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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. What does a Surgical Package (aka Global Surgery) include?
Painful - difficult
Disease Condition
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
Upper Arm bone

2. What is a Qualified Diagnosis
A working diagnosis that has not yet been established.
Hematopoietic tissue
Office of Inspector General (OIG)
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.

3. What is secondary malignancy?
Bones at the corner of each eye that cradle the tearducts
Separation - Breakdown
Cancer that has spread to a secondary site.
Moving backward

4. Tibia
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
3 (ex 311)
Shin
Cancer that has spread to a secondary site.

5. Inversion
Turning Inward
Under
Opening
Moving forward

6. What is the Appendicular Skeleton comprised of?
Neck Bones
Shoulder - collar - pelvic - arms and legs.
4. (ex 311.0)
Absence of hair

7. Sphenoid Bones
Hardening
Visual Examination
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
In front of the temporal bones

8. Alopecia
CMS
4. (ex 311.0)
Major skin pigment
Absence of hair

9. Carpals
Wrist bones
Slow
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Horizontal plane dividing the upper and lower parts of the body.

10. Frontal - Coronal
Shoulder - collar - pelvic - arms and legs.
Vertical plane dividing the body into Anterior and Posterior sections.
Strong - broad and have large surfaces for muscles to attach to.
Discharge - Flow

11. Gangrene
Death of tissue due to loss of blood supply
1. Insurance Reform 2. Administrative Simplification
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
In the cause of injury - poisoning - accidents or other adverse effects.

12. tetra
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Four
In the cause of injury - poisoning - accidents or other adverse effects.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

13. Tarsal
4. (ex 311.0)
Lung
Hind foot bone
Vagina

14. Lateral
Bursting forth blood
Side
Intestine
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

15. Transverse/Cross Sectional
Before - in front of
Inflammation
Wrist bones
Horizontal plane dividing the upper and lower parts of the body.

16. Eversion
Turning Outward
Enlargement
Record
Back part of the body.

17. Melanin
Major skin pigment
Bone that forms the wall between the nostrils
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.
Bone

18. Sagittal
Discharge - Flow
Head
Osseous
Vertical plane dividing the body to the left and the right sides.

19. Parietal Bones
Forms the sides of the cranium
Below
Standards of conduct based on moral principals.
Hematopoietic tissue

20. tetra
Absence of hair
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Four

21. Medial
Lower Back
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Middle of the body.
Fat cell

22. endo
Within
Milk
Front part of the body.
Liver

23. What is Employee Liability Insurance?
A change in the code description since the last edition.
Vertical plane dividing the body into Anterior and Posterior sections.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Within

24. What are the 2 types of sweat glands?
Upper Back
Forms the two lower sides of the cranium
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. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

25. What is the National Correct Coding Initiative (NCCI)?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Surgical Fixation
Heart
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

26. Can you have TRICARE and CHAMPVA at the same time?
No.
Neck Bones
Record
Osseous

27. Wheal
Surgical Fixation
Middle of the foot bone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Strong - broad and have large surfaces for muscles to attach to.

28. -itis
Inflammation
Sacrum
Painful - difficult
Enlargement

29. What are the 5 regions of the spine?
Office of Inspector General (OIG)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Finger Bones
The fractured area of the bone collapses on itself.

30. Mandible
Lower Jawbone
Ovary
Record
Upper roof of the mouth

31. neo
Abdomen
A new procedure or service since the previous edition.
Beside
New

32. What are the 3 classifications of Hypertension?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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.
Hardening

33. Adduction
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Skull - Ribcage and Spine.
Hematopoietic tissue
Movement toward the midline

34. hyster/
Neck Bones
Stone
Uteris
Vagina

35. How many bones are in the spine?
26
Blood Condition
Side
Cancer that has spread to a secondary site.

36. Ethmoid Bone
Many
Forms the roof of the nasal cavity
Strong - broad and have large surfaces for muscles to attach to.
Slow

37. Distal
Neck Bones
Lower Back
Far from the point of attachment of the trunk.
Surgical Puncture

38. neo
New
Movement toward the midline
Beside
Cheek Bone

39. Phalanx
Bones the palm of the hand
New
Toe Bones
Bacterial inflammatory skin disease with lesions - pustules and vesicles

40. Multigravida
A pregnant woman who has had at least one pregnancy.
Between
Gall bladder
Hind foot bone

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

42. pseudo
Mass
False
5. (ex 311.56)
Wrist bones

43. Supination
A change in the code description since the last edition.
Forms the two lower sides of the cranium
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Turning the palm or foot upward

44. chondro/
Cartilage
26
Above
1996

45. How are bones categorized?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The Axial Skeleton and the Appendicular Skeleton
Mass

46. gloss/
Major skin pigment
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Tongue
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

47. What hormones do the adrenal glands secrete?
Middle of the foot bone
Epinephrine and Steriods
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
Ovary

48. Abduction
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Cancer that has spread to a secondary site.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Movement away from the midline

49. Proximal
Near the point of attachment to the trunk.
Above
A break at the distal end of the bone - usually when someone tries to break their fall.
Surgical Repair

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