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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. ex
Near the point of attachment to the trunk.
Out - out of
Turning Outward
Strong - broad and have large surfaces for muscles to attach to.

2. -scopy
A pregnant woman who has had at least one pregnancy.
Above
To view
Against

3. What is hair made of?
Karatin
Turning Inward
Little - scanty
Stomach

4. -rrhea
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
A break at the distal end of the bone - usually when someone tries to break their fall.
Discharge - Flow
1. Insurance Reform 2. Administrative Simplification

5. What are the 2 types of glands on the skin?
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.
Slow
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Lung

6. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
The bone is crushed or shattered.
In front of the temporal bones
Half

7. What are the 3 classifications of Hypertension?
Stomach
Absence of hair
Shin
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

8. anti
Against
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Shin
Skull - Ribcage and Spine.

9. What is the Appendicular Skeleton comprised of?
Heart
False
Shoulder - collar - pelvic - arms and legs.
Upper Arm bone

10. Lumbar
Upper roof of the mouth
Moving forward
Major skin pigment
Lower Back

11. -algia
Smaller - lateral leg 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
Office of Inspector General (OIG)
Pain

12. Ethmoid Bone
Lower Back
Cancer that has localized and not spread at all.
The bone is crushed or shattered.
Forms the roof of the nasal cavity

13. Vomer
Cancer that has localized and not spread at all.
Beside
Bone that forms the wall between the nostrils
Horizontal plane dividing the upper and lower parts of the body.

14. What are the 2 types of sweat glands?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Office of Inspector General (OIG)
Blood Condition
Cartilage

15. -ectomy
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
Removal - Excision - Resection
Before

16. ante
5. (ex 311.56)
Middle of the foot bone
Before
Wrist bones

17. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
To cut into
Fibrous bands of ligaments

18. Humerus
Upper Arm bone
Upper roof of the mouth
Stone
Vulva

19. -plasty
Surgical Repair
Middle of the foot bone
Wrist bones
Uteris

20. -rrhagia
Stomach
Vertical plane dividing the body into Anterior and Posterior sections.
Upper roof of the mouth
Bursting forth blood

21. cephal/
Upper roof of the mouth
Treatment
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.
Head

22. supra
The Axial Skeleton and the Appendicular Skeleton
Hematopoietic tissue
Above
Front part of the body.

23. What is Employer Liability?

24. oophor
Ovary
Heart
Forms the sides of the cranium
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

25. Hypo
Upper roof of the mouth
Tongue
Below - deficient
Epinephrine and Steriods

26. 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.
The bone is crushed or shattered.
CMS
Visual Examination

27. Who investigates and prosecutes Health Care fraud?
Office of Inspector General (OIG)
Fibrous bands of ligaments
Far from the point of attachment of the trunk.
False

28. When are E codes used?
Ankle
Bone
Epinephrine and Steriods
In the cause of injury - poisoning - accidents or other adverse effects.

29. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Karatin
Discharge - Flow
Skin

30. Malleolus
Ankle
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Beside
Below - deficient

31. lact/
Milk
Death of tissue due to loss of blood supply
Standards of conduct based on moral principals.
Osseous

32. What is in a Medical Record?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Birth
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Cancer that has localized and not spread at all.

33. When was the Health Information and Accountability Act (HIPAA) created?
1996
Standards of conduct based on moral principals.
Absence of hair
Skin

34. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Bones at the corner of each eye that cradle the tearducts
Removal - Excision - Resection
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.

35. enter/
Intestine
Mass
Finger Bones
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

36. -algia
Pain
Stomach
Liver
Separation - Breakdown

37. -rrhaphy
Finger Bones
Noninvasive - non-spreading - nonmalignant.
The bone is crushed or shattered.
Suture

38. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
CMS-1500
A working diagnosis that has not yet been established.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

39. lapar/
Side
Gall bladder
Movement away from the midline
Abdomen

40. gloss/
Enlargement
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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.
Tongue

41. Multigravida
Middle of the foot bone
Fallopian tubes
Moving backward
A pregnant woman who has had at least one pregnancy.

42. What are bursae?
Enlargement
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Half
Middle of the foot bone

43. Mandible
Lower Jawbone
No.
Surgical Repair
Lower medial arm bone

44. para
Abdomen
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Beside

45. hyster/
Uteris
Moving forward
1996
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

46. gloss/
Surgical Fixation
Tongue
Enlargement
Osseous

47. Fibula
Front part of the body.
Breast
Smaller - lateral leg bone
A break at the distal end of the bone - usually when someone tries to break their fall.

48. gastro/
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Toe Bones
Muscle
Stomach

49. Can you have TRICARE and CHAMPVA at the same time?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Out - out of
No.
5. (ex 311.56)

50. What are the two provisions of HIPPA?
CMS
Treatment
1. Insurance Reform 2. Administrative Simplification
To cut into