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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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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. Phalanges
A pregnant woman who has had at least one pregnancy.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Finger Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

2. -megaly
Back part of the body.
Active - retired - survivors and their families of the Armed Forces.
Enlargement
Turning the palm or foot upward

3. pseudo
Structural protein found in skin and connective tissue.
False
Record
Lunula

4. What are bones connected together with?
Fibrous bands of ligaments
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.
Active - retired - survivors and their families of the Armed Forces.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

5. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
CMS-1500
Smaller - lateral leg bone
Major skin pigment

6. What are bursae?
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.
Upper Jawbone
Between
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

7. What are the 2 types of sweat glands?
Disease Condition
Visual Examination
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Wrist bones

8. What is the Civil Monetary Penalties Law (CMPL)?
Removal - Excision - Resection
Abdomen
Record
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

9. Cervical
Neck Bones
Bone that forms the wall between the nostrils
Little - scanty
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

10. -itis
A working diagnosis that has not yet been established.
Inflammation
Small collection of clear fluid; blister
To view

11. Gangrene
Death of tissue due to loss of blood supply
Ovary
A change in the code description since the last edition.
Front part of the body.

12. Gangrene
Intestine
Death of tissue due to loss of blood supply
No.
Back part of the body.

13. -rrhagia
Bursting forth blood
CMS-1500
Treatment
Toe Bones

14. Frontal Bone
Forms the front part of the skull and the forehead.
Small collection of clear fluid; blister
Cartilage
Lunula

15. How many bones are in the spine?
Far from the point of attachment of the trunk.
26
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A working diagnosis that has not yet been established.

16. -rrhaphy
Suture
Against
Forms the roof of the nasal cavity
Visual Examination

17. -sclerosis
Hardening
Cartilage
Blood Condition
Far from the point of attachment of the trunk.

18. When are E codes used?
Mass
In the cause of injury - poisoning - accidents or other adverse effects.
Near the point of attachment to the trunk.
Slow

19. Lipocyte
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Fat cell
Removal - Excision - Resection
Nose

20. per
Through
3 (ex 311)
Lower Back
Shoulder - collar - pelvic - arms and legs.

21. What is Assignment of Benefits?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Reimbursement is sent directly from payer to the provider.
5
Far from the point of attachment of the trunk.

22. Parietal Bones
Stomach
Forms the front part of the skull and the forehead.
Forms the sides of the cranium
Upper Jawbone

23. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
New
3 (ex 311)
Bones the palm of the hand

24. enter/
Middle of the body.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Out - out of
Intestine

25. hemi
Painful - difficult
Mass
Disease Condition
Half

26. -oma
Mass
Forms the roof of the nasal cavity
CMS-1500
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

27. Eversion
Turning Outward
In front of the temporal bones
Vagina
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

28. a - an
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
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.
Movement away from the midline
Without

29. chondro/
The Axial Skeleton and the Appendicular Skeleton
Cartilage
Forms the front part of the skull and the forehead.
Bone that forms the wall between the nostrils

30. What does a bullet in the CPT code book next to a code mean?
A working diagnosis that has not yet been established.
A new procedure or service since the previous edition.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Stomach

31. Impetigo
Bacterial inflammatory skin disease with lesions - pustules and vesicles
All
Horizontal plane dividing the upper and lower parts of the body.
Karatin

32. Abduction
Four
In the cause of injury - poisoning - accidents or other adverse effects.
1. Insurance Reform 2. Administrative Simplification
Movement away from the midline

33. salping/
Turning the palm or foot upward
Fallopian tubes
Vertical plane dividing the body to the left and the right sides.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

34. Phalanges
Vertical plane dividing the body to the left and the right sides.
Finger Bones
Little - scanty
Turning the palm or foot upward

35. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Fat cell
Absence of hair
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

36. -itis
A pregnant woman who has had at least one pregnancy.
Hematopoietic tissue
Disease Condition
Inflammation

37. ex
Forms the sides of the cranium
Out - out of
Gall bladder
Inflammation

38. Posterior/Dorsal
Forms the back of the skull
Liver
Stomach
Back part of the body.

39. -therapy
Cartilage
Treatment
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Heart

40. Inferior nasal conchae
Lung
CMS-1500
Interior of the nose
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

41. Humerus
Upper Arm bone
Before
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Four

42. Humerus
A new procedure or service since the previous edition.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Upper Arm bone
New

43. Distal
Movement toward the midline
Far from the point of attachment of the trunk.
Coccyx (Tailbone)
Surgical Repair

44. supra
Sacrum
Above
Four
Interior of the nose

45. episi/
Vulva
Many
3 (ex 311)
Milk

46. -ectomy
Removal - Excision - Resection
Front part of the body.
Stone
Active - retired - survivors and their families of the Armed Forces.

47. What hormones do the adrenal glands secrete?
Stone
Epinephrine and Steriods
Tongue
Free moving joints that are surrounded by joint capsules.

48. Medial
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.
Treatment
Lower Jawbone
Middle of the body.

49. -rrhea
A new procedure or service since the previous edition.
Discharge - Flow
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
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.

50. Phalanx
Toe Bones
To view
Without
The fractured area of the bone collapses on itself.

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Medical Coding Basics

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