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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. How is Medicare's RBRVS calculated?
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
Turning Outward
Discolored - flat lesion
4. (ex 311.0)

2. Inversion
Turning Inward
Many
Osseous
Middle of the foot bone

3. lact/
Many
Above
Moving forward
Milk

4. How many bones are in the spine?
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
Near the point of attachment to the trunk.
Between
26

5. Retraction
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Visual Examination
Free moving joints that are surrounded by joint capsules.
Moving backward

6. -megaly
Stone
Forms the sides of the cranium
Enlargement
3 (ex 311)

7. sub
Coccyx (Tailbone)
Surgical Fixation
Moving forward
Under

8. What are Medical Ethics?
Standards of conduct based on moral principals.
Lung
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
26

9. Who developed HCPCs codes?
Standards of conduct based on moral principals.
Before
CMS
Removal - Excision - Resection

10. What does a triangle in the CPT book next to a code mean?
Turning Outward
Upper Jawbone
A change in the code description since the last edition.
1. Insurance Reform 2. Administrative Simplification

11. Radius
Measure
Lower arm bone in line with the thumb
Fat cell
Lower Jawbone

12. dys
Hematopoietic tissue
Painful - difficult
Discharge - Flow
Opening

13. -stomy
Opening
Cancer that has localized and not spread at all.
Lower medial arm bone
Abnormal condition

14. Cervical
CMS-1500
5
Middle of the body.
Neck Bones

15. What is Employee Liability Insurance?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Upper Jawbone
Vertical plane dividing the body into Anterior and Posterior sections.
Hind foot bone

16. -emia
Blood Condition
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Turning Inward

17. What is primary malignancy?
Half
Skin
Upper Back
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

18. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
A break at the distal end of the bone - usually when someone tries to break their fall.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Hematopoietic tissue

19. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
The bone is broken and pierces an organ.
A break at the distal end of the bone - usually when someone tries to break their fall.
A change in the code description since the last edition.

20. -ectomy
To cut into
Removal - Excision - Resection
Against
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

21. para
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Measure
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Beside

22. -algia
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
Pain
Milk
Neck Bones

23. 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.
To view
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
4. (ex 311.0)

24. What are the 2 types of glands on the skin?
Turning Outward
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Vagina
Uteris

25. pneum/
Vertical plane dividing the body into Anterior and Posterior sections.
A break at the distal end of the bone - usually when someone tries to break their fall.
Above
Lung

26. What are the 3 classifications of Hypertension?
Abdomen
False
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
A change in the code description since the last edition.

27. When billing an insurance company - what information must be included?
Upper Back
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Bones the palm of the hand
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

28. When are E codes used?
Fallopian tubes
Under
Vertical plane dividing the body to the left and the right sides.
In the cause of injury - poisoning - accidents or other adverse effects.

29. Lipocyte
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Through
Bones at the corner of each eye that cradle the tearducts
Fat cell

30. oophor
Vagina
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Ovary
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.

31. tetra
Forms the two lower sides of the cranium
Four
Back part of the body.
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.

32. lapar/
In front of the temporal bones
Above
Skin
Abdomen

33. What are bursae?
Lunula
Fibrous bands of ligaments
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Bursting forth blood

34. What hormones do the adrenal glands secrete?
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Tongue
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Epinephrine and Steriods

35. supra
Record
Above
Vertical plane dividing the body to the left and the right sides.
Noninvasive - non-spreading - nonmalignant.

36. What is Benign?
Vertical plane dividing the body into Anterior and Posterior sections.
Noninvasive - non-spreading - nonmalignant.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Movement toward the midline

37. Abduction
Through
Movement away from the midline
Major skin pigment
Lower Back

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

39. Can you have TRICARE and CHAMPVA at the same time?
Vagina
Four
No.
Vertical plane dividing the body into Anterior and Posterior sections.

40. What are synovial joints?
Upper roof of the mouth
Free moving joints that are surrounded by joint capsules.
Structural protein found in skin and connective tissue.
Upper Arm bone

41. What is the Civil Monetary Penalties Law (CMPL)?
Hardening
Upper Arm bone
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Without

42. Zygoma
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Cheek Bone
Near the point of attachment to the trunk.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

43. Flat Bones
Bone that forms the wall between the nostrils
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Forms the roof of the nasal cavity
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

44. What are the key components of E/M?
Bursting forth blood
Shin
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Vulva

45. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Hind foot bone
Before
Hematopoietic tissue

46. Carpals
CMS
Shoulder - collar - pelvic - arms and legs.
Wrist bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

47. Cervical
Neck Bones
The bone is broken and pierces an organ.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Forms the sides of the cranium

48. enter/
Disease Condition
Bones the palm of the hand
Intestine
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

49. -gram
Inflammation
Record
Shin
The Axial Skeleton and the Appendicular Skeleton

50. mast/
Neck Bones
Breast
Forms the back of the skull
Vulva