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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. Malleolus
Ankle
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Hematopoietic tissue
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

2. What is a Comminuted Fracture?
Free moving joints that are surrounded by joint capsules.
The bone is crushed or shattered.
Abdomen
Through

3. -oma
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Mass
Wrist bones
Fat cell

4. What does a bullet in the CPT code book next to a code mean?
Skin
Office of Inspector General (OIG)
Half
A new procedure or service since the previous edition.

5. When are E codes used?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
In the cause of injury - poisoning - accidents or other adverse effects.
A break at the distal end of the bone - usually when someone tries to break their fall.
Hind foot bone

6. Abduction
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Surgical Fixation
Side
Movement away from the midline

7. Sesamoid Bones
CMS-1500
Disease Condition
Above
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

8. inter
Side
Intestine
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Between

9. hepato/
Vulva
Liver
5
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

10. cephal/
Head
Karatin
Office of Inspector General (OIG)
In the cause of injury - poisoning - accidents or other adverse effects.

11. What does a triangle in the CPT book next to a code mean?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
A change in the code description since the last edition.
Finger Bones
Suture

12. How is Medicare's RBRVS calculated?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
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
Reimbursement is sent directly from payer to the provider.
Horizontal plane dividing the upper and lower parts of the body.

13. Sagittal
Vertical plane dividing the body to the left and the right sides.
Wrist bones
Forms the two lower sides of the cranium
The bone is broken and pierces an organ.

14. What are Medical Ethics?
Finger Bones
Standards of conduct based on moral principals.
Surgical Repair
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

15. What are bones connected together with?
Bursting forth blood
Forms the sides of the cranium
Fibrous bands of ligaments
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

16. -stomy
Separation - Breakdown
Painful - difficult
Abdomen
Opening

17. ex
1996
CMS
Milk
Out - out of

18. What is the Appendicular Skeleton comprised of?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Shoulder - collar - pelvic - arms and legs.
A working diagnosis that has not yet been established.
Major skin pigment

19. Ulna
4. (ex 311.0)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Opening
Lower medial arm bone

20. Ulna
Lower medial arm bone
Death of tissue due to loss of blood supply
Removal - Excision - Resection
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

21. -emia
Blood Condition
Forms the sides of the cranium
Upper roof of the mouth
Stone

22. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
To view
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
All

23. Lumbar
Nose
Lower Back
Between
A pregnant woman who has had at least one pregnancy.

24. -plasty
Surgical Repair
Upper Arm bone
Bone that forms the wall between the nostrils
Finger Bones

25. Sagittal
Upper roof of the mouth
Vertical plane dividing the body to the left and the right sides.
Stone
Major skin pigment

26. oglio
New
Little - scanty
Turning Inward
Slow

27. What are the 3 layers of skin?
Free moving joints that are surrounded by joint capsules.
Karatin
To view
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

28. What is a Qualified Diagnosis
Moving backward
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Osseous
A working diagnosis that has not yet been established.

29. colp/
Disease Condition
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Office of Inspector General (OIG)
Vagina

30. arth/
Vulva
Cartilage
Sacrum
Mass

31. dys
Little - scanty
Shoulder - collar - pelvic - arms and legs.
Painful - difficult
Skin

32. What is Benign?
Skull - Ribcage and Spine.
Forms the two lower sides of the cranium
Noninvasive - non-spreading - nonmalignant.
Forms the sides of the cranium

33. What is in a Medical Record?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bone
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
5. (ex 311.56)

34. anti
Cartilage
Shin
Uteris
Against

35. -pexy
The fractured area of the bone collapses on itself.
Above
Vertical plane dividing the body into Anterior and Posterior sections.
Surgical Fixation

36. -osis
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Abnormal condition
Half
Heart

37. Macule
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
5. (ex 311.56)
Coccyx (Tailbone)
Discolored - flat lesion

38. Transverse/Cross Sectional
Middle of the foot bone
Horizontal plane dividing the upper and lower parts of the body.
Separation - Breakdown
Below

39. supra
Stone
Above
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Half

40. nat/
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.
Birth
A change in the code description since the last edition.
Stone

41. colp/
Free moving joints that are surrounded by joint capsules.
Abdomen
Through
Vagina

42. Who investigates and prosecutes Health Care fraud?
Nose
Fallopian tubes
Office of Inspector General (OIG)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

43. How many regions is the spinal/vertebral column divided into?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
5
Turning Outward
Below

44. -rrhaphy
In front of the temporal bones
Suture
26
Slow

45. What is secondary malignancy?
3 (ex 311)
CMS
Cancer that has spread to a secondary site.
Skin

46. Sphenoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
In front of the temporal bones
Through
A change in the code description since the last edition.

47. What hormones do the adrenal glands secrete?
A working diagnosis that has not yet been established.
Epinephrine and Steriods
Turning Outward
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

48. What is a Comminuted Fracture?
The bone is crushed or shattered.
Out - out of
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Bones at the corner of each eye that cradle the tearducts

49. -scopy
Fibrous bands of ligaments
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Finger Bones
Visual Examination

50. What is the Civil Monetary Penalties Law (CMPL)?
Major skin pigment
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Reimbursement is sent directly from payer to the provider.
Uteris