. -tomy
Movement toward the midline
Between
Cancer that has localized and not spread at all.
To cut into

9. lapar/
Lung
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
Abdomen
Bone

10. What are the two types of edits that the NCCI implements?
Disease Condition
To view
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.
False

11. chondro/
Cartilage
A break at the distal end of the bone - usually when someone tries to break their fall.
Lower Jawbone
Blood Condition

12. Carpals
Between
Sacrum
Wrist bones
3 (ex 311)

13. -gram
Toe Bones
Liver
Record
Above

14. Ulna
Lower medial arm bone
Milk
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Cheek Bone

15. Who developed HCPCs codes?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
CMS
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

16. What is Fiscal Intermediary?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
The Axial Skeleton and the Appendicular Skeleton
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Liver

17. hin/
Hematopoietic tissue
Nose
Before
Structural protein found in skin and connective tissue.

18. Sagittal
Front part of the body.
Vertical plane dividing the body to the left and the right sides.
Vertical plane dividing the body into Anterior and Posterior sections.
Forms the roof of the nasal cavity

19. What are the insides of bones comprised of?
Shoulder - collar - pelvic - arms and legs.
Hematopoietic tissue
Strong - broad and have large surfaces for muscles to attach to.
Forms the roof of the nasal cavity

20. sub
1996
Middle of the body.
Within
Under

21. per
Breast
Turning Inward
Through
Stomach

22. What is Carcinoma in situ?
Bones at the corner of each eye that cradle the tearducts
Cancer that has localized and not spread at all.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
To cut into

23. Infra
Through
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Active - retired - survivors and their families of the Armed Forces.
Below

24. Phalanges
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
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Finger Bones
Heart

25. What is a Colles Fracture?
Back part of the body.
Coccyx (Tailbone)
Opening
A break at the distal end of the bone - usually when someone tries to break their fall.

26. hin/
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
Nose
Front part of the body.
Front part of the body.

27. How many digits does an ICD-9 Subclassification code have?
Suture
5. (ex 311.56)
Above
Stone

28. Coccygeal
Milk
Lower medial arm bone
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.
Coccyx (Tailbone)

29. -megaly
Moving forward
Horizontal plane dividing the upper and lower parts of the body.
Enlargement
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

30. When billing an insurance company - what information must be included?
No.
Gall bladder
5
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

31. -meter
Front part of the body.
A working diagnosis that has not yet been established.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Measure

32. What is Fiscal Intermediary?
Bones at the corner of each eye that cradle the tearducts
Skull - Ribcage and Spine.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Stomach

33. Posterior/Dorsal
5. (ex 311.56)
Measure
Skin
Back part of the body.

34. Occipital Bone
Between
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
Separation - Breakdown

35. Adduction
Movement toward the midline
Osseous
Strong - broad and have large surfaces for muscles to attach to.
Mass

36. Melanin
Upper Arm bone
Major skin pigment
1. Insurance Reform 2. Administrative Simplification
Breast

37. Alopecia
Absence of hair
Discolored - flat lesion
Enlargement
Interior of the nose

38. Abduction
Many
Movement away from the midline
Vertical plane dividing the body to the left and the right sides.
Separation - Breakdown

39. oophor
4. (ex 311.0)
Fibrous bands of ligaments
The fractured area of the bone collapses on itself.
Ovary

40. Short Bones
Forms the back of the skull
Abdomen
Small with irregular shapes (ie wrist and ankle)
Painful - difficult

41. lact/
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Hind foot bone
Below
Milk

42. How many digits does an ICD-9 Category code have?
3 (ex 311)
Osseous
MM/DD/YY
Hind foot bone

43. Hypo
Below - deficient
Far from the point of attachment of the trunk.
Half
Mass

44. Multigravida
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.
Front part of the body.
A pregnant woman who has had at least one pregnancy.
Noninvasive - non-spreading - nonmalignant.

45. What is primary malignancy?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
All
Disease Condition
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

46. Retraction
Upper roof of the mouth
Moving backward
Bursting forth blood
Turning the palm or foot upward

47. Tarsal
Pain
Coccyx (Tailbone)
Hind foot bone
Upper Jawbone

48. How many digits does an ICD-9 Subcategory code have?
Sacrum
A working diagnosis that has not yet been established.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
4. (ex 311.0)

49. Who developed HCPCs codes?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Four
CMS

50. hepato/
Finger Bones
Liver
Mass
To cut into