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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. a - an
Interior of the nose
CMS
Without
Visual Examination

2. What is Assignment of Benefits?
Before
Reimbursement is sent directly from payer to the provider.
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.
Movement away from the midline

3. Anterior/Ventral
Disease Condition
Birth
A pregnant woman who has had at least one pregnancy.
Front part of the body.

4. What are bursae?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Hind foot bone
Cancer that has spread to a secondary site.
4. (ex 311.0)

5. When are V codes used?
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
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
4. (ex 311.0)
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

6. Metacarpals
Upper Arm bone
Bones the palm of the hand
Upper roof of the mouth
Turning the palm or foot upward

7. -pathy
Half
Forms the two lower sides of the cranium
Disease Condition
Middle of the foot bone

8. What are the 3 classifications of Hypertension?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Cancer that has spread to a secondary site.
Separation - Breakdown
A change in the code description since the last edition.

9. When billing an insurance company - what information must be included?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Below
The Axial Skeleton and the Appendicular Skeleton
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

10. When can a provider share PHI without specific permission from the patient?

11. What is Carcinoma in situ?
Heart
Hardening
Liver
Cancer that has localized and not spread at all.

12. ante
Before
Osseous
New
Painful - difficult

13. nat/
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Birth
Front part of the body.
Cancer that has spread to a secondary site.

14. Lumbar
Above
Measure
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Lower Back

15. Long Bones
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Bones at the corner of each eye that cradle the tearducts
Strong - broad and have large surfaces for muscles to attach to.
Absence of hair

16. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Pain
Vertical plane dividing the body into Anterior and Posterior sections.
To view

17. How many digits does an ICD-9 Subcategory code have?
Record
Inflammation
Surgical Puncture
4. (ex 311.0)

18. What does a triangle in the CPT book next to a code mean?
Before
Toe Bones
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
A change in the code description since the last edition.

19. Parietal Bones
Forms the front part of the skull and the forehead.
Forms the sides of the cranium
Noninvasive - non-spreading - nonmalignant.
A new procedure or service since the previous edition.

20. mast/
Beside
Through
Breast
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

21. What is Employer Liability?

22. Lumbar
Abnormal condition
Lower Back
Record
Below - deficient

23. per
Through
Standards of conduct based on moral principals.
Ankle
Blood Condition

24. Cervical
Between
Gall bladder
Neck Bones
Gall bladder

25. Abduction
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
Movement away from the midline
Front part of the body.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

26. Lipocyte
Upper Jawbone
A break at the distal end of the bone - usually when someone tries to break their fall.
Toe Bones
Fat cell

27. -ectomy
Intestine
Removal - Excision - Resection
Cancer that has spread to a secondary site.
Above

28. Frontal - Coronal
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Side
Vertical plane dividing the body into Anterior and Posterior sections.
Turning Outward

29. When was the Health Information and Accountability Act (HIPAA) created?
Fat cell
Moving backward
1996
Surgical Fixation

30. Tarsal
Hind foot bone
Bones the palm of the hand
Birth
Strong - broad and have large surfaces for muscles to attach to.

31. Melanin
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
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
Major skin pigment
Surgical Repair

32. pan
All
A new procedure or service since the previous edition.
Above
Opening

33. What are bones connected together with?
Noninvasive - non-spreading - nonmalignant.
Fallopian tubes
Fibrous bands of ligaments
In front of the temporal bones

34. How is the Patients DOB entered on the claim form?
Cancer that has localized and not spread at all.
Reimbursement is sent directly from payer to the provider.
MM/DD/YY
A change in the code description since the last edition.

35. dys
Cancer that has spread to a secondary site.
Upper Jawbone
Painful - difficult
Ankle

36. What are the two types of edits that the NCCI implements?
Strong - broad and have large surfaces for muscles to attach to.
Structural protein found in skin and connective tissue.
Ovary
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.

37. stomat/
Mouth
False
A working diagnosis that has not yet been established.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

38. What are Medical Ethics?
Standards of conduct based on moral principals.
Lung
Middle of the body.
Forms the roof of the nasal cavity

39. What are the insides of bones comprised of?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Ovary
Little - scanty
Hematopoietic tissue

40. What are the insides of bones comprised of?
Hematopoietic tissue
Enlargement
Small collection of clear fluid; blister
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

41. Lipocyte
4. (ex 311.0)
Fat cell
Pain
Shoulder - collar - pelvic - arms and legs.

42. lith/
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Nose
Stone
No.

43. arth/
Cartilage
Toe Bones
Far from the point of attachment of the trunk.
Intestine

44. -gram
Lower Back
False
Record
Free moving joints that are surrounded by joint capsules.

45. Frontal Bone
Inflammation
Forms the front part of the skull and the forehead.
Slow
Forms the two lower sides of the cranium

46. Parietal Bones
Pain
1996
Disease Condition
Forms the sides of the cranium

47. How many bones are in the spine?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
26
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Cartilage

48. What is a Comminuted Fracture?
Tongue
The bone is crushed or shattered.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Finger Bones

49. Who does TRICARE cover?
Vertical plane dividing the body to the left and the right sides.
Under
Active - retired - survivors and their families of the Armed Forces.
Below - deficient

50. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Free moving joints that are surrounded by joint capsules.
Absence of hair