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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 is the False Claims Act (FCA)
Lower Back
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Finger Bones
Forms the back of the skull

2. Frontal - Coronal
Vertical plane dividing the body into Anterior and Posterior sections.
Structural protein found in skin and connective tissue.
Neck Bones
Finger Bones

3. myo/
Bursting forth blood
Muscle
Finger Bones
A new procedure or service since the previous edition.

4. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Small with irregular shapes (ie wrist and ankle)
Lower Jawbone
Cartilage

5. -oma
Slow
Mass
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Free moving joints that are surrounded by joint capsules.

6. -pexy
Surgical Fixation
Middle of the body.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

7. What are the 2 types of glands on the skin?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
In front of the temporal bones
CMS-1500

8. salping/
Vertical plane dividing the body to the left and the right sides.
Abdomen
Fallopian tubes
Active - retired - survivors and their families of the Armed Forces.

9. What does a Surgical Package (aka Global Surgery) include?
In front of the temporal bones
Interior of the nose
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
The Axial Skeleton and the Appendicular Skeleton

10. What is primary malignancy?
False
Forms the two lower sides of the cranium
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
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.

11. Who investigates and prosecutes Health Care fraud?
Stone
Blood Condition
To view
Office of Inspector General (OIG)

12. What is the Civil Monetary Penalties Law (CMPL)?
5
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Forms the sides of the cranium

13. lith/
Within
Stone
Surgical Fixation
Enlargement

14. What are synovial joints?
Ankle
Lung
Opening
Free moving joints that are surrounded by joint capsules.

15. What are the insides of bones comprised of?
Hematopoietic tissue
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Muscle
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

16. What does a triangle in the CPT book next to a code mean?
The fractured area of the bone collapses on itself.
A change in the code description since the last edition.
Within
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

17. What are bones made of?
Mouth
Head
Osseous
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

18. Radius
Out - out of
Lower medial arm bone
Cheek Bone
Lower arm bone in line with the thumb

19. ex
Upper Arm bone
Discharge - Flow
Out - out of
Death of tissue due to loss of blood supply

20. What is a Complicated Fracture?
Ankle
Against
Liver
The bone is broken and pierces an organ.

21. Retraction
The fractured area of the bone collapses on itself.
Moving backward
Free moving joints that are surrounded by joint capsules.
Upper Jawbone

22. How long should Medical Records be retained?
Heart
Lunula
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Interior of the nose

23. stomat/
Mouth
Separation - Breakdown
Bone that forms the wall between the nostrils
26

24. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Karatin
Standards of conduct based on moral principals.
Bursting forth blood

25. What is a Colles Fracture?
Far from the point of attachment of the trunk.
Cartilage
Turning Outward
A break at the distal end of the bone - usually when someone tries to break their fall.

26. When are V codes used?
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
Shin
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Lower Back

27. Mandible
Against
Visual Examination
Lower Jawbone
Bursting forth blood

28. Eversion
Small collection of clear fluid; blister
Intestine
Breast
Turning Outward

29. Macule
Discolored - flat lesion
Near the point of attachment to the trunk.
Pain
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.

30. Cervical
Visual Examination
Neck Bones
Record
A change in the code description since the last edition.

31. Infra
Major skin pigment
Below
Near the point of attachment to the trunk.
Coccyx (Tailbone)

32. -plasty
Above
Stomach
26
Surgical Repair

33. Lipocyte
Fat cell
Cartilage
Upper Back
1996

34. ex
Out - out of
Discolored - flat lesion
1. Insurance Reform 2. Administrative Simplification
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

35. Ethmoid Bone
Forms the roof of the nasal cavity
Pain
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Removal - Excision - Resection

36. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
Active - retired - survivors and their families of the Armed Forces.
Death of tissue due to loss of blood supply
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

37. What are bones made of?
Lower arm bone in line with the thumb
Osseous
Muscle
Skull - Ribcage and Spine.

38. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Below - deficient
Breast
A working diagnosis that has not yet been established.

39. When was the Health Information and Accountability Act (HIPAA) created?
Above
Bones at the corner of each eye that cradle the tearducts
Many
1996

40. Flat Bones
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.
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Reimbursement is sent directly from payer to the provider.
Discolored - flat lesion

41. Lacrimal Bones
Little - scanty
Bones at the corner of each eye that cradle the tearducts
Within
In front of the temporal bones

42. How many volumes is the ICD-9 manual divided 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
Many
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Middle of the foot bone

43. Sphenoid Bones
Surgical Fixation
Ankle
Coccyx (Tailbone)
In front of the temporal bones

44. Who does TRICARE cover?
Many
Above
Active - retired - survivors and their families of the Armed Forces.
Vertical plane dividing the body into Anterior and Posterior sections.

45. Vesicle
Small collection of clear fluid; blister
Free moving joints that are surrounded by joint capsules.
The bone is crushed or shattered.
Little - scanty

46. sub
Bursting forth blood
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Under

47. -pathy
Disease Condition
Head
Above
Half

48. Mandible
Upper Back
Smaller - lateral leg bone
Lower Jawbone
Fibrous bands of ligaments

49. -algia
Hematopoietic tissue
Cartilage
Surgical Puncture
Pain

50. What is primary malignancy?
Many
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Bone
Cartilage