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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. Thoracic
Forms the back of the skull
To view
In front of the temporal bones
Upper Back

2. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Gall bladder
All
Far from the point of attachment of the trunk.

3. dys
Horizontal plane dividing the upper and lower parts of the body.
Painful - difficult
Lower medial arm bone
Stomach

4. Inferior nasal conchae
Cheek Bone
Gall bladder
Interior of the nose
The fractured area of the bone collapses on itself.

5. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
Absence of hair
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Intestine

6. When was the Health Information and Accountability Act (HIPAA) created?
False
1996
1. Insurance Reform 2. Administrative Simplification
In the cause of injury - poisoning - accidents or other adverse effects.

7. hepato/
Liver
1. Insurance Reform 2. Administrative Simplification
Blood Condition
Treatment

8. What is primary malignancy?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
A pregnant woman who has had at least one pregnancy.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Forms the sides of the cranium

9. brady
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Breast
Mass
Slow

10. What does a bullet in the CPT code book next to a code mean?
Visual Examination
Fat cell
Lunula
A new procedure or service since the previous edition.

11. What is primary malignancy?
Out - out of
Gall bladder
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Forms the front part of the skull and the forehead.

12. a - an
Out - out of
Without
Below - deficient
Vertical plane dividing the body into Anterior and Posterior sections.

13. What is a Qualified Diagnosis
Active - retired - survivors and their families of the Armed Forces.
A working diagnosis that has not yet been established.
CMS-1500
In the cause of injury - poisoning - accidents or other adverse effects.

14. Vesicle
Gall bladder
Beside
Abnormal condition
Small collection of clear fluid; blister

15. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
Fat cell
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Back part of the body.

16. hyster/
Uteris
Skin
Major skin pigment
In front of the temporal bones

17. Ethmoid Bone
Upper Jawbone
Below
Forms the roof of the nasal cavity
Removal - Excision - Resection

18. enter/
Intestine
Lunula
Removal - Excision - Resection
Stone

19. endo
A new procedure or service since the previous edition.
Within
Above
Sacrum

20. Maxilla
4. (ex 311.0)
Skull - Ribcage and Spine.
Upper Jawbone
Movement away from the midline

21. pan
Four
Vagina
Stone
All

22. What is Benign?
Below
Above
Noninvasive - non-spreading - nonmalignant.
Painful - difficult

23. -itis
Inflammation
Shin
Gall bladder
Forms the two lower sides of the cranium

24. What is Benign?
Noninvasive - non-spreading - nonmalignant.
No.
Discolored - flat lesion
Strong - broad and have large surfaces for muscles to attach to.

25. hin/
Nose
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Skull - Ribcage and Spine.
Middle of the foot bone

26. cephal/
Out - out of
Upper roof of the mouth
Gall bladder
Head

27. -pathy
Moving backward
Back part of the body.
Disease Condition
Measure

28. Protraction
Forms the sides of the cranium
3 (ex 311)
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
Moving forward

29. -oma
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Mass
Nose
Under

30. enter/
Surgical Fixation
Intestine
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Separation - Breakdown

31. What is the name of the claim form that is standard for submitting claims?
Head
Hematopoietic tissue
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
CMS-1500

32. Lateral
Stomach
Side
Removal - Excision - Resection
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

33. Humerus
Movement toward the midline
Forms the back of the skull
Upper Arm bone
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.

34. Eversion
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
3 (ex 311)
Bones at the corner of each eye that cradle the tearducts
Turning Outward

35. What does a Surgical Package (aka Global Surgery) include?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Turning Inward
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
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

36. -therapy
1. Insurance Reform 2. Administrative Simplification
Treatment
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Bone

37. When billing an insurance company - what information must be included?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Upper Arm bone
Major skin pigment
Ankle

38. What is a Complicated Fracture?
Abnormal condition
The bone is broken and pierces an organ.
Fallopian tubes
MM/DD/YY

39. Ethmoid Bone
Forms the sides of the cranium
Shoulder - collar - pelvic - arms and legs.
Forms the roof of the nasal cavity
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

40. oste/
Bone that forms the wall between the nostrils
Out - out of
Bone
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

41. What are the two types of edits that the NCCI implements?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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.
Nose
Structural protein found in skin and connective tissue.

42. How many bones are in the spine?
Out - out of
False
26
Birth

43. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
A working diagnosis that has not yet been established.
Cheek Bone
Finger Bones

44. -plasty
Surgical Repair
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Lower Jawbone
Horizontal plane dividing the upper and lower parts of the body.

45. What are bones connected together with?
Little - scanty
Hind foot bone
Ankle
Fibrous bands of ligaments

46. -gram
Discharge - Flow
Record
Interior of the nose
Hind foot bone

47. What is the National Correct Coding Initiative (NCCI)?
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.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Muscle
Suture

48. What are the 5 regions of the spine?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Skin
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Mouth

49. Who does TRICARE cover?
Middle of the foot bone
Separation - Breakdown
Active - retired - survivors and their families of the Armed Forces.
26

50. Metatarsal
Major skin pigment
Middle of the foot bone
5
Interior of the nose