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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. -tomy
To cut into
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Noninvasive - non-spreading - nonmalignant.
To view

2. Frontal Bone
Forms the front part of the skull and the forehead.
Lower medial arm bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Upper Jawbone

3. Frontal - Coronal
False
Vertical plane dividing the body into Anterior and Posterior sections.
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Absence of hair

4. Gangrene
Interior of the nose
Forms the front part of the skull and the forehead.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Death of tissue due to loss of blood supply

5. cardi/
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Heart
Hardening
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.

6. poly
Lunula
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Forms the roof of the nasal cavity
Many

7. neo
Nose
New
Cartilage
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

8. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
A pregnant woman who has had at least one pregnancy.
Fallopian tubes
Free moving joints that are surrounded by joint capsules.

9. What is a compression fracture?
Abdomen
The fractured area of the bone collapses on itself.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Bones the palm of the hand

10. What is a Complicated Fracture?
Front part of the body.
Lower Jawbone
The bone is broken and pierces an organ.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

11. What are the 3 layers of skin?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
CMS-1500
Below
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

12. Fibula
Smaller - lateral leg bone
Uteris
Tongue
Moving backward

13. pre
Absence of hair
Before - in front of
MM/DD/YY
Within

14. cholecyst/
Gall bladder
Liver
Middle of the foot bone
Hematopoietic tissue

15. Lateral
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.
Lunula
Side
Reimbursement is sent directly from payer to the provider.

16. Wheal
Forms the front part of the skull and the forehead.
The fractured area of the bone collapses on itself.
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Treatment

17. hin/
Hind foot bone
1996
Nose
Sacrum

18. -rrhagia
Near the point of attachment to the trunk.
Bursting forth blood
Upper roof of the mouth
Ovary

19. What are the 2 types of sweat glands?
Blood Condition
Wrist bones
Surgical Fixation
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

20. -lysis
Discolored - flat lesion
Reimbursement is sent directly from payer to the provider.
Separation - Breakdown
A new procedure or service since the previous edition.

21. Abduction
CMS-1500
Movement away from the midline
Active - retired - survivors and their families of the Armed Forces.
Abnormal condition

22. Lumbar
Cartilage
Lower Back
Middle of the foot bone
MM/DD/YY

23. Short Bones
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
Small with irregular shapes (ie wrist and ankle)
Through
Vulva

24. -oma
Vulva
Forms the roof of the nasal cavity
Mass
Cancer that has spread to a secondary site.

25. hemi
Forms the roof of the nasal cavity
Cancer that has localized and not spread at all.
All
Half

26. Maxilla
Upper Jawbone
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
Before - in front of
Office of Inspector General (OIG)

27. -ectomy
Suture
Slow
Removal - Excision - Resection
Fallopian tubes

28. What are the 3 layers of skin?
Standards of conduct based on moral principals.
Moving backward
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

29. What are Medical Ethics?
Little - scanty
Standards of conduct based on moral principals.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Painful - difficult

30. What is the False Claims Act (FCA)
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Turning Inward
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A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

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

32. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Before - in front of
Discolored - flat lesion
Epinephrine and Steriods

33. stomat/
Beside
Through
Mouth
Inflammation

34. -plasty
Strong - broad and have large surfaces for muscles to attach to.
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
Surgical Repair
Slow

35. pseudo
False
Movement toward the midline
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.
Cartilage

36. Frontal Bone
Milk
Forms the front part of the skull and the forehead.
No.
Heart

37. stomat/
Mouth
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Little - scanty
The bone is crushed or shattered.

38. Sagittal
Vertical plane dividing the body to the left and the right sides.
Lower medial arm bone
Turning Inward
Far from the point of attachment of the trunk.

39. Multigravida
Major skin pigment
Strong - broad and have large surfaces for muscles to attach to.
A pregnant woman who has had at least one pregnancy.
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

40. -rrhaphy
Suture
Interior of the nose
Ovary
To view

41. derm/
Blood Condition
Upper Back
Fibrous bands of ligaments
Skin

42. arth/
Upper Back
Below - deficient
Bone
Cartilage

43. para
Coccyx (Tailbone)
Beside
Uteris
Discharge - Flow

44. Retraction
Stomach
Breast
Moving backward
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

45. What are the 5 regions of the spine?
1. Insurance Reform 2. Administrative Simplification
Lower Back
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Finger Bones

46. tetra
Muscle
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.
Bursting forth blood
Four

47. chondro/
CMS
Cartilage
Forms the sides of the cranium
Shoulder - collar - pelvic - arms and legs.

48. Macule
A working diagnosis that has not yet been established.
Discolored - flat lesion
Out - out of
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

49. Long Bones
Breast
Strong - broad and have large surfaces for muscles to attach to.
Below
A working diagnosis that has not yet been established.

50. Lacrimal Bones
Gall bladder
Bones at the corner of each eye that cradle the tearducts
Cancer that has localized and not spread at all.
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