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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. colp/
Ovary
Vagina
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.
Skin

2. -rrhaphy
Suture
Turning Inward
Free moving joints that are surrounded by joint capsules.
Turning Inward

3. Vesicle
Small collection of clear fluid; blister
Lunula
Epinephrine and Steriods
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.

4. -rrhagia
Bursting forth blood
Vagina
Turning Outward
Nose

5. lact/
Milk
Stone
A new procedure or service since the previous edition.
Nose

6. What is hair made of?
Side
Karatin
Enlargement
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

7. Anterior/Ventral
Front part of the body.
Stomach
Bones at the corner of each eye that cradle the tearducts
Coccyx (Tailbone)

8. When was the Health Information and Accountability Act (HIPAA) created?
1996
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Coccyx (Tailbone)
Sacrum

9. Humerus
Neck Bones
Upper Arm bone
Treatment
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

10. -emia
Skull - Ribcage and Spine.
Stomach
Surgical Repair
Blood Condition

11. Who does TRICARE cover?
Fibrous bands of ligaments
Active - retired - survivors and their families of the Armed Forces.
Far from the point of attachment of the trunk.
CMS

12. How many bones are in the spine?
Abnormal condition
MM/DD/YY
26
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

13. -emia
Blood Condition
Moving forward
Slow
Abdomen

14. Phalanges
Lower arm bone in line with the thumb
Upper Arm bone
Finger Bones
Lower medial arm bone

15. Protraction
Osseous
Out - out of
Moving forward
Toe Bones

16. What is a Qualified Diagnosis
A change in the code description since the last edition.
Middle of the foot bone
A working diagnosis that has not yet been established.
The bone is crushed or shattered.

17. What is Benign?
Noninvasive - non-spreading - nonmalignant.
Forms the back of the skull
Finger Bones
Reimbursement is sent directly from payer to the provider.

18. What are bursae?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Lower Back
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

19. Tibia
Shin
Discolored - flat lesion
Surgical Fixation
Bone

20. Occipital Bone
Forms the back of the skull
Movement toward the midline
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.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

21. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Absence of hair
Noninvasive - non-spreading - nonmalignant.
Uteris

22. Flat Bones
A break at the distal end of the bone - usually when someone tries to break their fall.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
The fractured area of the bone collapses on itself.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

23. What does a Surgical Package (aka Global Surgery) include?
Disease Condition
Below - deficient
To cut into
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

24. What are the 2 types of sweat glands?
Fibrous bands of ligaments
CMS
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Mass

25. Medial
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Middle of the body.
The Axial Skeleton and the Appendicular Skeleton
Measure

26. brady
Strong - broad and have large surfaces for muscles to attach to.
Slow
Cancer that has localized and not spread at all.
Lunula

27. Long Bones
Smaller - lateral leg bone
Treatment
Lunula
Strong - broad and have large surfaces for muscles to attach to.

28. What is the name of the claim form that is standard for submitting claims?
Lower medial arm bone
Bones at the corner of each eye that cradle the tearducts
CMS-1500
Bones at the corner of each eye that cradle the tearducts

29. Sphenoid Bones
Reimbursement is sent directly from payer to the provider.
In front of the temporal bones
Mass
MM/DD/YY

30. What are bursae?
Between
In the cause of injury - poisoning - accidents or other adverse effects.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

31. Anterior/Ventral
Vagina
Disease Condition
26
Front part of the body.

32. Supination
Death of tissue due to loss of blood supply
Discolored - flat lesion
Turning the palm or foot upward
Interior of the nose

33. Medial
Middle of the body.
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.
Small collection of clear fluid; blister
Shoulder - collar - pelvic - arms and legs.

34. Inferior nasal conchae
Interior of the nose
Below
Back part of the body.
Skin

35. Tibia
Strong - broad and have large surfaces for muscles to attach to.
Shin
1996
New

36. -lysis
Breast
Within
Separation - Breakdown
Death of tissue due to loss of blood supply

37. What are the two types of edits that the NCCI implements?
Beside
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.
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
Moving forward

38. How is the Patients DOB entered on the claim form?
Painful - difficult
Measure
MM/DD/YY
Neck Bones

39. What is a compression fracture?
Fat cell
The fractured area of the bone collapses on itself.
Below - deficient
Painful - difficult

40. -rrhaphy
Back part of the body.
Suture
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Moving forward

41. nat/
Birth
Strong - broad and have large surfaces for muscles to attach to.
Vagina
Smaller - lateral leg bone

42. sub
False
Active - retired - survivors and their families of the Armed Forces.
Free moving joints that are surrounded by joint capsules.
Under

43. Phalanx
Toe Bones
5. (ex 311.56)
Far from the point of attachment of the trunk.
Forms the front part of the skull and the forehead.

44. Frontal - Coronal
Cartilage
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.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Vertical plane dividing the body into Anterior and Posterior sections.

45. Inversion
Moving backward
Upper roof of the mouth
Turning Inward
Many

46. Short Bones
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Surgical Puncture
Epinephrine and Steriods
Small with irregular shapes (ie wrist and ankle)

47. Mandible
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Lower Jawbone

48. -pathy
Under
Structural protein found in skin and connective tissue.
Surgical Fixation
Disease Condition

49. How many digits does an ICD-9 Category code have?
3 (ex 311)
Half
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Front part of the body.

50. Fibula
Smaller - lateral leg bone
Upper Jawbone
Measure
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.