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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. Sagittal
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Vagina
Wrist bones
Vertical plane dividing the body to the left and the right sides.

2. -itis
Absence of hair
A pregnant woman who has had at least one pregnancy.
Small with irregular shapes (ie wrist and ankle)
Inflammation

3. Lumbar
Cheek Bone
Lower Back
Coccyx (Tailbone)
Hardening

4. Abduction
New
Vertical plane dividing the body into Anterior and Posterior sections.
Movement away from the midline
Fat cell

5. Who investigates and prosecutes Health Care fraud?
A break at the distal end of the bone - usually when someone tries to break their fall.
Above
Side
Office of Inspector General (OIG)

6. oophor
Ovary
Free moving joints that are surrounded by joint capsules.
Through
In front of the temporal bones

7. tetra
Against
4. (ex 311.0)
Before - in front of
Four

8. -ectomy
Within
Lower Jawbone
Nose
Removal - Excision - Resection

9. Humerus
Disease Condition
Upper Arm bone
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Cancer that has spread to a secondary site.

10. Parietal Bones
Record
Finger Bones
Forms the sides of the cranium
Fibrous bands of ligaments

11. What are bursae?
Noninvasive - non-spreading - nonmalignant.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Lower Jawbone
Head

12. Eversion
Forms the back of the skull
Turning Outward
Stone
Fat cell

13. What is the Appendicular Skeleton comprised of?
Measure
Shoulder - collar - pelvic - arms and legs.
A pregnant woman who has had at least one pregnancy.
Upper Back

14. Transverse/Cross Sectional
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Below - deficient
Lunula
Horizontal plane dividing the upper and lower parts of the body.

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

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16. Eversion
Skin
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Hematopoietic tissue
Turning Outward

17. What is Carcinoma in situ?
Near the point of attachment to the trunk.
CMS
Middle of the foot bone
Cancer that has localized and not spread at all.

18. Impetigo
A working diagnosis that has not yet been established.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Skin
Bacterial inflammatory skin disease with lesions - pustules and vesicles

19. Metatarsal
The Axial Skeleton and the Appendicular Skeleton
Middle of the foot bone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
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

20. Fibula
Smaller - lateral leg bone
Major skin pigment
Between
Toe Bones

21. Vomer
Bone that forms the wall between the nostrils
Middle of the foot bone
Fibrous bands of ligaments
4. (ex 311.0)

22. Fibula
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Back part of the body.
Smaller - lateral leg bone
4. (ex 311.0)

23. Frontal Bone
Lower arm bone in line with the thumb
Forms the front part of the skull and the forehead.
Surgical Puncture
Removal - Excision - Resection

24. oglio
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Little - scanty
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Forms the roof of the nasal cavity

25. Cervical
Neck Bones
Forms the roof of the nasal cavity
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Muscle

26. How long should Medical Records be retained?
Turning the palm or foot upward
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Bones at the corner of each eye that cradle the tearducts

27. How is the Patients DOB entered on the claim form?
Against
All
MM/DD/YY
Bacterial inflammatory skin disease with lesions - pustules and vesicles

28. What is Benign?
To view
Skull - Ribcage and Spine.
Noninvasive - non-spreading - nonmalignant.
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.

29. How many digits does an ICD-9 Category code have?
Pain
Lower Back
3 (ex 311)
Lower Back

30. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Forms the roof of the nasal cavity
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Vagina

31. How is Medicare's RBRVS calculated?
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
Mouth
Stone
Above

32. para
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Beside
Stone
Skull - Ribcage and Spine.

33. -emia
Active - retired - survivors and their families of the Armed Forces.
1. Insurance Reform 2. Administrative Simplification
Within
Blood Condition

34. Lateral
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Breast
Surgical Fixation
Side

35. How many regions is the spinal/vertebral column divided into?
5
Lower Back
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.
Cheek Bone

36. Sacral
Through
Fibrous bands of ligaments
Sacrum
Hardening

37. a - an
Without
In the cause of injury - poisoning - accidents or other adverse effects.
Strong - broad and have large surfaces for muscles to attach to.
Vulva

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

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39. Palatine Bones
Upper roof of the mouth
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Above
To view

40. cardi/
Heart
Liver
Many
No.

41. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
A break at the distal end of the bone - usually when someone tries to break their fall.
Coccyx (Tailbone)

42. What does a triangle in the CPT book next to a code mean?
The fractured area of the bone collapses on itself.
Disease Condition
Movement toward the midline
A change in the code description since the last edition.

43. -meter
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Milk
Turning the palm or foot upward
Measure

44. What is the moon like white area at the base of the nail called?
Cartilage
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
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.
Lunula

45. Occipital Bone
Forms the back of the skull
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Ankle
Middle of the body.

46. Sesamoid Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Horizontal plane dividing the upper and lower parts of the body.
Without

47. What does a Surgical Package (aka Global Surgery) include?
Vertical plane dividing the body to the left and the right sides.
Upper roof of the mouth
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
Within

48. myo/
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.
Upper Arm bone
Through
Muscle

49. Metacarpals
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Upper Arm bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Bones the palm of the hand

50. What are the 3 layers of skin?
1996
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Shin
Lower medial arm bone